ENROLLED 2020 Regular Session HOUSE BILL NO. 194 BY REPRESENTATIVE MARINO 1 AN ACT 2 To amend and reenact Code of Criminal Procedure Articles 989, 992, and 993, relative to 3 expungement; to provide with respect for expungement forms; to provide for the 4 amendment of certain forms for expungement; and to provide for related matters. 5 Be it enacted by the Legislature of Louisiana: 6 Section 1. Code of Criminal Procedure Articles 989, 992, and 993 are hereby 7 amended and reenacted to read as follows: 8 Art. 989. Motion for expungement forms to be used 9 STATE OF LOUISIANA 10 JUDICIAL DISTRICT FOR THE PARISH OF 11 ______________________________ 12 No.: _____________ Division: "_______" 13 State of Louisiana 14 vs. 15 _______________________________________________________ 16 MOTION FOR EXPUNGEMENT 17 NOW INTO COURT comes mover, who provides the court with the 18 following information in connection with this request: 19 I. DEFENDANT INFORMATION 20 NAME: ___________________________________________________________ 21 (Last, First, MI) 22 DOB: ________/______/_______ (MM/DD/YYYY) 23 GENDER _____ Female _____Male 24 SSN (last 4 digits): XXX-XX-________ Page 1 of 17 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HB NO. 194 ENROLLED 1 RACE: _________________ 2 DRIVER LIC.# _________________ 3 ARRESTING AGENCY: __________________________________________ 4 SID# (if available): _________________ 5 ARREST NUMBER (ATN): _________________ 6 AGENCY ITEM NO. _________________ 7 Mover is entitled to expunge the record of his arrest/conviction pursuant to 8 Louisiana Code of Criminal Procedure Article 971 et seq. and states the following 9 in support: 10 II.ARREST INFORMATION 11 1. Mover was arrested on _______/______/_______ (MM/DD/YYYY) 12 2. _____ YES _____ NO A supplemental sheet with arrests and/or 13 convictions is attached after page 2 of this 14 Motion. 15 3. Mover was: 16 _____ YES _____ NO Arrested, but it did not result in conviction 17 _____ YES _____ NO Convicted of and seeks to expunge a 18 misdemeanor 19 _____ YES _____ NO Convicted of and seeks to expunge a felony 20 _____ YES _____ NO Convicted but determined to be factually 21 innocent and entitled to compensation for a 22 wrongful conviction pursuant to the 23 provisions of R.S. 15:572.8. 24 4. Mover was booked and/or charged with the following offenses: (List each 25 offense booked and charged separately. Attach a supplemental sheet, if 26 necessary.) 27 ____ Yes ____ No ARRESTS THAT DID NOT RESULT IN CONVICT ION 28 NO. 1 La. Rev. Stat. Ann. § _______ : ________ 29 Name of the offense __________________ Page 2 of 17 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HB NO. 194 ENROLLED 1 ( ) Time expired for prosecution__________________ 2 (MM/DD/YYYY) 3 ( ) Not prosecuted for any offense 4 arising out of this charge. 5 ( ) Pre-trial Diversion Program. 6 ( ) DWI Pre-Trial Diversion Program 7 and 5 years have elapsed since the 8 date of arrest. 9 ( ) Charge dismissed 10 ( ) Found not guilty/judgment of acquittal 11 NO. 2 La. Rev. Stat. Ann. § _______ : ________ 12 Name of the offense __________________ 13 ( ) Time expired for prosecution__________________ 14 (MM/DD/YYYY) 15 ( ) Not prosecuted for any 16 offense arising out of this charge. 17 ( ) Pre-trial Diversion Program. 18 ( ) Charge dismissed 19 ( ) Found not guilty/judgment of acquittal 20 NO. 3 La. Rev. Stat. Ann. § _______ : ________ 21 Name of the offense __________________ 22 ( ) Time expired for prosecution__________________ 23 (MM/DD/YYYY) 24 ( ) Not prosecuted for any offense 25 arising out of this charge. 26 ( ) Pre-trial Diversion Program. 27 ( ) Charge dismissed 28 ( ) Found not guilty/judgment of acquittal 29 ____ Yes ____ NoMISDEMEANOR CONVICTIONS 30 NO. 1 La. Rev. Stat. Ann. § _______ : ________ Page 3 of 17 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HB NO. 194 ENROLLED 1 Name of the offense _________________ 2 ( ) Conviction set aside/dismissed_____/____/_______ 3 pursuant to C.Cr.P. Art. 894(B) (MM/DD/YYYY) 4 ( ) More than 5 years have passed 5 since completion of sentence. 6 NO. 2 La. Rev. Stat. Ann. § _______ : ________ 7 Name of the offense _________________ 8 ( ) Conviction set aside/dismissed_____/____/_______ 9 pursuant to C.Cr.P. Art. 894(B) (MM/DD/YYYY) 10 ( ) More than 5 years have passed 11 since completion of sentence. 12 ____ Yes ____ NoFELONY CONVICTIONS 13 NO. 1 La. Rev. Stat. Ann. § _______ : ________ 14 ( ) Conviction set aside/dismissed_____/____/_______ 15 pursuant to C.Cr.P. Art. 893(E)(MM/DD/YYYY) 16 ( ) More than 10 years have passed 17 since completion of sentence 18 ( ) Received a first offender pardon for an eligible offense 19 NO. 2 La. Rev. Stat. Ann. § _______ : ________ 20 ( ) Conviction set aside/dismissed_____/____/_______ 21 pursuant to C.Cr.P. Art. 893(E)(MM/DD/YYYY) 22 ( ) More than 10 years have passed 23 since completion of sentence 24 ( ) Received a first offender pardon for an eligible offense 25 ____ Yes ____ NoOPERATING A MOTOR VEHICLE WHILE 26 INTOXICATED CONVICTIONS 27 Mover has attached the following: 28 ( )A copy of the proof from the Department of Public Safety and 29 Corrections, office of motor vehicles, that it has received from the 30 clerk of court a certified copy of the record of the plea, fingerprints Page 4 of 17 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HB NO. 194 ENROLLED 1 of the defendant, and proof of the requirements set forth in C.Cr.P. 2 Art. 556, which shall include the defendant's date of birth, last four 3 digits of social security number, and driver's license number 4 5. Mover has attached to this Motion the following pertinent documents: 5 G Criminal Background Check from the La. State Police/Parish Sheriff 6 dated within the past 60 days (required). 7 G Bill(s) of Information (if any). 8 G Minute entry showing final disposition of case (if any). 9 G Certification Letter from the District Attorney for fee waiver (if 10 eligible). 11 G Certification Letter from the District Attorney verifying that the 12 applicant has no convictions or pending applicable criminal charges 13 in the requisite time periods. 14 G Certification Letter from the District Attorney verifying that the 15 charges were refused. 16 G Certification Letter from the District Attorney verifying that the 17 applicant did not participate in a pretrial diversion program. 18 G A copy of a first offender pardon. 19 G A copy of the order waiving the sex offender registration and 20 notification requirements. 21 G Documentation verifying that the mover has been employed for ten 22 consecutive years. 23 G A copy of the court order determination of factual innocence and 24 order of compensation for a wrongful conviction pursuant to the 25 provisions of R.S. 15:572.8 if applicable. 26 The Mover prays that if there is no objection timely filed by the arresting law 27 enforcement agency, the district attorney's office, or the Louisiana Bureau of 28 Criminal Identification and Information, that an order be issued herein ordering the 29 expungement of the record of arrest and/or conviction set forth above, including all 30 photographs, fingerprints, disposition, or any other such information, which record Page 5 of 17 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HB NO. 194 ENROLLED 1 shall be confidential and no longer considered a public record, nor be made available 2 to other persons, except a prosecutor, member of a law enforcement agency, or a 3 judge who may request such information in writing, certifying that such request is 4 for the purpose of prosecuting, investigating, or enforcing the criminal law, for the 5 purpose of any other statutorily defined law enforcement or administrative duties, 6 or for the purpose of the requirements of sex offender registration and notification 7 pursuant to the provisions of R.S. 15:541 et seq. or as an order of this Court to any 8 other person for good cause shown, or as otherwise authorized by law. 9 If an "Affidavit of No Opposition" by each agency named herein is attached 10 hereto and made a part hereof, Defendant requests that no contradictory hearing be 11 required and the Motion be granted ex parte. 12 Respectfully submitted, 13 ____________________________________ 14 Signature of Attorney for Mover/Defendant 15 ____________________________________ 16 Attorney for Mover/Defendant Name 17 ____________________________________ 18 Attorney's Bar Roll No. 19 ____________________________________ 20 Address 21 ____________________________________ 22 City, State, ZIP Code 23 ____________________________________ 24 Telephone Number 25 If not represented by counsel: 26 ____________________________________ 27 Signature of Mover/Defendant Page 6 of 17 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HB NO. 194 ENROLLED 1 ____________________________________ 2 Mover/Defendant Name 3 ____________________________________ 4 Address 5 ____________________________________ 6 City, State, ZIP Code 7 ____________________________________ 8 Telephone Number 9 * * * 10 Art. 992. Order of expungement form to be used 11 STATE OF LOUISIANA 12 JUDICIAL DISTRICT FOR THE PARISH OF 13 ______________________________ 14 No.: ____________ Division: "_______" 15 State of Louisiana 16 vs. 17 _______________________________________________________ 18 ORDER OF EXPUNGEMENT OF ARREST/CONVICTION RECORD 19 Considering the Motion for Expungement 20 G The hearing conducted and evidence adduced herein, OR 21 G Affidavits of No Opposition filed, 22 IT IS ORDERED, ADJUDGED AND DECREED G THE MOTION IS DENIED for No(s). ___, , , , 23 ________ for the following 24 reasons (check all that apply): 25 G More than five years have not elapsed since Mover completed the 26 misdemeanor conviction sentence. 27 G More than ten years have not elapsed since Mover completed the 28 felony conviction sentence. 29 G Mover was convicted of one of the following ineligible felony 30 offenses: Page 7 of 17 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HB NO. 194 ENROLLED 1 G A violation of the Uniform Controlled Dangerous Substances Law 2 which is ineligible to be expunged. 3 G An offense currently listed as a sex offense that requires registration 4 pursuant to R.S. 15:540 et seq., at the time the Motion was filed, 5 regardless of whether the duty to register was ever imposed. 6 G An offense defined or enumerated as a "crime of violence" pursuant 7 to R.S. 14:2(B) at the time the Motion was filed. 8 G The arrest and conviction being sought to have expunged is for 9 operating a motor vehicle while intoxicated and a copy of the proof 10 from the Department of Public Safety and Corrections, office of 11 motor vehicles, is not attached as required by C.Cr.P. Art. 984(A). 12 G Mover has had another record of misdemeanor conviction expunged 13 during the previous five-year period. 14 G The record of arrest and conviction which Mover seeks to have 15 expunged is for operating a motor vehicle while intoxicated and 16 Mover has had another record of arrest and misdemeanor conviction 17 expunged during the previous ten-year period. 18 G Mover has had another record of felony conviction expunged during 19 the previous fifteen-year period. 20 G Mover was convicted of a misdemeanor which arose from 21 circumstances involving a sex offense as defined in R.S. 15:541. 22 G Mover was convicted of misdemeanor offense of domestic abuse 23 battery which was not dismissed pursuant to C.Cr.P. Art. 894(B). 24 G Mover did not complete pretrial diversion. 25 G The charges against the mover were not dismissed or refused. 26 G Mover's felony conviction was not set aside and dismissed pursuant 27 to C.Cr.P. Art. 893(E). 28 G Mover's felony conviction was not set aside and dismissed pursuant 29 to C.Cr.P. Art. 894(B). Page 8 of 17 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HB NO. 194 ENROLLED 1 G Mover completed a DWI pretrial diversion program, but five years 2 have not elapsed since the mover's date of arrest. 3 G Mover's conviction for felony carnal knowledge of a juvenile is not 4 defined as misdemeanor carnal knowledge of a juvenile had the 5 mover been convicted on or after August 15, 2001. 6 G Mover has not been employed for ten consecutive years as required 7 by C.Cr.P. Art. 978(E)(1)(d). 8 G Mover was not convicted of a crime that would be eligible for 9 expungement as required by C.Cr.P. Art. 978(E)(1). 10 G Mover has criminal charges pending against him. 11 G Mover was convicted of a criminal offense during the ten-year 12 period. 13 G Mover received a first offender pardon but for an ineligible offense. 14 G Mover did not receive a first offender pardon. 15 G Denial for any other reason provided by law with attached reasons for 16 denial. 17 G THE MOTION IS HEREBY GRANTED for No(s). ____________ 18 and all agencies are ordered to expunge the record of arrest/conviction and any 19 photographs, fingerprints, or any other such information of any kind maintained in 20 connection with the Arrest(s)/Conviction(s) in the above-captioned matter, which 21 record shall be confidential and no longer considered a public record, nor be 22 available to other persons except a prosecutor, member of a law enforcement agency, 23 or a judge who may request such information in writing certifying that such request 24 is for the purpose of prosecuting, investigating, or enforcing the criminal law, for the 25 purpose of any other statutorily defined law enforcement or administrative duties, 26 or for the purpose of the requirements of sex offender registration and notification 27 pursuant to the provisions of R.S. 15:541 et seq. or upon an order of this Court to any 28 other person for good cause shown, or as otherwise authorized by law. 29 G THE MOTION IS HEREBY GRANTED FOR EXPUNGEMENT 30 BY REDACTION If the record includes more than one individual and the mover Page 9 of 17 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HB NO. 194 ENROLLED 1 is entitled to expungement by redaction pursuant to Code of Criminal Procedure 2 Article 985, for No(s). ____________ and all agencies are ordered to expunge the 3 record of arrest/conviction and any photographs, fingerprints, or any other such 4 information of any kind maintained in relation to the Arrest(s)/Conviction(s) in the 5 above-captioned matter as they relate to the mover only. The record shall be 6 confidential and no longer considered a public record, nor be available to other 7 persons except a prosecutor, member of a law enforcement agency, or a judge who 8 may request such information in writing certifying that such request is for the 9 purpose of prosecuting, investigating, or enforcing the criminal law, for the purpose 10 of any other statutorily defined law enforcement or administrative duties, or for the 11 purpose of the requirements of sex offender registration and notification pursuant to 12 the provisions of R.S. 15:541 et seq. or upon an order of this Court to any other 13 person for good cause shown, or as otherwise authorized by law. 14 NAME: _______________________________________________________ 15 (Last, First, MI) 16 DOB:______/_____/______ (MM/DD/YY) 17 GENDER: _____ Female _____Male 18 SSN (last 4 digits):XXX-XX-_________ 19 RACE: _________________ 20 DRIVER LIC.# _________________ 21 ARRESTING AGENCY: ______________________________________ 22 SID# (if available):_________________ 23 ARREST NUMBER (ATN): _________________ 24 AGENCY ITEM NUMBER: _________________ 25 ARREST DATE: ______/_____/______ (MM/DD/YY) 26 THUS ORDERED AND SIG NED this _____ day of _______________, 20____ 27 at ________________________, Louisiana. 28 ___________________________________ 29 JUDGE Page 10 of 17 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HB NO. 194 ENROLLED 1 PLEASE SERVE: 2 1. District Attorney: ______________________________________________ 3 2. Arresting Agency: _____________________________________________ 4 3. Parish Sheriff:________________________________________________ 5 4. Louisiana Bureau of Criminal Identification and Information___________ 6 5. Attorney for Defendant (or defendant)_____________________________ 7 6. Clerk of Court ____________________________ 8 Art. 993. Supplemental forms to be used 9 SUPPLEMENTAL SHEET 10 ____ Yes ____ NoARRESTS THAT DID NOT RESULT IN CONVICTI ON 11 NO. ___ La. Rev. Stat. Ann. § _______ : ________ 12 Name of the offense _________________ 13 ( ) Time expired for prosecution _____/____/_______ 14 (MM/DD/YYYY) 15 ( ) Charge refused by DA - not prosecuted. 16 ( ) Pre-trial Diversion Program. 17 ( ) Charge dismissed 18 ( ) Found not guilty/judgment of acquittal 19 NO. ___ La. Rev. Stat. Ann. § _______ : ________ 20 Name of the offense _________________ 21 ( ) Time expired for prosecution _____/____/_______ 22 (MM/DD/YYYY) 23 ( ) Charge refused by DA - not prosecuted. 24 ( ) Pre-trial Diversion Program. 25 ( ) Charge dismissed 26 ( ) Found not guilty/judgment of acquittal 27 NO. ___ La. Rev. Stat. Ann. § _______ : ________ 28 Name of the offense _________________ 29 ( ) Time expired for prosecution _____/____/_______ 30 (MM/DD/YYYY) Page 11 of 17 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HB NO. 194 ENROLLED 1 ( ) Charge refused by DA - not prosecuted. 2 ( ) Pre-trial Diversion Program. 3 ( ) Charge dismissed 4 ( ) Found not guilty/judgment of acquittal 5 NO. ___ La. Rev. Stat. Ann. § _______ : ________ 6 Name of the offense _________________ 7 ( ) Time expired for prosecution _____/____/_______ 8 (MM/DD/YYYY) 9 ( ) Charge refused by DA - not prosecuted. 10 ( ) Pre-trial Diversion Program. 11 ( ) Charge dismissed 12 ( ) Found not guilty/judgment of acquittal 13 NO. ___ La. Rev. Stat. Ann. § _______ : ________ 14 Name of the offense _________________ 15 ( ) Time expired for prosecution _____/____/_______ 16 (MM/DD/YYYY) 17 ( ) Charge refused by DA - not prosecuted. 18 ( ) Pre-trial Diversion Program. 19 ( ) Charge dismissed 20 ( ) Found not guilty/judgment of acquittal 21 NO. ___ La. Rev. Stat. Ann. § _______ : ________ 22 Name of the offense _________________ 23 ( ) Time expired for prosecution _____/____/_______ 24 (MM/DD/YYYY) 25 ( ) Charge refused by DA - not prosecuted. 26 ( ) Pre-trial Diversion Program. 27 ( ) Charge dismissed 28 ( ) Found not guilty/judgment of acquittal Page 12 of 17 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HB NO. 194 ENROLLED 1 SUPPLEMENTAL SHEET 2 ____ Yes ____ NoMISDEMEANOR CONVICTIONS 3 NO. ___ La. Rev. Stat. Ann. § _______ : ________ 4 Name of the offense _________________ 5 ( ) Conviction set aside/dismissed_____/____/_______ 6 (MM/DD/YYYY) 7 pursuant to C.Cr.P. Art. 894(B) 8 ( ) More than 5 years have passed 9 since completion of sentence. 10 NO. ___ La. Rev. Stat. Ann. § _______ : ________ 11 Name of the offense _________________ 12 ( ) Conviction set aside/dismissed_____/____/_______ 13 (MM/DD/YYYY) 14 pursuant to C.Cr.P. Art. 894(B) 15 ( ) More than 5 years have passed 16 since completion of sentence. 17 NO. ___ La. Rev. Stat. Ann. § _______ : ________ 18 Name of the offense _________________ 19 ( ) Conviction set aside/dismissed_____/____/_______ 20 (MM/DD/YYYY) 21 pursuant to C.Cr.P. Art. 894(B) 22 ( ) More than 5 years have passed 23 since completion of sentence. 24 NO. ___ La. Rev. Stat. Ann. § _______ : ________ 25 Name of the offense _________________ 26 ( ) Conviction set aside/dismissed_____/____/_______ 27 (MM/DD/YYYY) 28 pursuant to C.Cr.P. Art. 894(B) 29 ( ) More than 5 years have passed 30 since completion of sentence. Page 13 of 17 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HB NO. 194 ENROLLED 1 NO. ___ La. Rev. Stat. Ann. § _______ : ________ 2 Name of the offense _________________ 3 ( ) Conviction set aside/dismissed_____/____/_______ 4 (MM/DD/YYYY) 5 pursuant to C.Cr.P. Art. 894(B) 6 ( ) More than 5 years have passed 7 since completion of sentence. 8 NO. ___ La. Rev. Stat. Ann. § _______ : ________ 9 Name of the offense _________________ 10 ( ) Conviction set aside/dismissed_____/____/_______ 11 (MM/DD/YYYY) 12 pursuant to C.Cr.P. Art. 894(B) 13 ( ) More than 5 years have passed 14 since completion of sentence. 15 NO. ___ La. Rev. Stat. Ann. § _______ : ________ 16 Name of the offense _________________ 17 ( ) Conviction set aside/dismissed_____/____/_______ 18 (MM/DD/YYYY) 19 pursuant to C.Cr.P. Art. 894(B) 20 ( ) More than 5 years have passed 21 since completion of sentence. 22 NO. ___ La. Rev. Stat. Ann. § _______ : ________ 23 Name of the offense _________________ 24 ( ) Conviction set aside/dismissed_____/____/_______ 25 (MM/DD/YYYY) 26 pursuant to C.Cr.P. Art. 894(B) 27 ( ) More than 5 years have passed 28 since completion of sentence. 29 NO. ___ La. Rev. Stat. Ann. § _______ : ________ 30 Name of the offense _________________ Page 14 of 17 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HB NO. 194 ENROLLED 1 ( ) Conviction set aside/dismissed_____/____/_______ 2 (MM/DD/YYYY) 3 pursuant to C.Cr.P. Art. 894(B) 4 ( ) More than 5 years have passed 5 since completion of sentence. 6 SUPPLEMENTAL SHEET 7 ____ Yes ____ NoFELONY CONVICTIONS 8 NO. ___ La. Rev. Stat. Ann. § _______ : ________ 9 Name of the offense _________________ 10 ( ) Conviction set aside/dismissed_____/____/_______ 11 (MM/DD/YYYY) 12 pursuant to C.Cr.P. Art. 893(E) 13 ( ) More than 10 years have passed 14 since completion of sentence 15 ( ) Received a first offender pardon for an eligible offense 16 NO. ___ La. Rev. Stat. Ann. § _______ : ________ 17 Name of the offense _________________ 18 ( ) Conviction set aside/dismissed_____/____/_______ 19 (MM/DD/YYYY) 20 pursuant to C.Cr.P. Art. 893(E) 21 ( ) More than 10 years have passed 22 since completion of sentence 23 ( ) Received a first offender pardon for an eligible offense 24 NO. ___ La. Rev. Stat. Ann. § _______ : ________ 25 Name of the offense _________________ 26 ( ) Conviction set aside/dismissed_____/____/_______ 27 (MM/DD/YYYY) 28 pursuant to C.Cr.P. Art. 893(E) 29 ( ) More than 10 years have passed 30 since completion of sentence Page 15 of 17 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HB NO. 194 ENROLLED 1 ( ) Received a first offender pardon for an eligible offense 2 NO. ___ La. Rev. Stat. Ann. § _______ : ________ 3 Name of the offense _________________ 4 ( ) Conviction set aside/dismissed_____/____/_______ 5 (MM/DD/YYYY) 6 pursuant to C.Cr.P. Art. 893(E) 7 ( ) More than 10 years have passed 8 since completion of sentence 9 ( ) Received a first offender pardon for an eligible offense 10 NO. ___ La. Rev. Stat. Ann. § _______ : ________ 11 Name of the offense _________________ 12 ( ) Conviction set aside/dismissed_____/____/_______ 13 (MM/DD/YYYY) 14 pursuant to C.Cr.P. Art. 893(E) 15 ( ) More than 10 years have passed 16 since completion of sentence 17 ( ) Received a first offender pardon for an eligible offense 18 NO. ___ La. Rev. Stat. Ann. § _______ : ________ 19 Name of the offense _________________ 20 ( ) Conviction set aside/dismissed_____/____/_______ 21 (MM/DD/YYYY) 22 pursuant to C.Cr.P. Art. 893(E) 23 ( ) More than 10 years have passed 24 since completion of sentence 25 ( ) Received a first offender pardon for an eligible offense 26 NO. ___ La. Rev. Stat. Ann. § _______ : ________ 27 Name of the offense _________________ 28 ( ) Conviction set aside/dismissed_____/____/_______ 29 (MM/DD/YYYY) Page 16 of 17 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HB NO. 194 ENROLLED 1 pursuant to C.Cr.P. Art. 893(E) 2 ( ) More than 10 years have passed 3 since completion of sentence 4 ( ) Received a first offender pardon for an eligible offense 5 NO. ___ La. Rev. Stat. Ann. § _______ : ________ 6 Name of the offense _________________ 7 ( ) Conviction set aside/dismissed_____/____/_______ 8 (MM/DD/YYYY) 9 pursuant to C.Cr.P. Art. 893(E) 10 ( ) More than 10 years have passed 11 since completion of sentence 12 ( ) Received a first offender pardon for an eligible offense 13 NO. ___ La. Rev. Stat. Ann. § _______ : ________ 14 Name of the offense _________________ 15 ( ) Conviction set aside/dismissed_____/____/_______ 16 (MM/DD/YYYY) 17 pursuant to C.Cr.P. Art. 893(E) 18 ( ) More than 10 years have passed 19 since completion of sentence 20 ( ) Received a first offender pardon for an eligible offense 21 * * * SPEAKER OF THE HOUSE OF REPRESENTATIVES PRESIDENT OF THE SENATE GOVERNOR OF THE STATE OF LOUISIANA APPROVED: Page 17 of 17 CODING: Words in struck through type are deletions from existing law; words underscored are additions.