Rev. 2019
Application for Commutation of Sentence, Page 2 of 2
2. Describe the circumstances of your crime(s).
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3. Describe how a commutation of sentence may impact your life.
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4. Describe your life since your conviction (e.g., efforts in self-development, including identifying and addressing treatment needs,
professional and educational achievement; any set-backs, conduct violations, or new convictions; insight about past conduct; and
future goals).
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5. If
you have paid any money or given any gift to anyone to assist you in preparing this application, you are required by law to list
their name, address, phone number, email address, the nature of your relationship, and amount paid or gift given.
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AP
PLICANT DECLARATION
Complete the following statement after you have served your Notice of Intent
I,
___________________________________________, declare under penalty of perjury under the laws of the State of
(Print Applicant Full Name)
California that the information I have provided on this application is true and correct. I further declare that I have served (mailed or
delivered) my notice of intent to apply for clemency on the District Attorney of the County of ________________________________.
(Name of County or Counties)
_________________________________________ ___________________________________________
Applicant Signature Date
Subm
it this completed 2-page form to the Office of the Governor, State Capitol, Attn: Legal Affairs/Clemency, Sacramento, CA 95814.
You may, but are not required to, include copies of relevant documents that support your application (e.g., certificates of achievement,
photographs, letters of support, etc.). Do not send original documents, as application documents cannot be returned. Please update
the Governor’s Office promptly if your contact information changes. Submit a completed Notice of Intent to Apply for Clemency
to
the district attorney in the county of your convictions for which you are seeking a commutation of sentence.