Application for Pardon After Completion of Sentence

{
  "fullNameFirst": "First name",
  "fullNameMiddle": "Middle name if you have one",
  "fullNameLast": "Last name",
  "legalNameAtConvictionFirst": "First name_2",
  "legalNameAtConvictionMiddle": "Middle Name if you have one 2",
  "legalNameAtConvictionLast": "Last name_2",
  "otherNames": "Other names married maiden aliases etc",
  "socialSecurityNumber": "Social security number",
  "dateOfBirth": "Date of birth Month Day Year",
  "countryOfBirth": "Country where you",
  "cityStateOfBirth": "City and state where you",
  "citizenship": "Citizenship",
  "parent1Name": "Parents 1s full name including maiden name",
  "parent2Name": "Parents 2s full name including maiden name",
  "streetAddress": "Street address",
  "apartmentUnit": "ApartmentUnit",
  "cityState": "City State",
  "zipCode": "Zip code",
  "emailAddress": "Your email address or email of a trusted person",
  "phoneNumber": "Phone number",
  "attorneyName": "Attorneys name",
  "attorneyContact": "Attorneys email address and phone number",
  "previousApplication": "Have you applied for",
  "previousApplicationDate": "Date applied monthyear",
  "previousDecisionDate": "Date of decision monthyear",
  "hispanicLatino": "Latino",
  "sex": "Sex identity",
  "spousePartnerName": "Spouse  partner name",
  "marriageDate": "Date of marriage or civil uniondomestic partnership",
  "marriagePlace": "Place of marriage or civil uniondomestic partnership",
  "pardonReasons": "Your reasons for seeking pardon",
  "communityInvolvement": "Reasons for engaging in community activities or inability to participate",
  "militaryDates": "Dates of service",
  "militaryBranches": "Branches",
  "militarySerialNumber": "Serial number",
  "militaryDischargeType": "Type of discharge",
  "militaryServiceDetails": "space to tell us briefly about your military service",
  "currentEmployer": "Current employer",
  "currentBusinessType": "Type of business",
  "currentPosition": "Position",
  "currentStartDate": "Monthyear started",
  "currentEmployerAddress": "Employer street address",
  "currentEmployerCityState": "City state 2",
  "currentEmployerZip": "Zip code_2",
  "currentSupervisor": "Supervisor name and phone",
  "unemploymentDetails": "Information on how you supported yourself while unemployed",
  "criminalRecordEmploymentImpact": "Details about how your criminal record has affected your ability to find word, if any",
  "jobPerformanceIssues": "Details about work history",
  "homelessnessDates": "Dates experienced homelessness monthyear to monthyear",
  "substanceDisorderDiagnosis": "Diagnosis",
  "substanceDiagnosisDate": "Date of diagnosis monthyear",
  "treatmentFacilityName": "Facilitycounselordoctor name",
  "treatmentDates": "When did you attend",
  "treatmentAddress": "Street address_2",
  "treatmentSuite": "Suite no",
  "treatmentCityState": "City state_2",
  "treatmentZip": "Zip code_3",
  "treatmentPhone": "Phone number_3",
  "treatmentEmail": "Email address",
  "sobrietyLength": "Specify length of time in days months or years",
  "sobrietyAdditionalInfo": "Is there anything else you would like to share about your history with sobriety and substance use 1",
  "financialExperienceDetails": "Information you would like to share about your experience with finances since your conviction",
  "pleadedGuilty": "Did you plead guilty",
  "offenseDates": "Approximate dates of offense monthyear to",
  "sentenceDate": "Approximate date you were sentenced",
  "prosecutionCourt": "Court where you were prosecuted DC Superior Court",
  "caseNumber": "Case number",
  "convictionCharges": "Of what were you convicted",
  "prisonSentenceLength": "Prison sentence months or years",
  "prisonReleaseDate": "Approximate date you were released from",
  "probationSentenceLength": "Sentence for probation or supervised",
  "probationCompletionDate": "Approximate date you completed your term",
  "assessmentAmount": "Assessment amount",
  "fineAmount": "Fine amount",
  "restitutionAmount": "Restitution amount",
  "conductDescription": "Tell us about your conduct for which you were convicted",
  "acceptResponsibility": "Explanation of why or why not you accept responsibility for your conduct",
  "otherCriminalHistory": "Tell us about any other criminal history",
  "submissionDay": "Day",
  "submissionMonth": "Month",
  "submissionYear": "Year",
  "authorizationSignature": "Signature4",
  "authorizationFullName": "Full Name type or print legibly",
  "authorizationDate": "Date Signed",
  "authorizationOtherNames": "Other Names Used",
  "authorizationStreetAddress": "Street Address",
  "authorizationCity": "City",
  "authorizationState": "State",
  "authorizationZipCode": "ZIP Code",
  "authorizationPhone": "Home Telephone Number include area code",
  "authorizationSsn": "Social Security Number",
  "reference1Primary": "Primary reference select exactly 3",
  "reference1PetitionerName": "Name of petitioner",
  "reference1YearsKnown": "Number of years have known petitioner",
  "reference1SupportStatement": "Statement in support of the pardon petition",
  "reference1Signature": "Signature_2",
  "reference1PrintName": "Print Name",
  "reference1Date": "Date",
  "reference1Address": "Address",
  "reference1Phone": "Phone number_4",
  "reference1Email": "Email address_2"
}