Section 1 of 9 in this document

Conviction Integrity Review Application

Complete this form to apply for Conviction Integrity Review. Be sure to include copies of any documents supporting the claim.

The Conviction Integrity Review Attorney (CIRA) only accepts cases for review where the following apply:

Felony conviction from Chester County.
A credible claim of actual innocence.
The claim is supported by information/evidence not previously part of the original trial or appeals.
The applicant is incarcerated on the conviction in question.

Keep in mind: The CIRA is NOT reviewing lawful sentences, affirmative defenses, or information/evidence previously considered and litigated before the original jury or judge.

Section 2 of 9 in this document

Attorney Information

Attorney Name

Attorney Email

Attorney Phone Number

FAX Number

By checking the boxes below, both attorney and applicant agree with the corresponding statement. Both attorney and applicant must agree to all statements to submit this application.

Requesting review of your case by our office will not toll the time you have to pursue post-conviction remedies, such as filing an appeal or post-conviction motion. You need to pursue those remedies separately.

Acknowledgement of receipt of this application by the CIRA does not indicate acceptance of the case for investigation, nor does it imply acceptance of the validity of the claim of innocence.

The CIRA cannot give legal advice and no applicable privilege applies to information provided, including but not limited to, attorney-client privilege.

Any false statements herein can be used against me.

The CIRA will only communicate with the attorney submitting this application.

The CIRA reviews cases based on its own standards.

The CIRA may contact any of the people or witnesses listed in this application.

I give my attorney, former attorneys, and any agency that has been contacted regarding my claim of innocence permission to share all information from their files with the CIRA.

I waive any attorney-client privilege.

Section 3 of 9 in this document

Applicant Information

Is the applicant a US citizen?

Is the applicant still serving a sentence in prison from this conviction?

If the applicant is not serving a sentence in prison from this conviction, you cannot submit this application. Please exit the application.

DOC Number

Date of Birth

Case Number

Charges on Conviction

Date of Offense and Arrest

Original Sentence

Trial Attorney

Sentencing Judge and Jurisdiction

Section 4 of 9 in this document

Case Information

List attorney(s) who have previously represented the applicant: (include all)

Did the conviction occur in Chester County, Pennsylvania?

Was the direct appeal denied, and there no pending litigation?

Date Direct Appeal was denied

Did applicant have any role in the crime they were convicted of?

Did the applicant do some but not all of what he/she was convicted of?

Does applicant suffer from a medically diagnosed condition affecting competency that existed at the time the crime was committed?

Attach medical records

Did applicant do something illegal under duress?

How was the applicant convicted?

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Prior Post Conviction Appeals

Have any post-conviction motions been filed before in this case?

Provide case details

Prior DNA Testing

Was DNA evidence used at trial?

Who conducted the DNA testing?

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Contact with Innocence Organizations

Has contact been made with Pennsylvania Innocence Project about this case?

Is the PA Innocence Project currently investigating the case?

Has any other innocence organization/project been contacted about this case?

Name of Organization(s)

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New Evidence or Evidence of Innocence

Has a witness/informant who testified recanted or changed their testimony?

Explain details of recantation or testimony change

Applicant was not at the crime scene and has an alibi.

New evidence proves innocence that was not available at trial or entry of plea.

Expert testimony presented at trial has been discredited.

Attach documentation

DNA evidence exists that has never been tested.

Scientific evidence that was presented has been discredited.

Describe scientific evidence

The arresting officer or an officer that presented testimony was arrested.

Officer name and badge number

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Other Evidence

Did the applicant testify at trial?

Did police claim a confession was given but the applicant denies it?

Is there an allegation of a coerced confession?

If eyewitness or victim identification occurred, Check all that apply

In person show up

Photo array or photo line-up

Live line-up

In court only

Did the witness or informant who testified lie?

Was the witness or informant who testified cooperating with the Commonwealth and was not disclosed?

Explain details of cooperation and how discovered

Explain in detail the basis for innocence

Provide location of applicant on the date of the crime and arrest.

List the names and phone numbers of witnesses or alibis, or any other person with relevant information, and any other person who should be contacted in support of the claim.

Provide any new information about the case that was not known at the time of conviction.

1.I verify the information provided is true and accurate to the best of my knowledge and I may be held liable for any unsworn falsification provided herein pursuant to 18 Pa.C.S. § 4904; 2.I fully understand the terms and conditions contained in the application after consulting with my Attorney; and 3.I give my attorney consent to file this application on my behalf.

Attorney for Applicant verifies statement

Applicant verifies statement

Conviction Integrity Review Application

Attorney Information

Attorney Address

By checking the boxes below, both attorney and applicant agree with the corresponding statement. Both attorney and applicant must agree to all statements to submit this application.

Applicant Information

Applicant Name

Date of Birth

Applicant Address

Case Information

Date Direct Appeal was denied

Attach medical records

Prior Post Conviction Appeals

Prior DNA Testing

Contact with Innocence Organizations

New Evidence or Evidence of Innocence

Attach documentation

Other Evidence

If eyewitness or victim identification occurred, Check all that apply