Pardon Project of York County
Pre-Assessment Screening: Any information submitted here will be kept confidential and used only by the Pardon Project of York County to determine eligibility.
Name
*
First Name
Last Name
Date of Birth
*
/
Month
/
Day
Year
Email Address
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Do you live in York County?
*
Yes
No
Do you have a conviction in York County?
*
Yes
No
Have you paid your restitution in full? NOTE: It is not required that you have paid your restitution in full AT THIS TIME. It will need to be paid in full to satisfy the Board of Pardons PRIOR to your hearing.
*
Yes
No
Not Applicable
Has it been at least two years since you completed your sentence - including probation / parole supervision?
*
Yes
No
Do you have any convictions involving sex offenses?
*
Yes
No
Have you ever been convicted of a crime in another state?
*
Yes
No
How many people are you helping to support financially?
*
How have your conviction(s) made it hard for you (and your family) to do what you want to do?
*
Examples would be helpful, but are not required.
Are there any other reason(s) you want to get the conviction(s) off your record?
*
Yes
No
Please explain the other reason(s) you want to get the conviction(s) off your record.
Submit
Should be Empty: