Santa Barbara — CDCR2

Source: https://www.santabarbara.courts.ca.gov/system/files/cdcr2.pdf

IN THE SUPERIOR COURT OF THE STATE OF CALIFORNIA IN AND FOR THE COUNTY OF Applicant’s County of Residence In the Matter of the Application of Court use only

Type Applicant’s Full Name – First, Middle, Last, and Suffix

Date of Birth Month Day, Year

CII Number

Criminal Case Number List all applicable Criminal Numbers

NOTICE OF FILING OF PETITION FOR CERTIFICATE OF REHABILITATION PARDON Pursuant to Penal Code Sections 4852.01 and 4852.06

To the Governor of the State of California:

District Attorney, County of ; County of Residence District Attorney, County of ; Most recent felony in county of conviction, if different from County of Residence District Attorney, County of ; 2 nd most recent felony in county of conviction, if applicable District Attorney, County of ; 3 rd most recent felony in county of conviction, if applicable

You and Each of You Will Please Take Notice That On the day of ; Date you filed your Petition for Certificate of Rehabilitation and Pardon

The undersigned has filed a petition I the above-mentioned court oror courtscourts forfor aa CertificateCertificate

of Rehabilitation and Pardon in accordance with the provision of Chapter 3.5, Title 6, Part 3

ofof thethe penalpenal codecode ofof thethe statestate of California, and that said petition has, by said court, been

set for a hearing on the day of the to commence DayDay ofof Hearing Month, Year

at ☐ a.m. ☐ p.m., of said day, or as soon as the matter can be heard, in Time of hearing

its courtroom, department at the courthouse in the city of Department

, county of , state of California.

City where hearing will be held County where hearing will be held

Applicant’s Signature Month, day, Year

Applicant’s Street Address

Applicant’s City, State and ZIP Code

FORM 2 (Revised 1/02/2019) This form was prepared by the Board of Parole Hearings pursuant to Penal Code Section 4852.18.

AFFIDAVIT OF SERVICE BY MAIL

STATE OF CALIFORNIA

City of , County of

I, being first duly sworn, deposes and says:

I am a citizen of the United States, am over the age of 18 years, and am not a party to the

above-entitled proceedings. I am a resident of the County of , County of Residence State of California.

My ☐residence ☐business address is: Street Address

City, State and ZIP Code

On the day of , I served the attached Notice to DayDay ofof the Month Month, Year

each person listed below:

Full Name-First Middle and Suffix Street Address CountyCounty

Full Name-First Middle and Suffix Street Address CountyCounty

Full Name-First Middle and Suffix Street Address County

Full Name-First Middle and Suffix Street Address County

By placing a copy of this Notice in a sealed envelope and mailing it first class, postage

pre-paid to each person listed above. There is a delivery service by United States mail at

each of the places so addressed, or there is a regular communication by mail between the

place of mailing and each of the places so addressed.

Subscribed and sworn to before me this day of . DayDay ofof the Month Month, Year

Full Name of Notary Public – TYPED or PRINTED Notary Public - Signature

In and for the City of , County of , California.

FORM 2 (Revised 1/02/2019) This form was prepared by the Board of Parole Hearings pursuant to Penal Code Section 4852.18.

NOTICE OF SERVICE IN PERSON

Receipt of copy of this Notice is hereby admitted this day of . DayDay ofof the Month Month, Year

Governor’s Office
State Capitol
Legal Affairs Division

Full Name of Governor’s staff – TYPED or PRINTED Governor’s staff - SIGNATURE

Governor’s staff - TITLE Month Day, Year

Receipt of copy of this Notice is hereby admitted this day of . DayDay ofof the Month Month, Year

Full Name of District Attorney staff – TYPED or PRINTED District Attorney staff - SIGNATURE

County District Attorney Month Day, Year

Receipt of copy of this Notice is hereby admitted this day of . DayDay ofof the Month Month, Year

Full Name of District Attorney staff – TYPED or PRINTED District Attorney staff - SIGNATURE

County District Attorney Month Day, Year

Receipt of copy of this Notice is hereby admitted this day of . DayDay ofof the Month Month, Year

Full Name of District Attorney staff – TYPED or PRINTED District Attorney staff - SIGNATURE

County District Attorney Month Day, Year

Receipt of copy of this Notice is hereby admitted this day of . DayDay ofof the Month Month, Year

Full Name of District Attorney staff – TYPED or PRINTED District Attorney staff - SIGNATURE

County District Attorney Month Day, Year

FORM 2 (Revised 1/02/2019) This form was prepared by the Board of Parole Hearings pursuant to Penal Code Section 4852.18.

FORM 2 INSTRUCTIONS

1. After completing this Notice of Filing for Certificate of Rehabilitation and Pardon, Penal Code section 4852.07 requires that you distribute one (1) copy to:

☐ the Governor of California; ☐ the District Attorney in your county of residence where you filed your Petition for Certificate of Rehabilitation and Pardon, and; ☐ the District Attorney of each county in which you were convicted of a felony.

2. This Notice of Filing for Certificate of Rehabilitation and Pardon must be served to all of these individuals at least thirty days prior to the date set for your hearing. (Pen. Code, § 4852.07.) You may do so by using one or both of the following forms:

   Affidavit of Service by Mail (Form 2A) - If you intend to have a Notary Public mail a copy of the Notice of Filing for Certificate of Rehabilitation and Pardon, you may do so by having the Notary Public complete and sign the Affidavit of Service by Mail. Mailing procedures are outlined in the Affidavit.

   Notice of Service in Person (Form 2B) - If you intend to hand-deliver a copy, you may do so by using this form and having each individual sign in the appropriate space indicating that a copy of the Notice of Filing for Certificate of Rehabilitation and Pardon was received.

3. After you have served each individual, personally or by mail, file this completed Notice of Filing for Certificate of Rehabilitation and Pardon and the Affidavit of Service by Mail or Notice of Service in Person, or both, with the Superior Court in the county in which you reside.

FORM 2 (Revised 1/02/2019) This form was prepared by the Board of Parole Hearings pursuant to Penal Code Section 4852.18.