CR-431 - Court Cover Letter and Agency Certification—Incarcerated Individual Hand Crew or Institutional Firehouse Participant

Summary

Court Cover Letter and Agency Certification—Incarcerated Individual Hand Crew or Institutional Firehouse Participant

Text

Form ID: CR-431
Title: Court Cover Letter and Agency Certification—Incarcerated Individual Hand Crew or Institutional Firehouse Participant
Effective Date: 2024-01-01
Mandatory Form: no
Info Page: https://selfhelp.courts.ca.gov/jcc-form/CR-431
Primary Download URL: https://www.courts.ca.gov/documents/cr431.pdf
Form Detail Page:
Court Cover Letter and Agency Certification—Incarcerated Individual Hand Crew or Institutional Firehouse Participant
(CR-431)
Get form CR-431
Effective: January 1, 2024
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How-to instructions for Criminal
PDF Text:
Judicial Council of California,  
Rev. January 1, 2024, Optional Form  
Penal Code, § 1203.4b
Court Cover Letter and Agency  
Certification—Incarcerated Individual  
Hand Crew or Institutional Firehouse Participant
CR-431, Page 1 of 1
CR-431
Court Cover Letter and Agency Certification—
Incarcerated Individual Hand Crew or 
Institutional Firehouse Participant
Clerk stamps date here when form is filed.
Superior Court of California, County of
Case Number:
Secretary, California Department of Corrections and Rehabilitation 
(check one):
c/o Camp Liaison Captain 
1515 S Street, 330 N-113 
Sacramento, California 95811 
c/o Classification and Parole Representative 
Parent Institution (name):
Address:
Appropriate county authority (name):
Address:
Attached is a copy of a petition for relief under Penal Code section 1203.4b 
filed by:
Petitioner’s Full Name:
Date of birth: (mm/dd/yyyy)
CDCR No. (while in fire camp or institutional firehouse, if known):
Name of fire camp or institutional firehouse, if known:
Approximate dates in fire camp or institutional firehouse:
(month/year)
to
(month/year)
For Court Use Only
Please certify, by (date): , whether the petitioner successfully participated as a hand
crew member in the CDCR incarcerated individual conservation camp program, as a member of a county incarcerated 
individual hand crew, or at an institutional firehouse and has been released from custody. 
Date:
Court Clerk: Court Contact Information (optional):
Agency Certification
NOTE TO CERTIFYING AGENCY: Please fill out this certification and mail this form to the court at the address above.
The Secretary of the California Department of Corrections and Rehabilitation or the appropriate county authority
certifies that, on case number: (check one):
The petitioner successfully participated as a hand crew member in the CDCR incarcerated individual 
conservation camp program, as a member of a county incarcerated individual hand crew, or at an 
institutional firehouse and has been released from custody.  
Dates of participation:
(month/year)
to
(month/year)
The petitioner participated but was not successful as a hand crew member in the CDCR incarcerated 
individual conservation camp program, as a member of a county incarcerated individual hand crew, or at an 
institutional firehouse.
The petitioner did not participate as a hand crew member in the CDCR incarcerated individual conservation 
camp program, as a member of a county incarcerated individual hand crew, or at an institutional firehouse.
Date:
Type or print your name
Agency:
Signature of Agency Representative

Retrieval chunks

• #1

  Form ID: CR-431 Title: Court Cover Letter and Agency Certification—Incarcerated Individual Hand Crew or Institutional Firehouse Participant Effective Date: 2024-01-01 Mandatory Form: no Info Page: https://selfhelp.courts.ca.gov/jcc-form/CR-431 Primary Download URL: https://www.courts.ca.gov/documents/cr431.pdf F…

• #2

  conservation camp program, as a member of a county incarcerated individual hand crew, or at an institutional firehouse and has been released from custody. Dates of participation: (month/year) to (month/year) The petitioner participated but was not successful as a hand crew member in the CDCR incarcerated indivi…