Petition For Certificate Of Restoration Of Opportunity {CRO 01.0100}

Superior Court of Washington County of Civil Case No.:_____________________ Petitioner (name of defendant or respondent in criminal or juvenile offender case) vs. State of Washington, Respondent Petitioner asks the court for an order issuing a Certificate of Restoration of Opportunity that applies to all Washington state convictions or adjudications listed in Petitioner's Declaration or only these Washington state convictions or adjudications: Court and Location Cause Number Offense/s (as listed in sentencing documents) Date of Sentence Date of Release from Confinement Petition for Certificate of Restoration of Opportunity (PT) This petition is based upon Laws of 2016, ch. 81, §§ 2 and 3, Petitioner's Declaration, and the relevant court records. Dated: Petitioner/ Petitioner's Attorney/ WSBA # Print Name Pt. for Cert. of Restoration of Opportunity (PT) - Page 1 of 5 CRO 01.0100 (12/2016) Laws of 2016, ch. 81, §§ 2 and 3 American LegalNet, Inc. www.FormsWorkFlow.com Petitioner's Declaration: I, , declare as follows: 1. Qualified Court This superior court is a qualified court because this is the county where: I reside; or I was sentenced or adjudicated. I was sentenced by a district or municipal court. 2. Notice to Prosecuting Attorney/s I provided the prosecuting attorney in this county with written notice of this petition. I was sentenced by another jurisdiction in the five years before filing this petition. I provided written notice of this petition to the prosecuting attorney office/s in each of those jurisdictions, including Washington state, federal, tribal, and courts of other states. Copies of the notices sent to each prosecuting attorney must be attached. 3. Convictions or adjudications (Notice of this petition must be given to the prosecuting attorneys for the jurisdictions listed in this section where I was sentenced within the last five years.) In this county: I was convicted or adjudicated of the following offense(s) (list most recent criminal history first) In which court? Superior / Juvenile / District / Municipal Cause Number Offense/s (as listed in sentencing documents) Date of Sentence Date of Release from Confinement (if you were confined) Additional criminal history is attached. Pt. for Cert. of Restoration of Opportunity (PT) - Page 2 of 5 CRO 01.0100 (12/2016) Laws of 2016, ch. 81, §§ 2 and 3 American LegalNet, Inc. www.FormsWorkFlow.com Not in this County: I was convicted or adjudicated of the following offense(s) in other counties in Washington state, other states, federal court, tribal courts, district courts, or municipal courts: (list most recent criminal history first) Court and Location Cause Number Offense/s (as listed in sentencing documents) Date of Sentence Date of Release from Confinement (if you were confined) Additional criminal history is attached. I qualify for a certificate because: 4. I meet the timeline requirements as to all Washington convictions or adjudications because: As to each misdemeanor or gross misdemeanor or equivalent juvenile adjudication: Does not apply. One year has passed since a Washington state court sentenced me to probation, a deferred sentence, or other noncustodial sentence. 18 months have passed since I was released from total or partial confinement in a jail, prison, or juvenile facility in Washington state. As to each Class B or C felony or equivalent juvenile adjudication: Does not apply. Two years have passed since I was: sentenced by a Washington state court to probation, a deferred sentence, or other noncustodial sentence. released from total or partial confinement in a jail, prison, or juvenile facility in Washington state. Pt. for Cert. of Restoration of Opportunity (PT) - Page 3 of 5 CRO 01.0100 (12/2016) Laws of 2016, ch. 81, §§ 2 and 3 American LegalNet, Inc. www.FormsWorkFlow.com As to each violent offense as defined in RCW 9.94A.030 or an equivalent juvenile adjudication: Does not apply. Five years have passed since I was: sentenced by a Washington state court to probation, a deferred sentence, or other noncustodial sentence. released from total or partial confinement in a jail, prison, or juvenile facility in Washington state. 5. I am in compliance with all sentencing requirements imposed by any court I am in compliance with or have completed the terms of my sentence for each offense listed in section 3, including legal financial obligations. Conditions of Sentence: I have attached the Judgment and Sentence or Adjudication Order for each conviction or adjudication and proof that I completed or that I am in compliance with the conditions. Legal Financial Obligations: I have attached evidence as to each conviction or adjudication that: I paid all of my legal financial obligations in full; or I am fully compliant with all payment plans; or I am out of compliance with a payment plan and have good cause for my noncompliance. 6. I have never been convicted of any of the following offenses: · · · · · · · · A Class A felony, an attempt to commit a Class A felony. Criminal solicitation of or criminal conspiracy to commit a Class A felony. A sex offense (as defined RCW 9.94A.030). A crime that includes sexual motivation (RCW 9.94A.835, RCW 13.40.135, or RCW 9.94A.535(3)(f)). First degree extortion under RCW 9A.56.120. Drive-by shooting under RCW 9A.36.045. Vehicular assault under RCW 46.61.522(1) (a) or (b). Luring under RCW 9A.40.090. 7. No sex offender registration I am not required to register as a sex offender pursuant to RCW 9A.44.130. 8. No new crimes I have not been arrested for nor convicted of any crime since my most recent conviction listed above and there are no criminal charges pending against me in any court of this state, or another state, or in any federal or tribal court. Pt. for Cert. of Restoration of Opportunity (PT) - Page 4 of 5 CRO 01.0100 (12/2016) Laws of 2016, ch. 81, §§ 2 and 3 American LegalNet, Inc. www.FormsWorkFlow.com 9. My address where I agree to receive legal documents is: I declare under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. Signed at (city and state) Signature of Petitioner , on (date) . Print or Type Name Pt. for Cert. of Restoration of Opportunity (PT) - Page 5 of 5 CRO 01.0100 (12/2016) Laws of 2016, ch. 81, §§ 2 and 3 American LegalNet, Inc. www.FormsWorkFlow.com