Dd Form 2715 - Clemency/parole Submission
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1CLEMENCY/PAROLE SUBMISSION
1. SERVICE CLEMENCY/PAROLE BOARD
2. CORRECTIONAL FACILITY
3. SUBJECT: CLEMENCY/PAROLE PACKAGE
b. DoD ID/SSN (Last 4 only):
a. PRISONER NAME:
(Last, First, Middle)
c. MOST SERIOUS OFFENSE:
d. ADJUDGED SENTENCE INFORMATION:
PACKAGE INCLUDES:
PART 1. PAROLE SUMMARY
a. DISPOSITION BOARD RECOMMENDATION
(DD Form 2715-1)
b. PRISONER SUMMARY DATA
(DD Form 2715-2)
c. PRISONER RESTORATION, RETURN TO DUTY, CLEMENCY AND PAROLE
STATEMENT
(DD Form 2715-3)
PART 2. PRISONER BACKGROUND SUMMARY
a. PERSONAL DATA
(DD Form 2710, Section 1)
b. COURT MARTIAL DATA
c. MILITARY BACKGROUND
(DD Form 2710, Section 2)
d. CIVILIAN BACKGROUND
(DD Form 2710, Section 3)
e. FAMILY BACKGROUND
(DD Form 2710, Section 4)
f. MENTAL/PHYSICAL HEALTH BACKGROUND
(DD Form 2710, Section 5)
g. PRISONER SENTENCE INFORMATION
(DD Form 2710-1)
PART 3. ADDITIONAL INFORMATION
(List)
DOES CASE INVOLVE VICTIM/WITNESS NOTIFICATIONS?
NO
YES
4. REPORT PREPARED BY
a. NAME, GRADE, TITLE
b. SIGNATURE
c. DATE (YYYYMMDD)
5. REVIEWED AND FORWARDED BY
a. NAME, GRADE, TITLE
b. SIGNATURE
c. DATE (YYYYMMDD)
DD FORM 2715, MAR 2013
PREVIOUS EDITION IS OBSOLETE.
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