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Louisiana Code of Criminal Procedure Tit. XXXIV, Art. 993. Supplemental forms to be used
Current as of January 01, 2023 | Updated by Findlaw Staff
SUPPLEMENTAL SHEET
|
____Yes____No |
ARRESTS THAT DID NOT RESULT IN CONVICTION |
||
|
NO.____ |
La. Rev. Stat. Ann. |
§ ________ : ___________________ |
|
|
Name of the offense |
__________________________ |
||
|
( ) |
Time expired for prosecution |
______/_____/______________________ |
|
|
(MM/DD/YYYY) |
|||
|
( ) |
Charge refused by DA--not prosecuted. |
||
|
( ) |
Pre-trial Diversion Program. |
||
|
( ) |
Charge dismissed |
||
|
( ) |
Found not guilty/judgment of acquittal |
||
|
NO.____ |
La. Rev. Stat. Ann. |
§ ________ : ___________________ |
|
|
Name of the offense |
__________________________ |
||
|
( ) |
Time expired for prosecution |
______/_____/______________________ |
|
|
(MM/DD/YYYY) |
|||
|
( ) |
Charge refused by DA--not prosecuted. |
||
|
( ) |
Pre-trial Diversion Program. |
||
|
( ) |
Charge dismissed |
||
|
( ) |
Found not guilty/judgment of acquittal |
||
|
NO.____ |
La. Rev. Stat. Ann. |
§ ________ : ___________________ |
|
|
Name of the offense |
__________________________ |
||
|
( ) |
Time expired for prosecution |
______/_____/______________________ |
|
|
(MM/DD/YYYY) |
|||
|
( ) |
Charge refused by DA--not prosecuted. |
||
|
( ) |
Pre-trial Diversion Program. |
||
|
( ) |
Charge dismissed |
||
|
( ) |
Found not guilty/judgment of acquittal |
||
|
NO.____ |
La. Rev. Stat. Ann. |
§ ________ : ___________________ |
|
|
Name of the offense |
__________________________ |
||
|
( ) |
Time expired for prosecution |
______/_____/______________________ |
|
|
(MM/DD/YYYY) |
|||
|
( ) |
Charge refused by DA--not prosecuted. |
||
|
( ) |
Pre-trial Diversion Program. |
||
|
( ) |
Charge dismissed |
||
|
( ) |
Found not guilty/judgment of acquittal |
||
|
NO.____ |
La. Rev. Stat. Ann. |
§ ________ : ___________________ |
|
|
Name of the offense |
__________________________ |
||
|
( ) |
Time expired for prosecution |
______/_____/______________________ |
|
|
(MM/DD/YYYY) |
|||
|
( ) |
Charge refused by DA--not prosecuted. |
||
|
( ) |
Pre-trial Diversion Program. |
||
|
( ) |
Charge dismissed |
||
|
( ) |
Found not guilty/judgment of acquittal |
||
|
NO.____ |
La. Rev. Stat. Ann. |
§ ________ : ___________________ |
|
|
Name of the offense |
__________________________ |
||
|
( ) |
Time expired for prosecution |
______/_____/______________________ |
|
|
(MM/DD/YYYY) |
|||
|
( ) |
Charge refused by DA--not prosecuted. |
||
|
( ) |
Pre-trial Diversion Program. |
||
|
( ) |
Charge dismissed |
||
|
( ) |
Found not guilty/judgment of acquittal |
SUPPLEMENTAL SHEET
|
____Yes____No |
MISDEMEANOR CONVICTIONS |
||
|
NO.____ |
La. Rev. Stat. Ann. |
§ ________ : ___________________ |
|
|
Name of the offense |
__________________________ |
||
|
( ) |
Conviction set aside/dismissed |
______/_____/______________________ |
|
|
(MM/DD/YYYY) |
|||
|
pursuant to C.Cr.P. Art. 894(B) |
|||
|
( ) |
More than 5 years have passed |
||
|
since completion of sentence. |
|||
|
NO.____ |
La. Rev. Stat. Ann. |
§ ________ : ___________________ |
|
|
Name of the offense |
__________________________ |
||
|
( ) |
Conviction set aside/dismissed |
______/_____/______________________ |
|
|
(MM/DD/YYYY) |
|||
|
pursuant to C.Cr.P. Art. 894(B) |
|||
|
( ) |
More than 5 years have passed |
||
|
since completion of sentence. |
|||
|
NO.____ |
La. Rev. Stat. Ann. |
§ ________ : ___________________ |
|
|
Name of the offense |
__________________________ |
||
|
( ) |
Conviction set aside/dismissed |
______/_____/______________________ |
|
|
(MM/DD/YYYY) |
|||
|
pursuant to C.Cr.P. Art. 894(B) |
|||
|
( ) |
More than 5 years have passed |
||
|
since completion of sentence. |
|||
|
NO.____ |
La. Rev. Stat. Ann. |
§ ________ : ___________________ |
|
|
Name of the offense |
__________________________ |
||
|
( ) |
Conviction set aside/dismissed |
______/_____/______________________ |
|
|
(MM/DD/YYYY) |
|||
|
pursuant to C.Cr.P. Art. 894(B) |
|||
|
( ) |
More than 5 years have passed |
||
|
since completion of sentence. |
|||
|
NO.____ |
La. Rev. Stat. Ann. |
§ ________ : ___________________ |
|
|
Name of the offense |
__________________________ |
||
|
( ) |
Conviction set aside/dismissed |
______/_____/______________________ |
|
|
(MM/DD/YYYY) |
|||
|
pursuant to C.Cr.P. Art. 894(B) |
|||
|
( ) |
More than 5 years have passed |
||
|
since completion of sentence. |
|||
|
NO.____ |
La. Rev. Stat. Ann. |
§ ________ : ___________________ |
|
|
Name of the offense |
__________________________ |
||
|
( ) |
Conviction set aside/dismissed |
______/_____/______________________ |
|
|
(MM/DD/YYYY) |
|||
|
pursuant to C.Cr.P. Art. 894(B) |
|||
|
( ) |
More than 5 years have passed |
||
|
since completion of sentence. |
|||
|
NO.____ |
La. Rev. Stat. Ann. |
§ ________ : ___________________ |
|
|
Name of the offense |
__________________________ |
||
|
( ) |
Conviction set aside/dismissed |
______/_____/______________________ |
|
|
(MM/DD/YYYY) |
|||
|
pursuant to C.Cr.P. Art. 894(B) |
|||
|
( ) |
More than 5 years have passed |
||
|
since completion of sentence. |
|||
|
NO.____ |
La. Rev. Stat. Ann. |
§ ________ : ___________________ |
|
|
Name of the offense |
__________________________ |
||
|
( ) |
Conviction set aside/dismissed |
______/_____/______________________ |
|
|
(MM/DD/YYYY) |
|||
|
pursuant to C.Cr.P. Art. 894(B) |
|||
|
( ) |
More than 5 years have passed |
||
|
since completion of sentence. |
|||
|
NO.____ |
La. Rev. Stat. Ann. |
§ ________ : ___________________ |
|
|
Name of the offense |
__________________________ |
||
|
( ) |
Conviction set aside/dismissed |
______/_____/______________________ |
|
|
(MM/DD/YYYY) |
|||
|
pursuant to C.Cr.P. Art. 894(B) |
|||
|
( ) |
More than 5 years have passed |
||
|
since completion of sentence. |
SUPPLEMENTAL SHEET
|
____Yes____No |
FELONY CONVICTIONS |
||
|
NO.____ |
La. Rev. Stat. Ann. |
§ ________ : ___________________ |
|
|
Name of the offense |
__________________________ |
||
|
( ) |
Conviction set aside/dismissed |
______/_____/______________________ |
|
|
(MM/DD/YYYY) |
|||
|
pursuant to C.Cr.P. Art. 893(E) |
|||
|
( ) |
More than 10 years have passed |
||
|
since completion of sentence |
|||
|
( ) |
Received a first offender pardon for an eligible offense |
||
|
NO.____ |
La. Rev. Stat. Ann. |
§ ________ : ___________________ |
|
|
Name of the offense |
__________________________ |
||
|
( ) |
Conviction set aside/dismissed |
______/_____/______________________ |
|
|
(MM/DD/YYYY) |
|||
|
pursuant to C.Cr.P. Art. 893(E) |
|||
|
( ) |
More than 10 years have passed |
||
|
since completion of sentence |
|||
|
( ) |
Received a first offender pardon for an eligible offense |
||
|
NO.____ |
La. Rev. Stat. Ann. |
§ ________ : ___________________ |
|
|
Name of the offense |
__________________________ |
||
|
( ) |
Conviction set aside/dismissed |
______/_____/______________________ |
|
|
(MM/DD/YYYY) |
|||
|
pursuant to C.Cr.P. Art. 893(E) |
|||
|
( ) |
More than 10 years have passed |
||
|
since completion of sentence |
|||
|
( ) |
Received a first offender pardon for an eligible offense |
||
|
NO.____ |
La. Rev. Stat. Ann. |
§ ________ : ___________________ |
|
|
Name of the offense |
__________________________ |
||
|
( ) |
Conviction set aside/dismissed |
______/_____/______________________ |
|
|
(MM/DD/YYYY) |
|||
|
pursuant to C.Cr.P. Art. 893(E) |
|||
|
( ) |
More than 10 years have passed |
||
|
since completion of sentence |
|||
|
( ) |
Received a first offender pardon for an eligible offense |
||
|
NO.____ |
La. Rev. Stat. Ann. |
§ ________ : ___________________ |
|
|
Name of the offense |
__________________________ |
||
|
( ) |
Conviction set aside/dismissed |
______/_____/______________________ |
|
|
(MM/DD/YYYY) |
|||
|
pursuant to C.Cr.P. Art. 893(E) |
|||
|
( ) |
More than 10 years have passed |
||
|
since completion of sentence |
|||
|
( ) |
Received a first offender pardon for an eligible offense |
||
|
NO.____ |
La. Rev. Stat. Ann. |
§ ________ : ___________________ |
|
|
Name of the offense |
__________________________ |
||
|
( ) |
Conviction set aside/dismissed |
______/_____/______________________ |
|
|
(MM/DD/YYYY) |
|||
|
pursuant to C.Cr.P. Art. 893(E) |
|||
|
( ) |
More than 10 years have passed |
||
|
since completion of sentence |
|||
|
( ) |
Received a first offender pardon for an eligible offense |
||
|
NO.____ |
La. Rev. Stat. Ann. |
§ ________ : ___________________ |
|
|
Name of the offense |
__________________________ |
||
|
( ) |
Conviction set aside/dismissed |
______/_____/______________________ |
|
|
(MM/DD/YYYY) |
|||
|
pursuant to C.Cr.P. Art. 893(E) |
|||
|
( ) |
More than 10 years have passed |
||
|
since completion of sentence |
|||
|
( ) |
Received a first offender pardon for an eligible offense |
||
|
NO.____ |
La. Rev. Stat. Ann. |
§ ________ : ___________________ |
|
|
Name of the offense |
__________________________ |
||
|
( ) |
Conviction set aside/dismissed |
______/_____/______________________ |
|
|
(MM/DD/YYYY) |
|||
|
pursuant to C.Cr.P. Art. 893(E) |
|||
|
( ) |
More than 10 years have passed |
||
|
since completion of sentence |
|||
|
( ) |
Received a first offender pardon for an eligible offense |
||
|
NO.____ |
La. Rev. Stat. Ann. |
§ ________ : ___________________ |
|
|
Name of the offense |
__________________________ |
||
|
( ) |
Conviction set aside/dismissed |
______/_____/______________________ |
|
|
(MM/DD/YYYY) |
|||
|
pursuant to C.Cr.P. Art. 893(E) |
|||
|
( ) |
More than 10 years have passed |
||
|
since completion of sentence |
|||
|
( ) |
Received a first offender pardon for an eligible offense |
Cite this article: FindLaw.com - Louisiana Code of Criminal Procedure Tit. XXXIV, Art. 993. Supplemental forms to be used - last updated January 01, 2023 | https://codes.findlaw.com/la/code-of-criminal-procedure/la-code-crim-proc-tit-xxxiv-art-993/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
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