Crime & Traffic
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Petition for executive clemency Blank form
This form is used to ask the Illinois Governor for executive clemency. You can complete this form electronically, but you cannot submit this form electronically to the Prison Review Board.
Can I use this form?
Any conviction in the State of Illinois is eligible for clemency, no matter what the charges were or when the conviction occurred. Historically, the longer it has been since your last conviction, the stronger the chance you have of receiving clemency.
What do I need first?
Depending on the type of clemency you request, required information will include, but may not be limited to, the following:
- Notarized signatures,
- Your name, address, date of birth, social security number, and state prisoner number,
- The information about your convictions including your offense, case number, date of arrest, and sentence,
- A personal life history, and
- Reasons for seeking clemency.
For more information about what to include in your petition, see Writing an executive clemency petition.
Last full review by a subject matter expert
November 17, 2025
Last revised by staff
November 17, 2025
