Oklahoma Pardon And Parole Board Commutation Application Page 10

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I am paying child support for the following children (list names and ages):
Child Support
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
I currently pay $__________ per month in child support.
Are ALL your child support payments current? □ Yes
□ No
If you are not current with any child support payments, specify the reason(s) you are not current:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
INCARCERATION INFORMATION
17. Provide each facility in which you have been incarcerated, beginning with the present and working
backward. If you were administratively segregated from general population, list all such periods
and give a full description of the circumstances. All time periods must be accounted for. If more
space is needed, use the Optional Continuation Page, list the question number, and attach to the
application.
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
18. What were your assessed needs from the Lexington Assessment and Reception Center? If more
space is needed, use the Optional Continuation Page, list the question number, and attach it to the
application.
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Oklahoma Pardon and Parole Board Commutation Application Revised March 2017
10

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