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Apply for a Blake Refund

  1. Instructions

    Once an Order Vacating Conviction and Dismissal is signed by the court and filed, you may request a refund of any previously paid LFO's. Below are the steps and additional information needed by the clerk to process your refund application.

    Step 1: Complete the application 

    Step 2: Provide Proof of ID 

    A copy of 1 of the following: (must be valid with photo) 

    • Driver’s License, Instruction Permit, or state-issued ID Card

    • Valid Washington State Temporary Driver’s License

    • U.S. Armed Forces I.D. Card

    • Merchant Marine I.D. Card issued by the U.S. Coast Guard

    • Official Passport, Passport Card, NEXUS Card

    • Washington State Tribal Enrollment Card (No expiration date required)

    Or 

    A copy of 2 of the following: 

    • Expired WA driver’s license, ID card, or permit

    • Cell phone bill or statement

    • Home utility or service document (bill, statement, hook-up order, etc.)

    • Bank or credit card document (statement, card mailer, etc.)

    • School transcript or report card.

    • DSHS benefits letter (medical, food, etc.)

    • Tribal ID

    • Proof of home ownership (mortgage documents, property tax documents, deed, title, etc.).

    • Selective Service Card

    • Concealed weapons permit from a WA county (license to carry a concealed pistol)

    • Homeowner's or renter's insurance policy

    • Auto insurance policy, declarations page, or binder

    • Consulate ID card or Mexican Federal Electoral card

    • Paycheck or pay stub with the employer's name and phone number or address

    • Washington professional license (nursing, physician, engineer, pilot, etc.)

    • W-2 form from an employer or form 1099

    • Letter attesting residence in alternate housing (e.g., assisted living, college campus, mission, senior housing, shelter, or retirement home) on company letterhead with a phone number that could be used in verification of the facility

     

    *Important* 

    If your name has changed and doesn’t match the defendant’s name on the case(s), you must provide documentation showing your previous and new name. Examples of this are:

    • Certified copy of a court order showing your change of name

    • Certified copy of divorce decree showing the new name or authorizing a name change

    • Marriage certificate (including same-sex marriage certificate) that has been filed with the county or authorized issuing authority and has the control or file number.

     

    Step 3: Submit to the Clerk 

  2. List all case numbers that are eligible for refund under State v. Blake

    • If you don't have a case number, you can locate it two ways:
      1. Search by your name online here: https://odysseyportal.courts.wa.gov/odyportal
      2. Email: Clerk@cowlitz.wa.gov
    • If you have a conviction before 1980 and don't have the case number, please indicate the approximate year and details about the event for the clerk to search for a case number.
  3. Subject to the perjury laws of the State of Washington, I hereby certify that the information provided is true and correct and that I am the defendant in the cause number(s) listed above and am entitled to a refund of any LFO's previously paid. 

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