C.F.R. » Title 28 » CHAPTER I—DEPARTMENT OF JUSTICE › PART 4—PROCEDURE GOVERNING APPLICATIONS FOR CERTIFICATES OF EXEMPTION UNDER THE LABOR-MANAGEMENT REPORTING AND DISCLOSURE ACT OF 1959, AND THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974

28 C.F.R. § 4.3

Contents of application

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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.

(28 U.S.C. 509 and 510, 5 U.S.C. 301) [44 FR 6890, Feb. 2, 1979, as amended at 46 FR 52354, Oct. 27, 1981]
Notes of Decisions
Cited in 2 cases, 2000–2019 · leading case: Carollo v. Herman, 84 F. Supp. 2d 374 (E.D.N.Y 2000).
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Carollo v. Herman, 84 F. Supp. 2d 374 (E.D.N.Y 2000). “” 28 C.F.R. § 4.3 . In addition, the applicant is required to submit a list of all felony and misdemeanor arrests and convictions; a statement as to whether he has ever been on probation or parole; a description of positions he has held with labor organizations or employee…”
United States v. Tolbert (D.D.C. 2019). “See 28 C.F.R. §§ 4.3 , 4.4, 4.5 ; Carollo, 84 F.”
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