Application For Restoration Of Rights - State Board Of Pardons And Paroles
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4STATE BOARD OF PARDONS AND PAROLES
2 Martin Luther King, Jr., Drive, S.E.
Balcony Level, East Tower
Atlanta, Georgia 30334-4909
(404) 656-4661
APPLICATION FOR RESTORATION OF RIGHTS
The State Board of Pardons and Paroles (SBPP) cannot pardon offenses that occurred in other states. I understand that the
SBPP cannot issue Pardons for federal offenses. I understand that the SBPP cannot expunge (remove from my record) any
charges or convictions I have received nor can the SBPP seal my records. I understand a Pardon may only be granted for a State
of Georgia conviction.
NOTE: The right to vote is automatically restored upon completion of sentence(s).
I am applying for (check the appropriate line):
Restoration of Civil and Political Rights (for eligibility requirements, see page 2, Section 1)
Pardon (for eligibility requirements, see page 2, see Section 2)
Restoration of Right to Receive, Possess or Transport in Commerce a Firearm
(for eligibility requirements, see page 2, Section 3)
Pardon exception (for eligibility requirements, see page 2, see Section 4)
In order to be processed, you must:
(1) Attach your criminal history record (must be dated within 10 days of the postmark date)
(2) Review criminal history to ensure all arrests show a disposition (conviction, dismissal, etc.)
(3) Attach court documentation for any disposition not showing on your criminal record (see application instructions for
obtaining criminal history and dispositions)
(4) For firearms requests, you must submit three (3) letters of reference, signed and dated (no family)
(5) Self-addressed, stamped envelope - white, business size
PLEASE PRINT:
Name:
(as it appears on court documents)
Social Security Number
Other names you are known by
Sex: (M or F)
Race
Inmate # (if applicable)
Date of Birth
Current County of Residence
Street Address
City/State
Zip Code
Home Telephone Number
Cell Phone Number
Daytime Phone Number
On penalty of false swearing, I declare hereby that every statement by me is true and correct. I affirm I have not omitted any requested
information. I fully understand any order issued by the Board in reliance on false, inaccurate, or incomplete information will be null and
void and of no effect at all. I have not concealed any convictions or unpaid fines or restitution. I understand the Board’s decision may not
be appealed.
Signature
Date
If you move, you will need to notify the Pardon Administration Unit in writing at the above
address.
Revision Date – June 2013
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