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Click ‘Get Form’ to open the State Program Information in the editor.
Begin with Section A, Claimant Information. Fill in your name, date of birth, and contact details. Ensure your mailing address is current as it is your responsibility to keep it updated.
If applicable, complete Section B for Attorney/Representative Information. Provide their name and contact details if you have legal representation.
In Section C, provide details about your erroneous conviction(s), including case numbers and dates. Attach any necessary supporting documentation to validate your claims.
Proceed to Sections D and E regarding factual innocence and post-conviction proceedings. Answer the questions accurately and attach required court orders.
Complete Sections F and G by detailing your statement of factual innocence and any injuries sustained due to the erroneous conviction.
Finally, review Section I for the Declaration Statement. Sign and date the form before submission.
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