Board Of Parole Hearings Petition To Advance Hearing Date - State Of California Page 2

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BOARD OF PAROLE HEARINGS
STATE OF CALIFORNIA
PETITION TO ADVANCE HEARING DATE
You can get help to fill out this form by asking your correctional counselor or other staff.
Sending the Petition
Send completed Petition to the BPH. You can also have your attorney or someone else help you as
long as it is filled out completely and signed by you (inmate). You can only send one (1) Petition once
every three (3) years. Send the Petition to:
Board of Parole Hearings
Decision Processing and Scheduling Unit
Attention: Petition Review
P.O. Box 4036, Sacramento, CA 95812-4036
CDCR Staff to Complete
Did staff assist in preparing this Petition?
Check:
Yes [
]
No [
]
If yes, what type of assistance, including
effective communication, was provided?
CDCR staff who assisted (Name & Title):
BPH DECISION
Petition received by the BPH on:
Date of last Petition to Advance Hearing request (If applicable):
Date of last Parole Suitability hearing:
Preliminary Review:
[
] Full Review Ordered
[
] Summarily Denied (indicate reason(s)):
[
]
No hearing was set pursuant to PC 3041.5(b)(3).
[
]
Three years has not passed since last request.
[
]
No evidence of new information or a change in circumstances warranting further review.
Commissioner/Deputy Commissioner Signature
Review Date
Full Review Preparation:
BPH 1045(B) Notice Sent to:
(# of Registered Victims or Victim’s Next of Kin on):
(Date)
(# of Responses received – Response(s), if any, attach for review)
Full Review:
[
] Approved, advance parole suitability hearing
[
] Denied, after conducting a review of the case factors and considering the new information or
change in circumstances, the prisoner did not establish a reasonable likelihood that
consideration of the public and victim’s safety does not require the additional incarceration.
Comments:
Commissioner/Deputy Commissioner Signature
Review Date
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BPH 1045 (A) (4/10)

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