Phone number *
Date of birth *
Please summarize your case:
What were you convicted of?
Did your arrest or conviction happen in Louisiana?
Were you convicted, found not guilty, or was your case dismissed?
ConvictedCase DismissedFound Not Guilty
Did you get probation or jail time?
YesNoNot applicable / Case dismissed
In what year did you complete probation or jail time?
Case Dismissed (No Probation or jail time)Incomplete (currently serving)0-5 Years Ago6-10 Years AgoMore than 10 Years Ago
Did you plead under 893 or 894?
Yes - 893Yes - 894No, neitherI don’t know