Request Review of Conviction

1Basic Information

2Case Background

3Claims & evidence

4Additonal information & affirmations

Are you requesting a review of a criminal conviction that arose from proceedings in Suffolk County?(Required)

Yes

The Suffolk County District Attorney only has jurisdiction to review criminal proceedings in Suffolk County. Please contact the county of jurisdiction.

Are you requesting a review on behalf of your own conviction or someone else’s?(Required)

For me

For someone else

Have you been authorized by that individual to do so?(Required)

Yes

What is the nature of authorization?(Required)

Retained attorney

Estate/Power of Attorney

Other

Is the individual still incarcerated as a result of this particular conviction?*(Required)

Yes

Has an appeal or other post-conviction motion been filed?*(Required)

Yes

What was the outcome?(Required)

Denied

Still pending

Other

State the exact nature of post-conviction appeal or motion.(Required)

Please fill out the following information.

First & Last Name*(Required)

Phone Number *(Required)

Email Address*(Required)

Date of Birth*(Required)

MM slash DD slash YYYY

Current Address

Inmate Number: (If applicable)

Case number of conviction to be reviewed

Date of Conviction

MM slash DD slash YYYY

Do you have a lawyer?(Required)

Yes

Lawyer Name(Required)

Lawyer Address(Required)

Lawyer Phone Number(Required)

What is your primary language?(Required)

Is there any reason corresponding in writing will be difficult for you?(Required)

Yes

Have you ever received mental health treatment?(Required)

Yes

Has anyone assisted you in filling out this form?(Required)

Yes

Please provide names, addresses, and phone numbers of family or friends who might have information regarding your case.

I am giving consent for the SCDA to contact these individuals(Required)

Yes

Please provide a brief factual background describing the circumstances of the crime(s) for which you were convicted

Are you claiming actual innocence (meaning that you were not involved in the crime in any way)?*(Required)

Yes

Don't Know

Please explain why you believe that you are innocent of this crime (this cannot be self-defense or insanity)(Required)

Are you claiming wrongful conviction (meaning that evidence used against you at trial was inaccurate or unreliable or that the trial was fundamentally unfair)?*(Required)

Yes

Please explain why you believe that you were wrongfully convicted(Required)

Are you requesting DNA, fingerprint, or other forensic testing of evidence from the crime?*(Required)

Yes

Please explain what you would like tested and why it would further your claim.(Required)

Did you have any co-defendants?*(Required)

Yes

Identify each and provide any contact information.(Required)

Are you claiming your co-defendants were innocent or wrongfully convicted?(Required)

Yes

Were there any other people involved in the commission of the crime who were not prosecuted or convicted?*(Required)

Yes

Identify them.(Required)

Explain their role.(Required)

Please identify any additional witnesses who would support your claim. For each, include their name, contact information, and what the person knows about your claim.

Was any scientific or forensic evidence used to convict you?*(Required)

Yes

Please describe this evidence(Required)

Did any police informants testify against you?*(Required)

Yes

Was their testimony truthful? If not, please explain why(Required)

Did you confess to the crime?*(Required)

Yes

Please describe the circumstances(Required)

Was an eyewitness identification used against you?*(Required)

Yes

Please explain the circumstances(Required)

Do you know who committed the crime for which you were convicted? *(Required)

Yes

Identify and Explain.(Required)

Did you plead guilty to the crime(s) of which you were convicted? *(Required)

Yes

Please provide any further information you want the SCDA to know that would help your claim

Please accept the following affirmations.

All statements herein are true and accurate*(Required)

I acknowledge false information provided to SCDA will result in rejection of my application for review*(Required)

I acknowledge that I have no right to this review and there is no right to appeal rejection of my application*(Required)

I understand that the SCDA is not my attorney*(Required)

I am willing to cooperate with the SCDA investigation into my conviction*(Required)

I understand that the SCDA may reject my application for review at any time*(Required)

I understand that this is not a legal appeal*(Required)

I understand that this application will not extend any deadlines for appeal or other post-conviction remedies under the Criminal Procedure Law.(Required)

*Please complete the CAPTCHA

Request review of conviction

instructions for
completing the form

The Suffolk County District Attorney only has jurisdiction to review criminal proceedings in Suffolk County. Please contact the county of jurisdiction.

Request review of conviction

instructions for completing the form

The Suffolk County District Attorney only has jurisdiction to review criminal proceedings in Suffolk County. Please contact the county of jurisdiction.

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instructions for
completing the form