This will take about 15 minutes. Complete and submit this form to us so we can begin work on your case immediately.

If you have documents that would be helpful for the Court's review of your case, please forward copies to us separately at your first opportunity, such as: current resume; diplomas; certificates of achievement; awards; honors or recognition for community involvement; or, letters of recommendation. Please forward supporting documents to us as soon as you can by:

We understand the confidential nature of sealing/expungement proceedings; however, if you have family, friends, business people and/or professionals from whom you are comfortable obtaining a letter of reference for the specific purpose of your request for expungement, it could be beneficial to your case.

I. General Information

Current Name*:

Name at the time of Offense*:

Phone Number*:

Address*

City*

State*

Zip*

Email*

Sex*

Male Female

* Please be advised that we use your email address as our primary means to contact you. Be certain to check your email regularly during your case. If you agree that we may use your email to send you notices and other important communication, please initial here .

If you wish for us to reach you by some other method, please describe:*

If your case is scheduled for hearing, are you able to appear?*

Yes No

If you are unable to appear for hearings, or it would be greatly burdensome and you prefer not to appear, please state your reasons:

II. Residence

Are you a U.S. Citizen?*

Yes No

If No, what is your Nationality?

Your 4 previous addresses before your current address - from most recent to oldest. (Some courts may require an address history for their investigation.)

Address 1*

City*

State*

Zip*

Address 2

City

State

Zip

Address 3

City

State

Zip

Address 4

City

State

Zip

III. Education

High School

Year of Graduation

College/Vocational Training

Year of Graduation

Degree(s) earned

Other Degrees or Certifications:

IV. Awards/Accomplishments/Achievements/Certificates

(Provide copies if available)

V. Employment

Current Employer

Employed from:
to

Job Position, Duties and Responsibilities:

Employment prior to current Employer:

Employer

Employed from:
to

Job Position/Title

Employer

Employed from:
to

Job Position/Title

Employer

Employed from:
to

Job Position/Title

Please provide a copy of your most current resume if available

VI. Family

Name of Spouse

Date of Marriage

Child's Name

Child's Age

Child's Name

Child's Age

Child's Name

Child's Age

Child's Name

Child's Age

VII. Information Regarding the Cases

*** If you have hired us for two separate cases please list information for each case separately under Case #1 and Case #2 below. If you did not hire us for more than one case please leave case #2 blank.

***Answer information you know to the best of your knowledge. If you do not know information, leave blank and move to next question.

Case #1 (If you did not hire us for a second case, move on to next section)

Name of Court/County where case occurred*

Case Number*

Were you represented by any attorney, or did you represent yourself, in the case?*

Attorney Represenation Resprented Myself

Please provide, in detail, how and why, you became involved with these charge(s) and the circumstances surrounding your charge(s). Please be advised that the Judge WILL have access to the police report, so truthfulness and accuracy are necessary to better represent you. If you need more space feel free to use another paper.*

Sentence of Court:*

Were you sentenced to mandatory jail time?*

Yes No

What did you do to complete the sentence requirements?*

Was the sentence fulfilled?*

Yes No

If so, what was the date of completion?

Were you required to pay restitution?*

Yes No

If so, was this paid in full? Please provide date.

Date Probation/Community Control was complete?

Did you violate your Probation/Community Control, and if yes, explain and describe Court's sanction:

Have you ever applied for an expungement for an expungement of this case, and if yes, when and what was the result?

VIII. After This Incident

Describe how you have gone on to improve yourself and contribute to your community since the charge (examples: community service, volunteering, church or charitable involvement, etc.)*

How does this criminal record affect you? Please provide specific examples. *

IX. Other Charges

(Other than Case #1 and Case #2 listed above, please tell us about any other charges filed against you)

Please list any other criminal or traffic charges ever filed against you, including any which have been dismissed or expunged.

Name of Charge

Date of Charge

Court of Charge

Name of Charge

Date of Charge

Court of Charge

Name of Charge

Date of Charge

Court of Charge

Of the Charges listed in your previous answer, please identify those charges of which you were convicted, or convicted of a reduced charge:

OhioExpungementLaw.com

ATTORNEY-CLIENT CONFIDENTIAL CLIENT INFORMATION

I. General Information

II. Residence

III. Education

IV. Awards/Accomplishments/Achievements/Certificates

V. Employment

VI. Family

VII. Information Regarding the Cases

Case #1 (If you did not hire us for a second case, move on to next section)

VIII. After This Incident

IX. Other Charges