Final Disposition Report (R-84)

R-84j

Final Disposition Report (R-84)

OMB: 1110-0051

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1110-0051 can be found here:

2024-03-29 - Revision of a currently approved collection
2020-12-22 - Revision of a currently approved collection

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R-84j (9-22-2017)
OMB 1110-0051

1) Did the subject enter a plea of guilty prior to set aside/dismissal/diversion? If yes, please
provide copy of court documentation.

File Type	application/pdf
File Modified	2017-09-28
File Created	2017-09-26