12/01/2020
OMB 1110-0051
R-84 (e)
1) Please provide DD-214, level of court martial, and type of discharge.
2) If the subject was dishonorably discharged, was the discharge executed?
3) Please provide the Article and Specification of conviction.
4) Please provide all applicable documents.
5) Please provide a final disposition (Judgement, Sentencing Order, Docket Sheet, Complaint, Judgement and Commitment, Disposition Report, Conviction)
6) Please provide level of conviction (felony, misdemeanor, violation, summary, etc.) and the degree (felony 1st, misdemeanor 2nd, etc.)
7) What is the statute and subsection of the convicting offense?
8) Please advise if the subject is under indictment/information for a felony or misdemeanor with a maximum punishment that exceeds two years. If under indictment or information, please provide the date the subject was placed under indictment or information.
9) Please provide a copy of the police/incident report with full narrative. If applicable, please provide any associated/referenced reports.
10) Please submit all supporting documentation regarding this individual along with your agency’s response.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Cotton-Zinn, Larry E. (CJIS) (FBI) |
| File Modified | 0000-00-00 |
| File Created | 2024-08-12 |