First Name required

Middle Name

Last Name required

Alias(es)/Maiden Name

Date of Birth (MM/DD/YYYY) required

Where Were You Born? required

Mailing Address:

Address Line 1 required

Address Line 2

City required

State

Zip Code required

Phone Number

Email

You must provide either a phone number or an email. Please provide both if possible.

* * *

WAIVERS AND AUTHORIZATIONS

Please fill out the section below if you want the Public Defender to proceed with filing your post-conviction petition for relief. If you agree with the waivers and authorizations below, please place your initials in the space below each paragraph.

I UNDERSTAND AND WAIVE MY RIGHT:

to be present for all court proceedings related to the post-conviction process, provided that no new trial or retrial will occur. required

to be resentenced by any judge of the Superior Court, so long as the sentence is not greater than originally sentenced to. required

I AUTHORIZE THE SAN BERNARDINO COUNTY PUBLIC DEFENDER:

to petition on my behalf to the San Bernardino Superior Court for resentencing or redesignation pursuant to California state laws. required

to obtain any and all documents (including but not limited to all charging documents, discovery, motions, correspondence, notes, medical records and reports, investigative reports, and all other information written or otherwise recorded) contained in my criminal case file from any other jurisdiction to the Law Offices of the San Bernardino County Public Defender, and its representative, for purposes of determining my eligibility for post-conviction relief in any criminal case where San Bernardino County has jurisdiction. required

I authorize the San Bernardino County Public Defender to communicate with me about my case electronically by e-mail. required

I authorize the release any and all documents, including but not limited to all charging documents, discovery, motions, correspondence, notes, medical records and reports, investigative reports, and all other information written or otherwise recorded, contained in my criminal case file from any other jurisdiction to the Law Offices of the San Bernardino County Public Defender, and to any representative, attorney or investigator from said firm, for purposes of determining my eligibility for post-conviction relief in any criminal case from the originating jurisdiction that has since been transferred to San Bernardino County. required

I have read or have had this form read to me and have initialed each of the waivers and authorizations noted above. By placing my initials under each paragraph, I have indicated that I understand and agree to the rights, waivers, and authorizations set forth in each such paragraph.

Name required

Today’s Date (MM/DD/YYYY) required

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POST-CONVICTION REDUCTION & DISMISSAL / CERTIFICATE OF REHABILITATION

Please answer the following questions to the best of your ability. Your name typed in the section above certifies that the following answers are true and correct to the best of your knowledge.

If seeking reduction/dismissal of your case:

1. Are you currently on probation, parole, or PRCS?
YesNo

2. Do you have any outstanding fines or fees in any case?
YesNo

3. Do you owe restitution in any criminal case?
YesNo

4. Do you have any pending charges against you?
YesNo

5. Were you convicted of a sex-related offense or required to register as a sex offender?
YesNo
    If yes, click here for PC 290 relief information.

6. If you were not sentenced to probation, has it been less than 1 year since the date of your conviction?
YesNo

If you answered “YES” to any of the above questions, you may not be eligible for post-conviction relief at this time.

If you participated in FIRE CAMP while incarcerated, you may be eligible for dismissal. You must provide proof of participation.

If seeking a Certificate of Rehabilitation (“COR”):

1. Do you reside in San Bernardino County? (petition must be filed where you live)
YesNo

2. Have you resided continuously in California for at least the past five years?
YesNo

3. Were you released from custody or supervision at least seven years ago?
YesNo

4. Have you been jailed or imprisoned since your release?
YesNo

5. Have you been arrested within last 7 years (regardless of conviction)?
YesNo

If you answered “NO” to questions 2-3 or “YES” to questions 4-5, you may not currently be eligible for a COR. Please note that before we can proceed with a COR petition, you will need to obtain your criminal arrest report. You can request your record at the local Sheriff’s office or from the California DOJ.

Please list all San Bernardino County convictions here. For court case numbers and dates, please search the Court Case Portal.

1. Conviction Court Case No.

Charge(s)

Type
FelonyMisdemeanor

Conviction Date

Sentence

2. Conviction Court Case No.

Charge(s)

Type
FelonyMisdemeanor

Conviction Date

Sentence

3. Conviction Court Case No.

Charge(s)

Type
FelonyMisdemeanor

Conviction Date

Sentence

Additional information we may need to process your application