Application For Parole

(Printout and Submit This Form)
Date: __________________

From: __________________________ Number: ___________________

Address: ________________________

Address: ________________________

 

To: __________________________

Chairman
Pennsylvania Board Of Probation And Parole
Box 1661
Harrisburg, PA 17105-1661

And/or To Correctional Counselor: ___________________________

 

I hereby apply for parole.

My minimum sentence has expired or will expire on _________________________. Pursuant to 61 PaCS 331.1 et seq. and Section 331.22 and Marshall v Commonwealth Of Pennsylvania Board Of Probation And Parole, 162 PaCmwlth, 638 A2d 451 and/or Pierce v Commonwealth Of Pennsylvania Board Of Probation And Parole, 406 A2d 1186 (relating to parole violators) I request to be seen and heard by a district supervisor in person before my minimum sentence date or within one year of my last parole review, whichever is appropriate, or I apply to be reviewed at one half the setback given to me by the Parole Board on ______________________.

 



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