28 CFR §4.3
Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗
A person applying for a Certificate of Exemption shall file with the Office of General Counsel, U.S. Parole Commission, 5550 Friendship Boulevard, Chevy Chase, Maryland 20815-7286, a signed application under oath, in seven copies, which shall set forth clearly and completely the following information:
- (a)The name and address of the applicant and any other names used by the applicant and dates of such use.
- (b)A statement of all convictions and imprisonments which prohibit the applicant's service under the provisions of the applicable Act.
- (c)Whether any citizenship rights were revoked as a result of conviction or imprisonment and if so the name of the court and date of judgment thereof and the extent to which such rights have been restored.
- (d)The name and location of the employer and a description of the office or paid position, including the duties thereof, for which a Certificate of Exemption is sought.
- (e)A full explanation of the reasons or grounds relied upon to establish that the applicant's service in the office or employment for which a Certificate of Exemption is sought would not be contrary to the purposes of the applicable Act.
- (f)A statement that the applicant does not, for the purpose of the proceeding, contest the validity of any conviction.