2016 Louisiana Laws
Code of Criminal Procedure
CCRP 993 - Supplemental forms to be used
Art. 993. Supplemental forms to be used
"
SUPPLEMENTAL SHEET
____ Yes ____ No
ARRESTS THAT DID NOT RESULT IN CONVICTION
ITEM NO.
La. Rev. Stat. Ann.
§ _______ : ________
Name of the offense
_________________
( ) Time expired for prosecution
_____/____/_______
(MM/DD/YYYY)
( ) Charge refused by DA - not prosecuted.
( ) Pre-trial Diversion Program.
( ) Charge dismissed
( ) Found not guilty/judgment of acquittal
ITEM NO.
La. Rev. Stat. Ann.
§ _______ : ________
Name of the offense
_________________
( ) Time expired for prosecution
_____/____/_______
(MM/DD/YYYY)
( ) Charge refused by DA - not prosecuted.
( ) Pre-trial Diversion Program.
( ) Charge dismissed
( ) Found not guilty/judgment of acquittal
ITEM NO.
La. Rev. Stat. Ann.
§ _______ : ________
Name of the offense
_________________
( ) Time expired for prosecution
_____/____/_______
(MM/DD/YYYY)
( ) Charge refused by DA - not prosecuted.
( ) Pre-trial Diversion Program.
( ) Charge dismissed
( ) Found not guilty/judgment of acquittal
ITEM NO.
La. Rev. Stat. Ann.
§ _______ : ________
Name of the offense
_________________
( ) Time expired for prosecution
_____/____/_______
(MM/DD/YYYY)
( ) Charge refused by DA - not prosecuted.
( ) Pre-trial Diversion Program.
( ) Charge dismissed
( ) Found not guilty/judgment of acquittal
ITEM NO.
La. Rev. Stat. Ann.
§ _______ : ________
Name of the offense
_________________
( ) Time expired for prosecution
_____/____/_______
(MM/DD/YYYY)
( ) Charge refused by DA - not prosecuted.
( ) Pre-trial Diversion Program.
( ) Charge dismissed
( ) Found not guilty/judgment of acquittal
ITEM NO.
La. Rev. Stat. Ann.
§ _______ : ________
Name of the offense
_________________
( ) Time expired for prosecution
_____/____/_______
(MM/DD/YYYY)
( ) Charge refused by DA - not prosecuted.
( ) Pre-trial Diversion Program.
( ) Charge dismissed
( ) Found not guilty/judgment of acquittal
SUPPLEMENTAL SHEET
____ Yes ____ No
MISDEMEANOR CONVICTIONS
ITEM NO.
La. Rev. Stat. Ann.
§ _______ : ________
Name of the offense
_________________
( ) Conviction set aside/dismissed
_____/____/_______
(MM/DD/YYYY)
pursuant to C.Cr.P. Art. 894(B)
( ) More than 5 years have passed
since completion of sentence.
ITEM NO.
La. Rev. Stat. Ann.
§ _______ : ________
Name of the offense
_________________
( ) Conviction set aside/dismissed
_____/____/_______
(MM/DD/YYYY)
pursuant to C.Cr.P. Art. 894(B)
( ) More than 5 years have passed
since completion of sentence.
ITEM NO.
La. Rev. Stat. Ann.
§ _______ : ________
Name of the offense
_________________
( ) Conviction set aside/dismissed
_____/____/_______
(MM/DD/YYYY)
pursuant to C.Cr.P. Art. 894(B)
( ) More than 5 years have passed
since completion of sentence.
ITEM NO.
La. Rev. Stat. Ann.
§ _______ : ________
Name of the offense
_________________
( ) Conviction set aside/dismissed
_____/____/_______
(MM/DD/YYYY)
pursuant to C.Cr.P. Art. 894(B)
( ) More than 5 years have passed
since completion of sentence.
ITEM NO.
La. Rev. Stat. Ann.
§ _______ : ________
Name of the offense
_________________
( ) Conviction set aside/dismissed
_____/____/_______
(MM/DD/YYYY)
pursuant to C.Cr.P. Art. 894(B)
( ) More than 5 years have passed
since completion of sentence.
ITEM NO.
La. Rev. Stat. Ann.
§ _______ : ________
Name of the offense
_________________
( ) Conviction set aside/dismissed
_____/____/_______
(MM/DD/YYYY)
pursuant to C.Cr.P. Art. 894(B)
( ) More than 5 years have passed
since completion of sentence.
ITEM NO.
La. Rev. Stat. Ann.
§ _______ : ________
Name of the offense
_________________
( ) Conviction set aside/dismissed
_____/____/_______
(MM/DD/YYYY)
pursuant to C.Cr.P. Art. 894(B)
( ) More than 5 years have passed
since completion of sentence.
ITEM NO.
La. Rev. Stat. Ann.
§ _______ : ________
Name of the offense
_________________
( ) Conviction set aside/dismissed
_____/____/_______
(MM/DD/YYYY)
pursuant to C.Cr.P. Art. 894(B)
( ) More than 5 years have passed
since completion of sentence.
ITEM NO.
La. Rev. Stat. Ann.
§ _______ : ________
Name of the offense
_________________
( ) Conviction set aside/dismissed
_____/____/_______
(MM/DD/YYYY)
pursuant to C.Cr.P. Art. 894(B)
( ) More than 5 years have passed
since completion of sentence.
SUPPLEMENTAL SHEET
____ Yes ____ No
FELONY CONVICTIONS
ITEM NO.
La. Rev. Stat. Ann.
§ _______ : ________
Name of the offense
_________________
( ) Conviction set aside/dismissed
_____/____/_______
(MM/DD/YYYY)
pursuant to C.Cr.P. Art. 893(E)
( ) More than 10 years have passed
since completion of sentence
ITEM NO.
La. Rev. Stat. Ann.
§ _______ : ________
Name of the offense
_________________
( ) Conviction set aside/dismissed
_____/____/_______
(MM/DD/YYYY)
pursuant to C.Cr.P. Art. 893(E)
( ) More than 10 years have passed
since completion of sentence
ITEM NO.
La. Rev. Stat. Ann.
§ _______ : ________
Name of the offense
_________________
( ) Conviction set aside/dismissed
_____/____/_______
(MM/DD/YYYY)
pursuant to C.Cr.P. Art. 893(E)
( ) More than 10 years have passed
since completion of sentence
ITEM NO.
La. Rev. Stat. Ann.
§ _______ : ________
Name of the offense
_________________
since completion of sentence
ITEM NO.
La. Rev. Stat. Ann.
§ _______ : ________
Name of the offense
_________________
( ) Conviction set aside/dismissed
_____/____/_______
(MM/DD/YYYY)
pursuant to C.Cr.P. Art. 893(E)
( ) More than 10 years have passed
since completion of sentence
ITEM NO.
La. Rev. Stat. Ann.
§ _______ : ________
Name of the offense
_________________
( ) Conviction set aside/dismissed
_____/____/_______
(MM/DD/YYYY)
pursuant to C.Cr.P. Art. 893(E)
( ) More than 10 years have passed
since completion of sentence
ITEM NO.
La. Rev. Stat. Ann.
§ _______ : ________
Name of the offense
_________________
( ) Conviction set aside/dismissed
_____/____/_______
(MM/DD/YYYY)
pursuant to C.Cr.P. Art. 893(E)
( ) More than 10 years have passed
since completion of sentence
ITEM NO.
La. Rev. Stat. Ann.
§ _______ : ________
Name of the offense
_________________
( ) Conviction set aside/dismissed
_____/____/_______
(MM/DD/YYYY)
pursuant to C.Cr.P. Art. 893(E)
( ) More than 10 years have passed
since completion of sentence
ITEM NO.
La. Rev. Stat. Ann.
§ _______ : ________
Name of the offense
_________________
( ) Conviction set aside/dismissed
_____/____/_______
(MM/DD/YYYY)
pursuant to C.Cr.P. Art. 893(E)
( ) More than 10 years have passed
since completion of sentence
"
Acts 2014, No. 145, §1.
Disclaimer: These codes may not be the most recent version. Louisiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.