OMB Number: XXXX-0NEW Expiration Date: XX/XX/XXXX
What Is a Pardon and How Can It Help You?
Pardon is asking forgiveness from the President.
Pardon CAN:
Restore civil liberties, like the right to vote, or sit on a jury
Lift barriers to licensing, employment, housing, or education
Pardon CANNOT:
Erase a conviction
Expunge a conviction
To apply, you should: |
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OR Have been sentenced at least five years ago, if you were not given a prison term |
If you are still serving your sentence, use the commutation application form, available here: justice.gov/pardon/apply-commutation
Filling out and submitting the application is the first step in a lengthy process. You will be asked to provide details about yourself, your reasons for seeking pardon, your current activities, challenges you may be facing because of your conviction, information about your conviction and other criminal history, if any, and letters of support.
It is not required, but it may help to gather these documents, if available, before you start:
Presentence investigation report
This report is prepared by the U.S. Probation Office to help the court with sentencing.
Judgment
This document shows what sentence the court gave you.
Statement of reasons
This document gives the court’s reasons for the sentence (not applicable in D.C. Code or military cases).
Indictment or Information
These documents list the charges against you.
Case docket report
The docket lists all the events in the case.
WHERE CAN I FIND DOCUMENTS RELATED TO MY CONVICTION?
You may be able to get the judgment, indictment, information, and case docket report online:
Federal cases: PACER (has fees):
uscourts.gov/court-records/find-case-pacer
D.C. cases:
dccourts.gov/superior-court/cases-online
For documents that aren’t available online, you can contact or go to the court clerk’s office:
Federal court clerk’s offices:
uscourts.gov/about-federal-courts/federal-courts-public/court-website-links
D.C. Superior Court:
When will the Office of the Pardon Attorney (PARDON) contact you?
The pardon application process can take months or years to complete. We ask that you keep your contact information with us up-to-date, so that we can reach you when needed. Until the notification of the President’s final decision, your application remains “pending” or open. Messages from PARDON during the process DO NOT predict what final decision the President will make. No outcome is guaranteed. Common situations when we will contact you include:
Confirmation
Letter
We will send an email or letter confirming your application has been received
Follow-Up Letters
We may send emails or letters asking for more information or updates
Background Investigation
We will let you know if a background investigation has been started
Notification of Final Decision
We will let you know whether the President has granted or denied pardon
HELPFUL TIPS
This application requests information that will help us get a better picture of you and your life. All questions are important. Answer all questions to the best of your knowledge and ability and give as much detail as you can.
The application requires a large amount of personal information that may require research and collecting documents from years or decades ago. You may need several sessions to complete the application.
To help us process your application more quickly, if an answer does not apply to you, write “Not Applicable.”
Sending your application as a PDF by email will help us process your application more quickly.
If you mail in the application, stapling, gluing, or taping any part will slow down processing.
If you need more space, you can add additional pages or documents.
If there is any information you feel would make your application stronger, but you did not see a space to talk about it, please include it in additional pages. You can tell us about achievements, like physical fitness training or accomplishments; participation in personal growth, like counseling, therapy, or meditation; or other ways you have spent your time that tell us about who you are today.
Table
of Contents
A. Background Information.…………………………………………………………………….6
We need to know who is applying for pardon, to confirm your identity, and to be sure any background investigation is accurate.
B. Reasons for Seeking Pardon………………………………………………………………..8
We need to understand how your conviction has affected your life and what you hope pardon will change or improve.
Additional Information About Your Life Since Your Conviction (Parts C-I):
We need the questions in sections C-I (pages 9-14) to help us get a better picture of your life since your conviction, including your successes and the challenges you may have faced.
C. Community Activities…………………………………………………………………………9
D. Educational and Licensing Opportunities…………………………………………………10
E. Places Lived…………………………………………………………………………...…….11
F. Military Service…………………………………………………………………………...….11
G. Job History………………………………………………………………………………......12
J. Case Background and Other Criminal History……………………………………….......15
We need to make sure we have the correct case, better understand your offense conduct, and give you an opportunity to explain any other criminal history that may appear in a background investigation.
K. Certification and Personal Oath……………………………………………………………18
We need your signature to know that you are submitting the pardon application willingly and that you have answered the questions accurately, to the best of your ability.
L. Authorization for Release of Information…………………………………………………..19
The authorization lets us and any investigators we work with access information and documentation about your life. If we need information about medical or mental health history, we will ask you to complete a separate authorization.
M. Letters of Support…………………………………………………………………………..20
We need to know how you interact with your community, who you are now, and what your life looks like since your conviction. We need at least three letters. If you give us more than three letters, let us know which three will be your primary references. Primary references cannot be related to you by blood or marriage and must be willing to be interviewed during a background investigation.
N. Application Checklist……………………………………………………………………….23
This checklist will help you review your application to make sure it is complete before you send it in, tells you where to submit the application, and reminds you to keep your contact information up-to-date so we can contact you throughout the pardon application process.
Who is collecting this information and what are my rights?
The Office of the Pardon Attorney collects your information to review and make recommendations to the President on pardon applications. The Office is part of the Department of Justice, which is a federal government agency. You have the right not to provide information to us. If you do not answer some of the questions, however, we cannot guarantee that we will be able to continue working on your application.
How will my information be used under the Privacy Act?
The principal purpose for collecting this information is to enable the Office of the Pardon Attorney to process and evaluate your request for pardon after completion of sentence. 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.
The
Office of the Pardon Attorney has authority to collect this
information under the United States 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 pardon after completion of sentence); 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).
Can the government publish my information?
If you are granted or denied pardon by the President, your name will be released, including on our website or in response to public information requests, in accordance with our Freedom of Information Act obligations. Non-public documents, such as this petition and supporting documents, the presentence investigation report, the results of any federal background investigation, and the recommendation of the Department of Justice, are not generally available under the Freedom of Information and Privacy Acts. However, the Pardon Attorney may disclose the contents of pardon files in the possession of the Department of Justice when the disclosure is required by law or the ends of justice. Additionally, this office would confirm that a specific individual has applied for or was granted or denied pardon.
The President and his immediate staff are not subject to the constraints of the Freedom of Information and Privacy Acts. Accordingly, while pardon-related documents in the possession of the White House traditionally have not been made public, they may be legally disclosed at the discretion of the President. In addition, pardon-related documents retained by the White House at the end of a presidential administration will become part of the President’s official library, where they become subject to the disclosure provisions of the Presidential Records Act.
Answer questions as accurately and as fully as you can, to the best of your knowledge.
Making any intentionally false statements of material facts may provide a reason for denying your petition. In addition, the knowing and willful falsification of a document submitted to the government may subject you to criminal punishment, including up to five years’ imprisonment and a $250,000 fine. See 18 U.S.C. §§ 1001 and 3571.
This collection meets the requirements of 44 U.S.C. § 3507, as amended by the Paperwork Reduction Act of 1995. We estimate that it will take 180 minutes to read the instructions, gather the relevant materials, and answer questions on the form. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Attn: Office of the Pardon Attorney, U.S. Department of Justice, Attn: OMB Number XXXX-XXXX, RFK Building, 950 Pennsylvania Avenue, N.W., Washington, D.C. 20530. The OMB clearance number, XXXX-XXXX, is currently valid. PARDON may not collect this information, and you are not required to respond, unless this number is displayed.
Note: Nothing in this application or instructions is legal advice.
First name |
Middle name (if you have one) |
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If different, full legal name at time of conviction: |
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First name |
Middle Name (if you have one) |
Last name |
Other names (married, maiden, aliases, etc.) |
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Social security number |
Parent #1’s full name (including maiden name) |
Citizenship: |
☐ U.S. citizen by birth
☐ U.S. naturalized citizen
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Parents #2’s full name (including maiden name) |
☐ Other nationality |
b. Contact information
Street address |
Apartment/Unit |
City, State |
Zip code |
An email address is the best way to contact you. If you do not have an email address, you can provide the email of a person you trust, or your phone number. If an attorney is helping you with this application, also provide their information:
Your email address or email of a trusted person |
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Attorney’s name |
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Attorney’s email address and phone number |
Have you applied for federal commutation or pardon before? |
☐ Yes
☐ No |
Date applied (month/year):
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d. Gender and race. This information is for statistical data collection purposes:
Are you Hispanic or Latino?
☐ Yes
☐ No |
Race (select all that apply): ☐ Alaska Native or American Indian
☐ Black or African American
☐ White |
☐ Native Hawaiian or Other Pacific Islander
☐ Other |
Gender identity
☐ Female
☐ Male
☐ Other |
e. Family information. For this section, it would be helpful to have dates for:
Your marriage (if applicable)
Your divorce (if applicable)
Your children’s birth dates (if applicable)
Current marital status
☐ Civil union/domestic partnership
☐ Divorced ☐ Married
☐ Never Married ☐ Separated
☐ Widowed
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Current spouse / partner information, if applicable: |
Spouse / partner name |
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Date of marriage or civil union/domestic partnership |
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Place of marriage or civil union/domestic partnership
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Full name of child or dependent |
Date of birth |
Name(s) of other parent(s) |
Do you have custody? (Y/N) |
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Former spouse or partner information, if applicable: |
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Former spouse or partner name |
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Date of divorce |
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Place of marriage or civil union/domestic partnership |
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Place of divorce |
☐ Check here if you are attaching additional pages for your response to any questions in this section. Add the name of the form section to the top of each page you attach.
What are your reasons for seeking pardon?
The more specific you can be, the better. Use the space below and/or attach additional pages.
You may want to include:
How your life would be different if granted pardon
Challenges that you have faced as a result of your conviction
If you have ever been denied a job, license, or other opportunity because of your conviction, attaching denial letters or other related documents will help us with reviewing your application
☐ Check here if you are attaching additional pages for your response to any questions in this section. Add the name of the form section to the top of each page you attach.
Share how you have been involved in your community since your conviction.
“Community” can include family, neighborhood, city, prison community, or organizations and associations. If you have more than three activities, attach additional pages. Some examples are:
Assisting in extracurricular and education-related activities of children and grandchildren
Providing support to community members, such as neighbors and family members
Providing care to an aging relative
Service in or through a civic or religious organization or a professional association
Involvement in the prison community, including as tutor, mentor, or suicide watch companion
If you have been unable to participate in these activities, we provide space to explain below.
Description of activity |
Approximate start and end dates (year to year) |
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Who can tell us about your participation in the above activities?
Name(s) |
Contact information |
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Is there anything you would like us to know about your reasons for engaging in community activities? If you have been unable to participate in these activities, you can let us know why here.
☐ Check here if you are attaching additional pages for your response to any questions in this section. Add the name of the form section to the top of each page you attach. .
Tell us about any educational or licensing opportunities you have had.
These can be programs you have started or completed, including courses you completed and licenses you earned while incarcerated. Some examples are:
College correspondence courses
Associate, bachelor, master programs
Department of Labor courses
Certificate programs
Vocational training
Commercial driver’s license (CDL) courses
Licenses: cosmetology, real estate, nursing, teaching, welding, electrician, or other
If you need more space, attach additional pages.
School or program name |
Topic or subject studied and Degree or certification received |
Approximate dates attended (month/year to month/year)
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License Type
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Approximate date issued (year) |
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We recognize that people with a criminal record may have difficulty getting into educational programs or receiving licenses. If that applies to you, provide details here. If you have them, you may attach any denial or decision letters from licensing officials or related documents.
School or program name or license type
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Details |
Approximate date of denial or when informed not eligible (year) |
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☐ Check here if you are attaching additional pages for your response to any questions in this section. Add the name of the form section to the top of each page you attach..
Tell us where you have lived in the last three years, with addresses and approximate dates.
We already have your current address from your background information.
Street address
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Apartment /Unit |
City, state |
Zip code |
When did you live there? (month/year to month/year) |
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If you are now experiencing homelessness or have in the past, note the dates. |
(month/year to month/year) |
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If you have completed any military service, provide details here. ☐ Not applicable
Dates of service
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Branch(es)
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Serial number |
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Type of discharge |
Tell us briefly about your military service. For example, any tours of duty, time overseas or in active combat, disciplinary sanctions or military criminal proceedings taken against you, commendations or medals awarded to you, or other notable achievements. If available, attach a copy of your DD-214.
☐ Check here if you are attaching additional pages for your response to any questions in this section. Add the name of the form section to the top of each page you attach..
Tell us where you have worked in the last seven years.
Current employer |
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Type of business |
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Position |
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Month/year started |
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Employer street address
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City, state |
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Zip code |
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Supervisor name and phone number |
Previous employer name
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Type of business |
Position |
Employer address and phone number |
Approximate dates worked (month/year to month/year)
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If you are currently unemployed or have been in the past, provide the dates and let us know how you supported yourself during that time:
If your criminal record has affected your ability to find work, provide details here. If you received a rejection letter or termination notice due to your conviction, you may attach a copy.
Your work history will be reviewed as part of any background investigation. If you have been fired, accused of misconduct at a job, or given an unsatisfactory job performance rating, provide details here.
☐ Check here if you are attaching additional pages for your response to any questions in this section. Add the name of the form section to the top of each page you attach..
If you have struggled with substance use, provide details here. ☐ Not applicable
We recognize that many people have struggled with substance use and that this can be difficult to discuss. Your honest reflection on this topic is helpful to us. Give approximate dates, to the best of your ability.
Type of drug or alcohol |
How often were you using? |
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If you have been diagnosed with a substance use disorder, provide details here.
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Date of diagnosis (month/year) |
Provide information on any counseling or treatment you received or rehabilitation program you attended for substance use.
Facility/counselor/doctor name |
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When did you attend? (month/year to month/year) |
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Street address |
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Suite no. |
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City, state |
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Zip code |
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Phone number |
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How long have you been sober? |
Specify length of time in days, months, or years |
☐ Check here if you are attaching additional pages for your response to any questions in this section. Add the name of the form section to the top of each page you attach..
Provide details of any debts that are late or in default (including child support payments) or bankruptcy filings.
We recognize that criminal convictions may affect people’s ability to get a job and may carry heavy financial penalties, making it more difficult to keep up with necessary expenses. We know this can be a difficult subject to discuss, but your honest reflection on this topic is helpful to us.
Give approximate dates and amounts, to the best of your ability.
A credit report will be reviewed if a background investigation is initiated.
Description of debt that is late or in default |
Approximately how much is the debt? |
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Court where bankruptcy filed |
Approximate year bankruptcy filed and outcome
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Approximately how much debt did you want to discharge? |
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Is there anything else you would like to share about your experience with finances since your conviction?
This may include information on why you are unable to pay the above debts or filed for bankruptcy and any plans you have to catch up on payments for any debts that are late or in default.
☐ Check here if you are attaching additional pages for your response to any questions in this section. Add the name of the form section to the top of each page you attach..
a. Provide basic information on the conviction for which you are seeking pardon.
If you are seeking pardon for more than one conviction, attach additional pages.
It is not required, but, if available, sending a copy of the following documents with your application will help us review your case more quickly. See cover page for more information.
Presentence report
Judgment
Statement of reasons
Indictment or Information
Case docket report
Approximate date(s) of offense (month/year to month/year) |
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Court where you were prosecuted (D.C. Superior Court, military court, or name of U.S. District Court) |
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Case number
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Of what were you convicted?
What sentence did you receive? (fill in where applicable)
Imprisonment: |
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Approximate date you were released from prison, community confinement, or home detention (month/year)
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Probation or supervised release: |
Sentence for probation or supervised release (months or years) |
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Approximate date you completed your term of probation or supervised release (month/year) |
Financial penalties: |
Assessment amount |
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Fine amount |
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Restitution amount |
b. Tell us about your conduct for which you were convicted.
We want to hear from you, in your own words. The more specific and complete you are, the more helpful it is to us. We are specifically looking for information that is NOT in the public record of your case. You may wish to answer the following:
What was your role in the offense?
How, when, and why did you get involved?
What actions did you take in connection with the offense? (Include all actions, even if you pleaded guilty to only specific conduct, counts, or portions of the full criminal activity.)
☐ Check here if you are attaching additional pages for your response to any questions in this section. Add the name of the form section to the top of each page you attach..
c. Tell us about any other criminal history.
Your criminal history will be reviewed as part of any background investigation. List any other arrests or convictions that may appear on your criminal history record, if any, including juvenile and expunged records, and provide any information you would like us to know about them. If you have your presentence report, you may attach it and provide missing or additional information you would like us to know below.
☐ Check here if you are attaching additional pages for your response to any questions in this section. Add the name of the form section to the top of each page you attach..
I certify, under penalty of perjury, that all information in my petition and any document submitted with it were provided or authorized by me and that I reviewed and understand the information contained in, and submitted with, my petition. I further certify, under penalty of perjury, that all the information I provided in the application is complete, true, and correct to the best of my knowledge, information, and belief.
In petitioning the President of the United States for pardon, I do solemnly swear that I will be law-abiding and will support and defend the Constitution of the United States against all enemies, foreign and domestic, and that I take this obligation freely and without any mental reservation whatsoever.
Respectfully submitted this day of , .
Day Month Year
OMB Control Number: TBD
Expiration Date: TBD
Paperwork Reduction Act Statement -
This collection meets the requirements of 44 U.S.C. § 3507, as amended by the Paperwork Reduction Act of 1995. We estimate that it will take 5 minutes to read the instructions, gather the facts, and answer questions.
Carefully read this authorization, and if you agree, sign and date in ink.
I authorize any investigator, special agent, or other duly accredited representative of the Federal Bureau of Investigation, the Department of Defense, and any other authorized Federal agency, to obtain any information relating to my activities from schools, residential management agents, employers, criminal justice agencies, retail business establishments, courts, or other sources of information. This information may include, but is not limited to, my academic, residential, achievement, performance, attendance, disciplinary, employment history, criminal history, arrest, conviction, including the presentence investigation report, if any, medical, psychiatric/psychological, health care, and financial and credit information.
I understand that, for financial or lending institutions and certain other sources of information, a separate specific release may be needed (pursuant to their request or as may be required by law), and I may be contacted for such a release at a later date.
I further authorize the Federal Bureau of Investigation, the Department of Defense, and any other authorized Federal agency, to request criminal record information about me from criminal justice agencies for the purpose of determining my suitability for a government benefit.
I authorize custodians of records and sources of information pertaining to me to release such information upon request of the investigator, special agent, or other duly accredited representative of any Federal agency authorized above regardless of any previous agreement to the contrary. I understand that the information released by records custodians and sources of information is for official use by the Federal Government only for the purposes of processing my application for a government benefit, and may be redisclosed by the Government only as authorized by law.
Copies of this authorization that show my signature are as valid as the original release signed by me. This authorization is valid and shall remain in effect so long as I am under consideration for federal clemency.
Signature (sign in ink) |
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Full Name (type or print legibly) |
Date Signed |
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Other Names Used |
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Street Address |
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City |
State |
ZIP Code |
Home Telephone Number (include area code) |
Social Security Number |
☐ Primary reference (select exactly 3)
on behalf of
Name of petitioner
I certify that I have personally known the petitioner for years and am not related to petitioner by blood or marriage.
In support of this pardon petition, I state the below:
NOTE: The information below should be based on your personal knowledge of the petitioner. Helpful information includes:
How you know the individual,
What you know of the person’s reputation and conduct since their conviction, and
Their personal and professional activities, including at work, at home, and in the community.
☐ Check here if you are attaching additional pages.
I affirm that the above information is true and correct to the best of my knowledge, information, and belief.
Signature |
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Print Name |
Date |
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Address |
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Phone number |
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Email address |
M.
Letter of Support
☐ Primary reference (select exactly 3)
on behalf of
Name of petitioner
I certify that I have personally known the petitioner for years and am not related to petitioner by blood or marriage.
In support of this pardon petition, I state the below:
NOTE: The information below should be based on your personal knowledge of the petitioner. Helpful information includes:
How you know the individual,
What you know of the person’s reputation and conduct since their conviction, and
Their personal and professional activities, including at work, at home, and in the community.
☐ Check here if you are attaching additional pages.
I affirm that the above information is true and correct to the best of my knowledge, information, and belief.
Signature |
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Print Name |
Date |
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Address |
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Phone number |
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M.
Letter of Support
☐ Primary reference (select exactly 3)
on behalf of
Name of petitioner
I certify that I have personally known the petitioner for years and am not related to petitioner by blood or marriage.
In support of this pardon petition, I state the below:
NOTE: The information below should be based on your personal knowledge of the petitioner. Helpful information includes:
How you know the individual,
What you know of the person’s reputation and conduct since their conviction, and
Their personal and professional activities, including at work, at home, and in the community.
☐ Check here if you are attaching additional pages.
I affirm that the above information is true and correct to the best of my knowledge, information, and belief.
Signature |
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Print Name |
Date |
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Address |
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Phone number |
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1. Gather the following information.
Required
☐ Application form (pages 6-17)
☐ Signed
certification and personal oath
(page
18)
☐ Signed
and completed Authorization for
Release
of Information form (page 19)
☐ 3
signed letters of support from non-relatives (pages 20-22)
Note:
You MUST select exactly 3 as your primary letters
Optional
☐ Official records: presentence report, judgment, statement of reasons, indictment or information, or court docket record
☐ Personal records supporting answers
☐ Additional pages to complete answers
☐ Additional pages with any information you feel would make your application stronger but did not see a space to talk about it.
For general pardon applications
The fastest way to submit your application is by email. If you send it by mail, it may take longer to process.
By email
Email documents in PDF or Word format to [email protected]
U.S. Dep’t of Justice, Office of the Pardon Attorney
950 Pennsylvania Avenue, N.W.
Washington, D.C. 20530
For pardon of a general court-martial conviction only
Submit your application to the Secretary of the military department that had original jurisdiction in your case:
U.S.
Army:
Secretary of the
Army
Department of the Army
ATTN:
OTJAG-CLD
Pentagon
Washington, DC 20310
U.S.
Navy/U.S. Marine Corps:
Office
of the Judge Advocate General
Criminal Law Division (Code
20)
1254 Charles Morris Street S.E.
Suite B01
Washington
Navy Yard, D.C. 20374
U.S. Air Force:
Secretary of the Air
Force
Attention: AFLOA/JAJR
1500 W. Perimeter Road
Suite 1170
Joint Base Andrews,
Naval Air Facility, MD 20762
NOTE: Pardon of a military offense will not change the character of a military discharge.
3. Keep your contact information up-to-date.
If your contact information changes, email us at [email protected] or send a letter to our mailing address so that we can reach you throughout the pardon application process.
The application process:
Confirmation letter – We will send an email or letter letting your know we received your application and if it is missing any parts. If you have not received a confirmation after three months, email [email protected] (preferred) or send a letter to our mailing address. You may also check the status of your case on the Pardon Attorney’s website, at: https://www.justice.gov/pardon/search-clemency-case-status.
Background investigation – During the review of your application, a background investigation may be necessary. The investigation is conducted by agents of the Federal Bureau of Investigation (FBI). We will let you know by email (preferred) or mail if we have requested a background investigation. It may include interviews of you, the people who wrote your letters of support, neighbors, former and present employers, acquaintances, and other individuals who may be able to provide relevant information about you. The agent will be discreet and make reasonable efforts not to disclose the reason for the investigation, but we cannot guarantee that those interviewed will not learn that you are seeking pardon for a past criminal conviction.
Notification of final decision – You will be notified when a final decision is made by the President on whether to grant or deny your pardon application. This may take years. No hearing will be held and there is no appeal from the President’s decision to deny a request for pardon.
United
States Department of Justice, Office of the Pardon Attorney,
Washington D.C. / March 2024 Page
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Walters, Frances (PARDON) |
File Modified | 0000-00-00 |
File Created | 2024-07-24 |