STATE OF LOUISIANA
__________ JUDICIAL DISTRICT FOR THE PARISH OF ____________________
NO.:_________________________ DIVISION: _______________
STATE OF LOUISIANA
vs.
________________________________
CERTIFICATION OF HUMAN TRAFFICKING VICTIM STATUS
In accordance with the provisions of Louisiana Code of Criminal Procedure Article 983, the Office of the District Attorney has reviewed and determined that one,
________________________________________________________________________, RACE/ GENDER: _______________________DOB: ___________________________, SSN:_________________________________, has established by a preponderance of the evidence proof of status as a victim of human trafficking in accordance with the provisions of R.S. 14:46.2, for the following offense(s), detailed specifically as follows:
(If more than one offense, each relevant offense must be specifically listed in the following format)
OFFENSE:________________________
DOCKET NO:_____________________
CHARGE:________________________
DATE OF ARREST:________________
ARRESTING AGENCY:____________
CITY/PARISH OF ARREST:___________________
FURTHER, that the above offense(s) for which this Certification issued was committed, in substantial part, as a result of the above-named being a victim of human trafficking, in accordance with R.S. 14:46.2.
FURTHER, this Certification shall be considered as prima facie evidence of the victim's status in similar eligible crimes committed within other Louisiana jurisdictions during the time period in which the above-named was a victim of human trafficking.
FURTHER, all applicable time delays pertaining to expungement contained in Louisiana Code of Criminal Procedure Articles 977 and 978 shall be waived when presented to the clerk of court with an application for expungement of the above-specified offense(s).
FURTHER, any application for expungement of the above-specified offense(s) shall be at no cost to the above-named victim.
________________
DATE
_________________________________________
DISTRICT ATTORNEY
PARISH OF
_____________ JUDICIAL DISTRICT
STATE OF LOUISIANA
La. Cr.P. § 997