APPENDIX E
COURT OF CRIMINAL APPEALS OF TEXAS
APPLICATION FOR A WRIT OF HABEAS CORPUS
SEEKING RELIEF FROM FINAL FELONY CONVICTION
UNDER CODE OF CRIMINAL PROCEDURE, ARTICLE 11.07
DEFINITIONS
In this application form:
1. “Applicant” means a person seeking relief in an application for a writ of habeas corpus from his or her
felony conviction imposing a sentence other than the death penalty or a probated sentence that has not
been revoked. An applicant can be an inmate or a non-inmate whose liberty is restrained.
2. “Inmate” means a person who is in custody in a prison or jail.
3. “Petitioner” means a person, including an attorney or a non-attorney, presenting an application for a
writ of habeas corpus on behalf of another person (the applicant). Any petitioner may present an
application on behalf of an applicant for the purpose of obtaining relief from the applicant’s felony
conviction. However, the petitioner presenting the application form must sign and attest that he or she
has consulted with the applicant concerning the application and the applicant has given consent to the
filing of this application form.
INSTRUCTIONS
1. All applicants and petitioners, including attorneys, must use the complete application form. You
must use this application form, which begins on the page following these instructions, to file an
application, or an amended or supplemental application, for a writ of habeas corpus seeking relief from
a final felony conviction under Article 11.07 of the Code of Criminal Procedure. (This application
form is not for death-penalty cases, probated sentences which have not been revoked, misdemeanors, or
pretrial habeas applications under Article 11.08 of the Code of Criminal Procedure.)
2. Failure to follow these instructions may cause your entire application to be dismissed.
3. The district clerk of the county in which you were convicted will make this application form available to
you, on request, without charge. The form can also be obtained from the Court of Criminal Appeals’
website.
4. You must file the entire application form, including those sections that do not apply to you. If any pages
are missing from the form, or if the questions have been renumbered or omitted, your entire application
may be dismissed as non-compliant.
5. You must make a separate application on a separate form for each case number from which you seek
relief. Even if the judgments were entered in the same court on the same day, you must complete a
separate application form for each case number. If a case number has multiple counts, include all the
counts on one application form.
Article 11.07 Writ Application Form Instructions i Revised 2018
6. You must include all grounds for relief on the application form as provided by the instructions under
item 18. You must also briefly summarize the facts of your ground on the application form as provided
by the instructions under item 18. Each ground shall begin on a new page, and the recitation of the facts
supporting the ground shall be no longer than the two pages provided for the ground in the form.
7. Answer every item that applies to you on the application form. Do not attach any additional pages for
any ground. However, if you have more than five grounds for relief, you may include additional copies
of pages 14 and 15 to add more grounds for relief. Additional grounds must still comply with instruction
6.
8. Legal citations and arguments may be made in a separate memorandum that complies with Texas Rule
of Appellate Procedure 73 and certifies that the document does not exceed 15,000 words if computer-
generated or 50 pages if not.
9. You must verify the application form by signing either the appropriate Unsworn Declaration or the
“Oath Before a Notary Public,” which are at the end of this form. If you are a petitioner presenting the
application on behalf of an applicant, you may sign and verify the application form on behalf of the
applicant. However, any petitioner who signs and verifies the application form may be prosecuted
and convicted for aggravated perjury if the application form contains any false statement of a
material fact.
10. When the application form is fully completed, mail the original and any exhibits and memorandum of
law to the district clerk of the county of conviction or electronically file the application form with the
district clerk of the county of conviction following the current electronic filing rules for criminal cases.
Keep a copy of the application form for your records.
11. You must notify the district clerk of the county of conviction of any change in your address or email
address after you have filed your application form. In addition, after the application form has been
received by the Court of Criminal Appeals, you must notify the Clerk of the Court of Criminal Appeals
of any change in your address or email address.
12. Warning: If the application form does not include all of the grounds for relief, additional grounds
brought at a later date may be procedurally barred. See TEX. CODE CRIM. PROC. Art. 11.07 § 4.
Article 11.07 Writ Application Form Instructions ii Revised 2018
Case No. _______________
(The district clerk of the county of conviction will fill in this blank.)
IN THE COURT OF CRIMINAL APPEALS OF TEXAS
APPLICATION FOR A WRIT OF HABEAS CORPUS
SEEKING RELIEF FROM FINAL FELONY CONVICTION
UNDER CODE OF CRIMINAL PROCEDURE ARTICLE 11.07
NAME: ______________________________________________________________________
DATE OF BIRTH: _____________________________________________________________
PLACE OF CONFINEMENT: ___________________________________________________
WARDEN: ___________________________________________________________________
TDCJ-CID NUMBER: _____________________ SID NUMBER: ______________________
(1) This application concerns (check all that apply):
G a conviction G parole
G a sentence G mandatory supervision
G time credit G out-of-time appeal or petition for
discretionary review
(2) What are the court number and county of the district court in which you were
convicted?
________________________________________________________________________
(3) What was the case number in the trial court? (Put only one case number here, even if
it includes multiple counts. You must make a separate application on a separate form for
other case numbers.)
________________________________________________________________________
(4) What was the name of the trial judge?
________________________________________________________________________
Article 11.07 Writ Application Form 1 Revised 2018
(5) Were you represented by counsel? If yes, provide the attorney’s name:
________________________________________________________________________
(6) What was the date that the judgment was entered?
________________________________________________________________________
(7) For what offense were you convicted and what was the sentence?
________________________________________________________________________
(8) If you were sentenced on more than one count of an indictment in the same court at
the same time, what counts were you convicted of and what was the sentence in each
count?
________________________________________________________________________
________________________________________________________________________
(9) What was the plea you entered? (Check one.)
G guilty-open plea G guilty-plea bargain
G not guilty G nolo contendere/no contest
If you entered different pleas to counts in a multi-count indictment, please explain:
________________________________________________________________________
________________________________________________________________________
(10) What kind of trial did you have?
G no jury G jury for guilt and punishment
G jury for guilt, judge for punishment
Article 11.07 Writ Application Form 2 Revised 2018
(11) Did you testify at trial? If yes, at what phase of the trial did you testify?
________________________________________________________________________
(12) Has your sentence discharged? G yes G no
If you answered yes, when did your sentence discharge? ______________________
(13) Did you appeal from the judgment of conviction?
G yes G no
If you did appeal, answer the following questions:
(A) Which court of appeals decided the appeal? ______________________________
(B) What was the case number? _________________________________________
(C) Were you represented by counsel on appeal? If yes, provide the attorney’s
name: ______________________________________________________________
(D) What was the decision and the date of the decision?________________________
________________________________________________________________________
(14) Did you file a petition for discretionary review in the Court of Criminal Appeals?
G yes G no
If you did file a petition for discretionary review, answer the following questions:
(A) What was the case number? ___________________________________________
(B) What was the decision and the date of the decision? _______________________
________________________________________________________________________
(15) Have you previously filed an application for a writ of habeas corpus under Article
11.07 of the Texas Code of Criminal Procedure challenging the conviction in this
case number?
G yes G no
If you answered yes, answer the following questions:
(A) What was the Court of Criminal Appeals’ writ number? __________________
(B) What was the decision and the date of the decision? _______________________
Article 11.07 Writ Application Form 3 Revised 2018
________________________________________________________________________
(C) Please briefly explain why the current grounds were not presented and could
not have been presented in your previous application.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
(16) Do you currently have any petition or appeal pending in any other state or federal
court?
G yes G no
If you answered yes, please provide the name of the court and the case number:
________________________________________________________________________
(17) If you are presenting a time credit claim, other than for pre-sentence jail time
credit, have you exhausted your administrative remedies by presenting the time
credit claim to the time credit resolution system of the Texas Department of
Criminal Justice? (This requirement applies to any final felony conviction, including
state jail felonies.)
G yes G no
If you answered yes, answer the following questions:
(A) What date did you present the claim to the time credit resolution system?
_______________________________________________________________________
(B) Did you receive a decision and, if yes, what was the date of the decision? ______
________________________________________________________________________
If you answered no, please explain why you have not presented your time credit
claim to the time credit resolution system of the Texas Department of Criminal
Justice:
Article 11.07 Writ Application Form 4 Revised 2018
________________________________________________________________________
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(18) Beginning on page 6, state concisely every legal ground for why you think that you
are being illegally confined or restrained and then briefly summarize the facts
supporting each ground. You must present each ground and a brief summary of the
facts on the application form. If your grounds and a brief summary of the facts have
not been presented on the application form, the Court will not consider your
grounds. A factual summary that merely references an attached memorandum or
another ground for relief will not constitute a sufficient summary of the facts.
If you have more than four grounds, use pages 14 and 15 of the application form,
which you may copy as many times as needed to give you a separate page for each
ground, with each ground numbered in sequence. The recitation of the facts
supporting each ground must be no longer than the two pages provided for the
ground in the form.
You may include with the application form a memorandum of law if you want to
present legal authorities or provide greater factual detail, but the Court will not
consider grounds for relief set out in a memorandum of law that were not raised on
the application form. The memorandum of law must comply with Texas Rule of
Appellate Procedure 73 and must not exceed 15,000 words if computer-generated or
50 pages if not. If you are challenging the validity of your conviction, please include
a summary of the facts pertaining to your offense and trial in your memorandum of
law.
If the application form does not include all of the grounds for relief,
additional grounds brought at a later date may be procedurally barred.
Article 11.07 Writ Application Form 5 Revised 2018
GROUND ONE:
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FACTS SUPPORTING GROUND ONE:
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Article 11.07 Writ Application Form 6 Revised 2018
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Article 11.07 Writ Application Form 7 Revised 2018
GROUND TWO:
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FACTS SUPPORTING GROUND TWO:
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Article 11.07 Writ Application Form 8 Revised 2018
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Article 11.07 Writ Application Form 9 Revised 2018
GROUND THREE:
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FACTS SUPPORTING GROUND THREE:
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Article 11.07 Writ Application Form 10 Revised 2018
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Article 11.07 Writ Application Form 11 Revised 2018
GROUND FOUR:
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FACTS SUPPORTING GROUND FOUR:
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Article 11.07 Writ Application Form 12 Revised 2018
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Article 11.07 Writ Application Form 13 Revised 2018
GROUND _________:
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FACTS SUPPORTING GROUND:
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Article 11.07 Writ Application Form 14 Revised 2018
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Article 11.07 Writ Application Form 15 Revised 2018
WHEREFORE, I PRAY THAT THE COURT GRANT THE RELIEF TO WHICH
APPLICANT MAY BE ENTITLED IN THIS PROCEEDING.
VERIFICATION
This application form must be verified in one of the following ways by either an applicant
or a petitioner or it may be dismissed for noncompliance.
Applicants
In order to verify this application form, an applicant must sign one of the following:
(1) the “Unsworn Declaration” for inmates (page 16) if applicant is an inmate; or
(2) the “Unsworn Declaration” for non-inmates (page 17) if applicant is not an inmate; or
(3) the “Oath Before a Notary Public” before a notary public (page 18).
Petitioners
If a petitioner, including an attorney, presents an application form on behalf of an applicant, the
petitioner may verify the application form for the applicant. In order to verify this application form, a
petitioner must sign one of the following:
(1) the “Unsworn Declaration” for inmates (page 16) if petitioner is an inmate; or
(2) the “Unsworn Declaration” for non-inmates (page 17) if petitioner is not an inmate; or
(3) the “Oath Before a Notary Public” before a notary public (page 18).
In addition, all petitioners, including attorneys, presenting an application on behalf of an applicant
must complete “Petitioner’s Information” and sign “Petitioner’s Statement” (page 19).
UNSWORN DECLARATION (INMATE)
My name is (First)________________ (Middle)_______________(Last)_________________, my date
of birth is _______________, and my inmate identifying number, if any, is _______________.
I am presently incarcerated in (Corrections unit name)_______________________________ in
(City) ______________________, (County)___________________, (State) ______________,
(Zip Code)__________. I declare under penalty of perjury that the contents of this application for a
writ of habeas corpus and the facts stated in the application form are true and correct.
Executed on the ____________ day of (Month)________________ (Year)__________.
Signature of Declarant: ________________________________
Article 11.07 Writ Application Form 16 Revised 2018
UNSWORN DECLARATION (NON-INMATE)
My name is (First) __________________ (Middle) _______________ (Last)_________________, my
date of birth is _______________, and my address is (Street)_________________________________
_____________________________________, (City)_________________ , (State)___________, (Zip
Code)__________, and (Country)________________________. I declare under penalty of perjury that
the contents of this application for a writ of habeas corpus and the facts stated in the application form
are true and correct.
Executed in _________________________County, State of _______________, on the
__________________day of (Month)_____________________ (Year)_____.
Signature of Declarant: ________________________________
Article 11.07 Writ Application Form 17 Revised 2018
OATH BEFORE A NOTARY PUBLIC
STATE OF TEXAS
COUNTY OF _______________
________________________________, being duly sworn, under oath says: “I am the applicant or
petitioner in this action and know the contents of this application for a writ of habeas corpus and,
according to my belief, the facts stated in the application form are true.”
______________________________
Signature of Declarant
SUBSCRIBED AND SWORN TO BEFORE ME THIS _____ DAY OF __________, 20_____.
______________________________
Signature of Notary Public
Article 11.07 Writ Application Form 18 Revised 2018
PETITIONER=S INFORMATION
(Contact information for a petitioner presenting this application on behalf of the applicant)
Petitioner’s printed name: ________________________________
State bar number, if applicable: _____________________________
Address: ___________________________________________
__________________________________________
__________________________________________
Telephone: _____________________________________________
Fax: ___________________________________________________
Email Address: __________________________________________
PETITIONER=S STATEMENT
“I am signing and presenting this application form on behalf of the applicant for the
purpose of obtaining relief from the applicant’s felony conviction. I have consulted with
the applicant concerning this application and the applicant has given consent to the
filing of this application form.”
_____________________________________
Signature of Petitioner
Signed on ____________________, 20_____.
Article 11.07 Writ Application Form 19 Revised 2018
