La. Code Crim. Proc. art. 993

Current with operative changes from the 2024 Third Special Legislative Session

Section 993 - Supplemental forms to be used

SUPPLEMENTAL SHEET

____ Yes ____ NoARRESTS THAT DID NOT RESULT IN CONVICTION

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
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
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
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
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
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
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 ____ NoMISDEMEANOR CONVICTIONS

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.
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.
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.
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.
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.
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.
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.
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.
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 ____ NoFELONY CONVICTIONS

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
() Received a first offender pardon for an eligible offense
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
() Received a first offender pardon for an eligible offense
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
() Received a first offender pardon for an eligible offense
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
() Received a first offender pardon for an eligible offense
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
() Received a first offender pardon for an eligible offense
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
() Received a first offender pardon for an eligible offense
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
() Received a first offender pardon for an eligible offense
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
() Received a first offender pardon for an eligible offense
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
() Received a first offender pardon for an eligible offense

La. Cr.P. § 993

Acts 2014, No. 145, §1; Acts 2018, No. 711, §1; Acts 2020, No. 73, §1.

Amended by Acts 2020, No. 73,s. 1, eff. 8/1/2020.

Amended by Acts 2018, No. 711,s. 1, eff. 8/1/2018.

Added by Acts 2014, No. 145,s. 1, eff. 8/1/2014.