OhioExpungementLaw.com

Law Firm of Mathews & Gill, LLP


ATTORNEY-CLIENT CONFIDENTIAL CLIENT INFORMATION

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:

Email: exp@ohiolaws.com or FAX: 614-523-7580

Mail: Mathews & Gill, 655 Cooper Road, Westerville, Ohio 43081

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


Sex*

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

II. Residence


Are you a U.S. Citizen?*

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

III. Education



IV. Awards/Accomplishments/Achievements/Certificates


V. Employment



to

Employment prior to current Employer:


to

to

to

VI. Family







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)

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

Were you sentenced to mandatory jail time?*

Was the sentence fulfilled?*


Were you required to pay restitution?*



VIII. After This Incident


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.




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