Form # L-541 CERTIFICATION OF PARTICIPATION IN THE CALIFORNIA

Cal. Form L-541

California Superior Local Rules

Defendant: CERTIFICATION OF PARTICIPATION IN THE CALIFORNIA CONSERVATION CAMP OR INSTITUTIONAL FIREHOUSE PROGRAM Case Number: California Department of Corrections and Rehabilitation (CDCR) Attention: Classification and Parole Representative Petitioner's Name: (Print Name) Petitioner’s CDCR Number: Name of Conservation Camp or Institutional Firehouse Program: Petitioner’s Approximate Dates of Participation in Conservation Camp or Institutional Firehouse Program: _______________________________________________________________________________ ________________________ ___________________________________________________________________________________ ____________________ The above listed petitioner has submitted documentation to the Superior Court of California, County of Orange for relief under Penal Code

section 1203.4b. - FOR CDCR USE ONLY - Upon review of the petition, the CDCR certifies the following information (check all that apply): Petitioner has been released from custody. Petitioner successfully participated (as defined in Penal Code

section 1203.4b(a)(3)) in the above-listed California Conservation Camp or Institutional Firehouse Program as an incarcerated individual hand crew member. Petitioner has not been released from custody. Petitioner did not successfully participate (as defined in Penal Code

section 1203.4b(a)(3)) in the above-listed California Conservation Camp or Institutional Firehouse Program as an incarcerated individual hand crew member. Date: _________________________________________ ________________________________________ (Print Name) (Signature of CDCR Classification & Parole Representative)

Document details

Collection	California Superior Local Rules
Citation	Cal. Form L-541
Type	court_rule
Language	en
Format	pdf
Source	CA_LOCAL
Identifier	ba86ad02fac650194818ce29f5a5c8af0c259bc8

Source file is stored in the law ingest library (pdf).