Pardon Application
Pardon Application
    If you are still serving your sentence, use the commutation application form: justice.gov/pardon/apply-
    commutation
How to Begin:
Filling out and submitting the application is the first step in a lengthy process. You will be asked to
share 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                  WHERE CAN I FIND DOCUMENTS
documents, if available, before you start:                           RELATED TO MY CONVICTION?
United States Department of Justice, Office of the Pardon Attorney, Washington D.C. / May 2024        Page 1 of 24
When will the Office of the Pardon Attorney (PARDON) contact you?
The pardon application process can take months or years. We ask that you keep your contact
information updated so that we can reach you when needed. Until the notification of the
President’s final decision, your application is “pending” or open. Messages from PARDON
during the process DO NOT predict the final decision. No outcome is guaranteed. Common
situations when we may contact you include:
        HELPFUL TIPS
          •    This application asks for information to 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 asks for a large amount of personal information that may
               require research and collecting documents from the past. 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 the application, stapling, gluing, or taping any part will slow down
               processing.
          •    If you need more space, you can add pages or documents.
          •    If there is information you feel would make your application stronger, 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.
United States Department of Justice, Office of the Pardon Attorney, Washington D.C. / May 2024     Page 2 of 24
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
  H. Sobriety and Substance Use…………………………………………………………...….13
  I. Financial Information…………………………………………………………………...……14
  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. It also tells you where to
  submit the application and how to keep your contact information updated.
United States Department of Justice, Office of the Pardon Attorney, Washington D.C. / May 2024   Page 3 of 24
Know Your Rights and How Your Information Will be Used
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).
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 be 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.
United States Department of Justice, Office of the Pardon Attorney, Washington D.C. / March 2024   Page 4 of 24
Public Burden 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 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 1123-0016, RFK Building, 950
Pennsylvania Avenue, N.W., Washington, D.C. 20530. The OMB clearance number, 1123-0016, is
currently valid. PARDON may not collect this information, and you are not required to respond, unless
this number is displayed.
United States Department of Justice, Office of the Pardon Attorney, Washington D.C. / May 2024   Page 5 of 24
A. Background Information
a. Applicant information
Full name:
First name Middle name (if you have one) Last name
First name Middle Name (if you have one) Last name
 Date of birth (Month, Day, Year)                               Country where you                  City and state where you
                                                                were born                          were born
                                                                                      ☐
 Parents #2’s full name (maiden name in parentheses)                                       Other nationality
b. Contact information
 Name of attorney helping with this                   Attorney’s email address and phone number
 application
c. Previous applications
United States Department of Justice, Office of the Pardon Attorney, Washington D.C. / March 2024          Page 6 of 24
d. Sex and race. This information is for statistical data collection purposes:
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)
Check here if you are attaching additional pages. Add the section name to the top of each page.
United States Department of Justice, Office of the Pardon Attorney, Washington D.C. / May 2024   Page 7 of 24
B. Reasons for Seeking Pardon
What are your reasons for seeking pardon?
The more specific you can be, the better. Use the space below and/or attach additional pages.
If you have ever been denied a job, license, or other opportunity because of your conviction,
attaching denial letters or related documents will help us review your application
Check here if you are attaching additional pages. Add the section name to the top of each page.
United States Department of Justice, Office of the Pardon Attorney, Washington D.C. / May 2024   Page 8 of 24
C. Community Activities
How have you 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 with 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 not been able to participate in these activities, explain below.
Is there anything you would like us to know about your reasons for engaging in community
activities? If you have not been able to participate in these activities, you can let us know why here.
Check here if you are attaching additional pages. Add the section name to the top of each page.
United States Department of Justice, Office of the Pardon Attorney, Washington D.C. / May 2024     Page 9 of 24
D. Educational and Licensing Opportunities
What educational or licensing opportunities have you 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                        •   Vocational training
        •    Associate, bachelor, master programs                  •   Commercial driver’s license (CDL) courses
        •    Department of Labor courses                           •   Licenses: cosmetology, real estate, nursing,
        •    Certificate programs                                      teaching, welding, electrician, or other
We know that people with a criminal record may have trouble getting into educational programs or
receiving licenses. If that applies to you, give details here. If you have them, you can attach any denial or
decision letters from licensing officials or related documents.
Check here if you are attaching additional pages. Add the section name to the top of each page.
United States Department of Justice, Office of the Pardon Attorney, Washington D.C. / May 2024     Page 10 of 24
E. Places Lived
Where have you lived in the last three years?
F. Military Service
Have you served in the military?                                             ☐ Not applicable
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. Add the section name to the top of each page.
United States Department of Justice, Office of the Pardon Attorney, Washington D.C. / May 2024      Page 11 of 24
G. Job History
Where have you worked in the last seven years?
    •     Include full and part-time jobs                          •   If you have had more than three jobs,
    •     If applicable, include jobs while incarcerated               attach additional pages
    •     Use approximate dates                                    •   If you are retired, give the approximate date
    •     Do not leave any gaps in dates                               your retirement began in the “Current
                                                                       employer” section
 Employer street address                City, state               Zip code             Supervisor name and phone
                                                                                       number
If you are currently unemployed or have been in the past, give the dates and share how you supported
yourself during that time.
If your criminal record has affected your ability to find work, give details here. If you received a rejection
letter or termination notice because of your conviction, you can 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, give details here.
Check here if you are attaching additional pages. Add the section name to the top of each page.
United States Department of Justice, Office of the Pardon Attorney, Washington D.C. / May 2024      Page 12 of 24
H. Sobriety and Substance Use
Have you struggled with substance use?                                                 ☐ Not applicable
We know that many people have struggled with substance use and that this can be difficult to discuss.
Your honest reflection is helpful to us.
 Type of drug or alcohol          How often were you using?                             Approximate dates used
                                                                                        (month/year to month/year)
If you have been diagnosed with a substance use disorder, give details here.
Give information on any counseling or treatment you received or rehabilitation program you
attended for substance use.
Is there anything else you would like to share about your history with sobriety and substance use?
Check here if you are attaching additional pages. Add the section name to the top of each page.
United States Department of Justice, Office of the Pardon Attorney, Washington D.C. / May 2024   Page 13 of 24
I. Financial Information
Do you have any debts that are late or in default (including child support payments) or do you
have any bankruptcy filings?
We know that criminal convictions may affect some people’s ability to get a job and may carry heavy
financial penalties, making it harder to keep up with necessary expenses. We know this can be a hard
subject to discuss. Your honest reflection is helpful to us.
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 to catch up on payments for any debts that are late or in default.
Check here if you are attaching additional pages. Add the section name to the top of each page.
United States Department of Justice, Office of the Pardon Attorney, Washington D.C. / May 2024   Page 14 of 24
J. Case Background and Other Criminal History
a. Give 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 these documents with your application will help
us review your case more quickly. See cover page for more information.
    •   Presentence report                                            •   Indictment or Information
    •   Judgment                                                      •   Case docket report
    •   Statement of reasons
Court where you were prosecuted (D.C. Superior Court,                      Case number
military court, or name of U.S. District Court)
Imprisonment:
                     Prison sentence (months or years)                 Approximate date you were released from
                                                                       prison, community confinement, or home
                                                                       detention (month/year)
 Probation or
 supervised
 release:            Sentence for probation or supervised              Approximate date you completed your term
                     release (months or years)                         of probation or supervised release
                                                                       (month/year)
 Financial
 penalties:
                    Assessment amount               Fine amount                           Restitution amount
United States Department of Justice, Office of the Pardon Attorney, Washington D.C. / May 2024   Page 15 of 24
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.)
Do you accept responsibility for your conduct? Explain why or why not.
Check here if you are attaching additional pages. Add the section name to the top of each page.
United States Department of Justice, Office of the Pardon Attorney, Washington D.C. / May 2024   Page 16 of 24
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 give any information you would like us to know about them. If you have your presentence
report, you may attach it and give missing or additional information you would like us to know below.
. Check here if you are attaching additional pages. Add the section name to the top of each page.
United States Department of Justice, Office of the Pardon Attorney, Washington D.C. / May 2024   Page 17 of 24
K. Certification and Personal Oath
I certify, under penalty of perjury, that all information in my petition and any document submitted with
it were given 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
gave 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.
Your signature
United States Department of Justice, Office of the Pardon Attorney, Washington D.C. / May 2024       Page 18 of 24
 L. Authorization for Release of Information
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.
Copies of this authorization that show my signature are as valid as the original release signed by me. If
not previously revoked in writing, this Authorization is valid and shall remain in effect so long as I am
under consideration for a government benefit.
Street Address
 United States Department of Justice, Office of the Pardon Attorney, Washington D.C. / May 2024         Page 19 of 24
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.
NOTE: The information below should be based on your personal knowledge of the petitioner. Helpful
information includes:
I affirm that the above information is true and correct to the best of my knowledge, information,
and belief.
Date Address
Phone number
                                                            Email address
United States Department of Justice, Office of the Pardon Attorney, Washington D.C. / May 2024   Page 20 of 24
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.
NOTE: The information below should be based on your personal knowledge of the petitioner. Helpful
information includes:
I affirm that the above information is true and correct to the best of my knowledge, information,
and belief.
Date Address
Phone number
                                                            Email address
United States Department of Justice, Office of the Pardon Attorney, Washington D.C. / May 2024   Page 21 of 24
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.
NOTE: The information below should be based on your personal knowledge of the petitioner. Helpful
information includes:
I affirm that the above information is true and correct to the best of my knowledge, information,
and belief.
Date Address
Phone number
                                                            Email address
United States Department of Justice, Office of the Pardon Attorney, Washington D.C. / May 2024   Page 22 of 24
N. Application Checklist
1. Gather the following information.
Required                                                       Optional
By email                                                       By mail
Email documents in PDF or Word format to                       U.S. Dep’t of Justice, Office of the Pardon Attorney
USPardon.Attorney@usdoj.gov                                    950 Pennsylvania Avenue, N.W.
                                                               Washington, D.C. 20530
NOTE: Pardon of a military offense will not change the character of a military discharge
United States Department of Justice, Office of the Pardon Attorney, Washington D.C. / May 2024   Page 23 of 24
3. Keep your contact information updated.
We will need to reach you during the pardon process. If your contact information changes, email us at
USPardon.Attorney@usdoj.gov or send a letter to our mailing address.
United States Department of Justice, Office of the Pardon Attorney, Washington D.C. / May 2024 Page 24 of 24