Pardon For Simple Possession Of Marijuana Instructions

Instructions MJ Form.docx

Application for certificates of Pardon for the Offense of Simple Possession of Marijuana - E.O.

PARDON FOR SIMPLE POSSESSION OF MARIJUANA INSTRUCTIONS

OMB: 1123-0014

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Shape1 Shape2 Certificate of Pardon for the Offense of Simple Possession of Marijuana on or before October 6, 2022



On October 6, 2022, President Biden issued a presidential proclamation that pardons federal convictions for simple marijuana possession offenses.

How a pardon can help you

A pardon is an expression of the President’s forgiveness. It does not signify innocence or expunge the conviction. But it may remove civil disabilities—such as restrictions on the right to vote, to hold office, or to sit on a jury—that are imposed because of the pardoned conviction. It may also be helpful in obtaining licenses, bonding, or employment.




How to qualify for the pardon

You qualify for the pardon if:

On or before October 6, 2022, you were charged with or convicted of simple possession of marijuana by either a federal or D.C. Superior court

You were a U.S. citizen or lawfully present in the United States at the time of the offense

You were a U.S. citizen or lawful permanent resident on October 6, 2022


Request a certificate to show proof of the pardon

A Certificate of Pardon is proof that you were pardoned under the proclamation. The certificate is the only documentation you will receive of the pardon. Use the application below to start your request. If you'd rather send your application in the mail or by email, download the application form from Presidential Proclamation on Marijuana Possession (justice.gov) and either mail it to U.S. Department of Justice, Office of the Pardon Attorney, 950 Pennsylvania Avenue - RFK Main Justice Building, Washington, DC 20530 or [email protected].

What you'll need for the request

About you

You must provide personal details like name, mailing address, email address, and citizenship status.

About the charge or conviction

You must state whether it was a charge or conviction, the court district where it happened, and the date (month, day, year). If possible, you should also:

enter information about your case (docket or case number and the code section that was charged) upload your documents

charging documents, like the indictment, complaint, or criminal information; or

conviction documents, like the judgment of conviction or the court docket sheet showing the sentence and date it was imposed

Without this information, we can't guarantee that we'll be able to determine if you qualify for the pardon under the proclamation.




Privacy Act Statement

The Office of the Pardon Attorney has authority to collect this information under the U.S. Constitution, Article II, Section 2 (the pardon clause); Orders of the Attorney General Nos. 1798-93, 58 Fed. Reg. 53658 and 53659 (1993), 2317-2000, 65 Fed. Reg. 48381 (2000), and 2323-2000, 65 Fed. Reg. 58223 and 58224 (2000), codified in 28 C.F.R. §§ 1.1 et seq. (the rules governing petitions for executive clemency); and Order of the Attorney General No. 1012-83, 48 Fed. Reg. 22290 (1983), as codified in 28 C.F.R. §§ 0.35 and 0.36 (the authority of the Office of the Pardon Attorney). The principal purpose for collecting this information is to enable the Office of the Pardon Attorney to issue an individual certificate of pardon to you. The routine uses which may be made of this information include provision of data to the President and his staff, other governmental entities, and the public. The full list of routine uses for this correspondence can be found in the System of Records Notice titled, "Privacy Act of 1974; System of Records," published in Federal Register, September 15, 2011, Vol. 76, No. 179, at pages 57078 through 57080; as amended by "Privacy Act of 1974; System of Records," published in the Federal Register, May 25, 2017, Vol. 82, No. 100, at page 24161, and at the U.S. Department of Justice, Office of Privacy and Civil Liberties' website at: https://www.justice.gov/opcl/doj-systems-records#OPA.

 

By signing the attached form, you consent to allowing the Office of the Pardon Attorney to obtain information regarding your citizenship and/or immigration status from the courts, from other government agencies, from other components within the Department of Justice, and from the Department of Homeland Security, U.S. Citizenship and Immigration Services (DHS-USCIS), Systematic Alien Verification for Entitlements (SAVE) program. The information received from these sources will be used for the sole purposes of determining an applicant's qualification for a Certificate of Pardon under the October 6 proclamation and for record-keeping of those determinations. Further, please be aware that if the Office of the Pardon Attorney is unable to verify your citizenship or immigration status based on the information provided below, we may contact you to obtain additional verification information. For more information regarding the DHS-USCIS's SAVE program and its ordinary uses, please visit its website at: https://www.uscis.gov/save.

 

Your disclosure of information to the Office of the Pardon Attorney on this form is voluntary. If you do not complete all or some of the information fields in this form, however, the Office of the Pardon Attorney may not be able to effectively respond. Information regarding gender, race, or ethnicity is not required and will not affect the processing of the application.



(required)

Shape3 Check this box to acknowledge that you have read and understand the above statement.
Note: This acknowledgment is needed to apply for the individual certificate of pardon.

 

Shape4

Disclaimer

This webform is authorized by the United States Department of Justice and controlled by a third-party vendor, Leidos Digital Solutions, Inc. Reference in this webform to any specific commercial product, process, service, manufacturer, or company is not an endorsement or recommendation by the United States Government or the United States Department of Justice. The information made available to, collected, stored, and used by the Department is done so consistent with the DOJ Privacy Policy available at https://www.justice.gov/doj/privacy-policy. The third-party vendor collects certain user information when users access the site consistent with its obligations under its contract with the Department, which is consistent with Leidos Digital Solutions, Inc's privacy policy.

 

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Applicant Information

First Name  (required)Shape6

Middle Name Shape7

Last Name  (required)Shape8

Suffix Shape9

Shape10 Check this box if you had a different name at the time of charge or conviction.

    

Email  (required)Shape11

Confirm Email  (required)Shape12


Shape13

Current Mailing Address

Shape14 Check this box if you currently reside outside the United States.

Address Line 1 Shape15

Address Line 2 Shape16

City Shape17

State                                                                                                                     Shape18

Zip Shape19

   

Shape20

Birth Information

Date of Birth

Month

Day

Year

                          Shape21

                                                                Shape22

                                                                                                                                                                                                                                                Shape23

 

Country of Birth (required)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Shape24

 

City of Birth (required)Shape25

  

Shape26

Demographic Information

Gender        Shape27

 

Are you Hispanic or Latino?

Shape28 Yes

Shape29 No

 

Race              Shape30

 

Shape31

Citizenship Information

Citizenship or Residency Status (required)

Shape32 U.S. citizen by birth

Shape33 U.S. naturalized citizen

Shape34 Lawful permanent resident

    

Shape35

Supporting Information

If you have multiple charges or convictions, please submit a separate application for each one.

 

Charge or Conviction (required)

Shape36 Charged - Applicant has been charged (not convicted) with simple possession of marijuana in a U.S. District Court or D.C. Superior Court.

Shape37 Convicted - Applicant has been convicted of simple possession of marijuana in a U.S. District Court or D.C. Superior Court.

  

U.S. District Court or D.C. Superior Court                                                                                                                                                                                                Shape38

  

Code Section (the statute of your charge or conviction)Shape39

 

Docket Number (the number assigned to your case by the court)Shape40

 

Shape41

Supporting Documents

  • The charging document, including the indictment, complaint, or criminal information

  • The judgment of conviction, or the court docket sheet showing the sentence and date it was imposed

Upload File(3 MB Max)

 

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Certification

With knowledge of the penalties for false statements to Federal Agencies, as provided by 18 U.S.C. § 1001, and with knowledge that this statement is submitted by me to affect action by the U.S. Department of Justice, I certify that:

  1. The applicant was either a U.S. citizen or lawfully present in the United States at the time of the offense; and

  2. The applicant was a U.S. citizen or lawful permanent resident on October 6, 2022; and

  3. The above statements, and accompanying documents, are true and complete to the best of my knowledge, information, and belief; and

  4. I acknowledge that any certificate issued in reliance on the above information will be voided, if the information is subsequently determined to be false.

 

First Name (required)Shape43

 

Middle nameShape44

 

Last Name (required)Shape45

 

SuffixShape46

 


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