Application For Absolute Discharge From Parole - Arizona Board Of Executive Clemency

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Douglas A. Ducey
DR. C.T. WRIGHT
GOVERNOR
CHAIRMAN
1645 West Jefferson
Suite 101
Phoenix, Arizona 85007-3000
(602) 542-5656
A
RIZONA
FAX (602) 542-5680
B
E
C
OARD OF
XECUTIVE
LEMENCY
APPLICATION FOR ABSOLUTE DISCHARGE FROM PAROLE
(A.R.S. 31-414)
Offenses committed prior to July 17, 1993: Parolees may submit an application on their own
behalf and mail directly to: ARIZONA BOARD OF EXECUTIVE CLEMENCY, 1645 W.
Jefferson, Suite 101, Phoenix, Arizona 85007. Applications must be fully completed or it will be
returned to applicant.
Offenses committed after July 17, 1993: Parolees to complete application and then submit to
their Supervising Parole Officer. The Arizona Department of Corrections/Community
Supervision Division will submit directly to the Board of Executive Clemency-Attention Parole
Desk.
APPLICANT INFORMATION
Last Name
First Name
Middle Name
ADC Number:
Current Residence Address:
List mailing address, if different:
Contact Phone:
Cell:
Home:
Work:
pg. 1

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