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Offender Registration Form Online Offender Search Registry Law Print Form IN THE DISTRICT COURT OF COUNTY STATE OF OKLAHOMA Plaintiff v. Defendant. Case No* OFFENDER REGISTRATION Defendant Information Last Name First Name Middle Name State Zip Phone Home Phone Cell Email Date of Birth D. L* State Gender Address City Home Work Other D. L* Male Female Conviction / Plea Offense s Adjudication Date Length of Sentence Judge Notice to Defendant This conviction of or plea to a -related offense makes you subject to the Oklahoma Offender Registry Act See 63 O. S* 2-701. While subject to the Oklahoma Offender Registry Act you are prohibited from purchasing possessing or having control of any substance containing any amount of pseudoephedrine. A prescription for pseudoephedrine shall not provide an exemption for any person to this law. This is in addition to any other terms rules or conditions of your sentence probation or parole. For more information consult 63 O. S* 2-701. By signing this form the Defendant attests that the Defendant has read or the information contained herein was read to the Defendant. Further the Defendant attests that the above information is true and accurate. Defendant acknowledges that any change pertaining to information that is provided above must be provided to the Oklahoma Bureau of Narcotics Registry in writing within thirty 30 days thereof* Attorney for Defendant Assistant District Attorney Probation Parole Officer Phone Number Fax or Mail form to Registration 440 NE 39 th Street Oklahoma City OK 73105 Phone 877-627-2674 Fax 405-524-7619. Case No* OFFENDER REGISTRATION Defendant Information Last Name First Name Middle Name State Zip Phone Home Phone Cell Email Date of Birth D. L* State Gender Address City Home Work Other D. L* Male Female Conviction / Plea Offense s Adjudication Date Length of Sentence Judge Notice to Defendant This conviction of or plea to a -related offense makes you subject to the Oklahoma Offender Registry Act See 63 O. L* State Gender Address City Home Work Other D. L* Male Female Conviction / Plea Offense s Adjudication Date Length of Sentence Judge Notice to Defendant This conviction of or plea to a -related offense makes you subject to the Oklahoma Offender Registry Act See 63 O. S* 2-701. While subject to the Oklahoma Offender Registry Act you are prohibited from purchasing possessing or having control of any substance containing any amount of pseudoephedrine. S* 2-701. While subject to the Oklahoma Offender Registry Act you are prohibited from purchasing possessing or having control of any substance containing any amount of pseudoephedrine. A prescription for pseudoephedrine shall not provide an exemption for any person to this law. This is in addition to any other terms rules or conditions of your sentence probation or parole.