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Expungement Packet
Updated June 2020
How to Expunge Your Criminal and/or
Juvenile Record
What is an Expungement?
An expungement is the removal and isolation of all records on file within any court, detention or
correctional facility, law enforcement, criminal justice agency or juvenile justice agency concerning a
person's apprehension, arrest, detention, trial or disposition of an offense within the criminal or juvenile
justice system. Unless otherwise provided by law, if an order for expungement is granted, the adult
arrest, the record of law enforcement taking you into custody as a juvenile, conviction, adjudication of
delinquency, disposition and any related proceedings are considered not to have occurred. See the
section on Comparison of Adult and Juvenile Terms for a glossary of terms that are specific to juvenile
court.
The New Jersey expungement law states in detail who is eligible for an expungement. You should
review the current applicable provisions of N.J.S.A. 2C:52-1 through N.J.S.A. 2C:52-32 to determine if
you are eligible. If eligible you must prepare and file a Petition for Expungement. The Petition for
Expungement must be filed in the Superior Court in the county where you were arrested or prosecuted as
an adult or taken into custody or adjudicated as a juvenile. A judge then decides whether you should be
granted an Expungement Order.
In general, these materials provide basic information about how to file a Petition for Expungement.
These materials do not provide specific advice about a particular legal problem that you may have, and
they are not a substitute for seeing a lawyer. If you encounter a problem or are in doubt as to whether
you need a lawyer, talk to one.
NOTE: These materials have been prepared by the New Jersey Administrative Office of the Courts
for use by self-represented litigants. The guide, instructions, and forms will be periodically updated
as necessary to reflect current New Jersey statutes and court rules. The most recent version of the
forms will be available at the county courthouse or on the Judiciary's Internet site (njcourts.gov).
However, you are ultimately responsible for the content of your court papers.
Acknowledgment: The New Jersey Judiciary would like to acknowledge Legal Services of New Jersey for allowing us to
modify their expungement guide. The work that you see in this Pro Se Expungement Packet is a product of our
collaborative efforts.
How to Expunge Your Criminal and/or Juvenile Record
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Things to Think About Before You Represent Yourself in Court
Try to Get a Lawyer
The court system can be confusing, and it is a
good idea to get a lawyer if you can. If you
cannot afford a lawyer, you may wish to contact
the legal services program in your county to see
if you qualify for free legal services. Their
telephone number can be found online under
Legal Aid or Legal Services.
If you do not qualify for free legal services and
need help in locating an attorney, you can
contact the bar association in your county. Most
county bar associations have a lawyer referral
service. The county bar lawyer referral service
can supply you with the names of attorneys in
your area who usually are willing to handle your
particular type of case. Such attorneys are
sometimes willing to consult with people in your
situation at a reduced fee.
There are also a variety of organizations of
minority lawyers throughout New Jersey, as well
as organizations of lawyers who handle
specialized types of cases. Ask your county
court staff for a list of lawyer referral services
that include these organizations.
Keep Copies of All Papers
Make and keep for yourself copies of all
completed forms and any canceled checks,
money orders, sales receipts, bills, contract
estimates, letters, leases, photographs and other
important documents that relate to your case.
NOTE: Remember to also keep a copy of
your final expungement order should your
petition be granted. Once granted, obtaining
a copy will require a judge’s order.
What You Should Expect If You
Represent Yourself
While you have the right to represent yourself in
court, you should not expect any special
treatment, help, or attention from the court.
You must still comply with the rules of the
court, even if you are not familiar with them.
The following is a list of some things the court
staff can and cannot do for you. Please read it
carefully before asking the court staff for help.
We can explain and answer questions about
how the court works.
We can tell you what the requirements are to
have your case considered by the court.
We can give you some information from
your case file.
We can provide you with samples of court
forms that are available.
We can provide you with guidance on how
to fill out forms.
We can usually answer questions about
court deadlines.
We cannot give you legal advice. Only your
lawyer can give you legal advice.
We cannot tell you whether or not you
should bring your case to court.
We cannot give you an opinion about what
will happen if you bring your case to court.
We cannot recommend a lawyer, but we can
provide you with the telephone number of a
local lawyer referral service.
We can cannot not talk to the judge for you
about what will happen in your case.
We cannot let you talk to the judge outside
of court.
We cannot change an order issued by a
judge.
.
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Comparison of Adult and Juvenile Terms
The table below compares commonly understood criminal terms to terms specific to juvenile
delinquency matters. Juvenile delinquency matters should not be considered the same as adult
criminal actions. The process for expunging juvenile records, however, is the same as that for
expunging adult criminal matters. In fact, if you have both adult and juvenile records that you
wish to expunge, you should include all matters in your expungement petition.
Criminal Term
Juvenile Term
Arrest
Taking juvenile into custody
Conviction
Adjudication of delinquency
Sentence
Disposition
Indictment
No equivalent - A juvenile is charged with an offense
without an indictment process
Jail, prison or incarceration
Secure facility, youth house or detention center or juvenile
justice institution (specific names may vary)
Pretrial Intervention Program
(PTI)
Diversion - Juvenile Conference Committee or an Intake
Services Conference
Glossary of Terms
Deferred Disposition:
In a deferred disposition, the court adjudicates the juvenile
delinquent and sets forth conditions for the juvenile to meet. If the
juvenile meets the terms of those conditions, then the disposition
will be dismissed pursuant to the court's order.
Diversion:
A diversion is the process of removing minor juvenile cases from
the full judicial process on the condition that the accused
participates successfully in a rehabilitative process, such as a
Juvenile Conference Committee or an Intake Services Conference.
If conditions entered into by these diversions are met, then it results
in a dismissal of the case, and no appearance before a judge is
required.
Indictable Offense:
A criminal offense that includes first, second, third and fourth
degree crimes. An indictable offense does not include disorderly
persons, petty disorderly persons or municipal ordinance violations.
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How to File for an Order to Expunge Your Criminal and/or Juvenile Record
Records You Will Need
In order to prepare your expungement petition and
prove your eligibility, you will need to get the
following information:
The date of your arrest as an adult or when you
were taken into custody as a juvenile.
The statute(s) and the offense(s) for which you
were arrested, taken into custody as a juvenile,
convicted or adjudicated delinquent.
The original indictment, accusation, summons,
docket number, warrant number or complaint
number. Include all, if more than one.
The date of the disposition, which could be the
date of the conviction or adjudication of
delinquency, date of not guilty verdict or date of
dismissal.
The specific punishment or other disposition.
Where to Locate Records
If you had an attorney when you were arrested as an
adult and/or taken into custody as a juvenile and
charged, check first to see if he or she has this
information in your case file; if so, this can save you
quite a bit of time.
If you must locate your records on your own for an
indictable/criminal conviction or arrest, contact the
Superior Court Criminal Case Management Office in
the county where the arrest or conviction occurred
and they will advise you how copies of those records
can be obtained. A list of county Criminal Case
Management Offices appears at the end of this
guide.
If you must locate your records on your own for a
juvenile delinquency matter, contact the Superior
Court Family Division Office in the county where
you were taken into custody as a juvenile, where
charges were filed, or where the adjudication
occurred, and they will advise you how copies of
those records can be obtained. A list of county
Family Division Offices appears at the end of this
guide.
If you were taken into custody as a juvenile and no
charges were filed against you, you must contact the
appropriate law enforcement agency for information
related to that incident.
You might also contact the county prosecutor. A list
of county prosecutors' offices with addresses and
telephone numbers appears at the end of this guide.
Explain that you are interested in expunging your
records and ask for the information listed above or
ask to look at your file if this is permitted.
You may also be able to find information you need
on disorderly persons offenses by contacting the
administrator of the municipal court(s) in which you
were prosecuted, or the police department involved
in your arrest(s) as an adult or that took you into
custody as a juvenile. If you cannot get all of the
information, you need to follow Step 1 on the next
page.
You may be eligible for an expungement if you still
owe money for restitution, fine(s), or other court-
ordered financial assessment(s). If, at the time you
are filing this petition, you owe money for
restitution, fine(s), or other court ordered financial
assessment(s), you should contact the appropriate
Probation Division Office(s) for the total amount
still owed. Please see the list of Probation Division
Offices at the end of this packet. If your case was a
municipal court matter(s), you should contact the
appropriate municipal court(s) for the total amount
still owed. For a full listing of Municipal Courts
please visit njcourts.gov.
If you had a legal name change, you must attach a
copy of your court order. To get a copy of your court
order, you should contact the county courthouse in
the county where the case was heard. However, if
your name change was requested and granted as
a part of your divorce, you do not need to attach
the divorce order with your petition.
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The numbered steps that follow explain what forms you will need to fill out and what to do with them. Specific directions
on filling out each form appear before each of the attached forms. Follow these directions carefully. Each form should
be typed or clearly printed on 8 ½ " x 11" white paper only. Forms may not be filed on a different size or color paper.
Steps for Filing
Special Expungements
If you are seeking an expungement as a result of
successful graduation from drug court that occurred
on or after 4/18/2016, you should contact the Public
Defender’s Office from your drug court before filing
for an expungement.
If you are filing for an expungement of only the
marijuana or hashish offenses included in N.J.S.A.
2C:52-5.1, you only need to complete the Petition
(Form A) and the Expungement Order (Form C). If
you use the Cover Letter to Court - For Filing (Form
D), you should delete the reference to the Order for
Hearing in the first sentence because you do not
need to attach the Order for Hearing (Form B) with
your petition. You do not need to complete the
Verification (Form A Continued) page,
Order for Hearing (Form B),
Cover Letter Notice of Hearing (Form E),
or the
Proof of Notice (Form F).
All other expungements use the following
instructions, starting at Step 1.
STEP 1: Request State Police Criminal History
Record Fingerprint Check (This step is only
necessary if you do not already have your
criminal/juvenile history information about your
arrests, charges and dispositions)
In order to obtain your criminal/juvenile history
record (also known as a rap sheet) from the New
Jersey State Police you will need to be fingerprinted.
The State Police use the electronic fingerprint
scanning services of a private company, IDEMIA
USA. You will need to contact IDEMIA USA to
schedule an appointment for fingerprinting. You can
obtain additional information and schedule an
appointment via the internet at
www.bioapplicant.com/nj, or by calling their toll
free telephone: 1-877-503-5981.
Additional information about obtaining
criminal/juvenile history record checks can also be
obtained from the New Jersey State Police website
https://www.state.nj.us/lps/njsp/ or by calling their
Criminal Information Unit at 609-882-2000
ext. 2918.
Note: The State Police will have a criminal/juvenile
history only if you were fingerprinted when you
were arrested. If you were not fingerprinted, and
only a complaint was signed against you when you
were arrested, you will still have a record with the
police department and the court, but you will not
have a record sheet within the Division of State
Police, State Bureau of Investigation.
STEP 2: Complete the following forms:
Petition for Expungement (Form A)
The Petition for Expungement states that you are
requesting an Expungement Order and states why
you qualify. Complete the Petition for Expungement
Order by following the instructions for Form A.
You must then file the petition in the county where
you were arrested or prosecuted as an adult or taken
into custody or adjudicated as a juvenile. If you
were involved in multiple cases in more than one
county, contact the Criminal Case Management
Office in either county and ask whether they will
allow you to file for expungement of your entire
record in that county.
However, if you are filing a petition for
expungement solely on a conviction for a disorderly
persons or a petty disorderly persons offense, you
must file the petition in the county where the most
recent disorderly persons or petty disorderly persons
offense was adjudged.
If you are filing a petition for expungement as a
result of successful graduation from drug court that
occurred prior to April 18, 2016 you must file in the
county where you graduated.
Next, you must complete the Verification page and
sign it in the presence of a Notary Public because
this page must bear a notary seal.
Order for Hearing (Form B)
The Order for Hearing is used by the judge to
schedule a hearing. The Superior Court judge
assigned to your case will usually schedule a hearing
between 35 and 60 days after he or she gets your
petition. Fill out the Order for Hearing by
following the instructions for Form B.
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STEP 3: File and Serve the Forms
Make three (3) copies of your notarized Petition for
Expungement (Form A), Order for Hearing (Form
B), and proposed Expungement Order (Form C).
The original and two (2) copies should be filed with
the court. Keep one copy of each for your records.
Form D - Cover Letter - For Filing
The Cover Letter - For Filing is a form letter that
describes to the Superior Court Criminal Case
Management Office the contents of your package
and the purpose of the enclosed forms. Fill in the
blanks on the Cover Letter (Form D) and attach the
Cover Letter to the originals and the two
photocopies that you are filing (keep one copy of
each for your records). Include two large self-
addressed envelopes with the appropriate postage
stamped on each envelope. These envelopes will be
used to send filed copies of your package back to
you. Mail this package to the Criminal Case
Management Office in the county where you were
arrested/taken into custody and/or where the
prosecution/adjudication occurred.
If you were involved in multiple cases in more than
one county, mail this package to the Criminal Case
Management Office in the county which has allowed
you to file for expungement of your entire record. If
you prefer, you may file this package in person. A
list of the Criminal Case Management Offices where
these forms should be mailed, along with telephone
numbers, appears at the end of this guide.
Step 4: Distributing the Filed Copies
One copy of the Petition for Expungement, Order
for Hearing, and the proposed Expungement Order
will be mailed back to you marked “Filed” and
assigned an “Expungement Docket Number.” The
Order for Hearing will also state the time and the
date for your hearing.
Immediately after receiving the filed copies from the
court, make at least seven (7) copies of the Petition
for Expungement, Order for Hearing, and the
proposed Expungement Order.
Mail one copy of each, immediately, by certified
mail, return receipt requested, to each of the
following government agencies that were involved
with your case(s):
The Attorney General of New Jersey.
The Superintendent of State Police,
Expungement Unit.
The County Prosecutor.
The administrator of the municipal court if a
municipal court heard the matter.
The Chief of Police or other head of the police
department where the offense was committed or
the arrest was made.
The chief law enforcement officer of any other
law enforcement agency of the State that
participated in the arrest.
The Warden or superintendent of any institution
in which you were incarcerated.
The County Probation Division should be
provided a copy if you were granted a
conditional discharge, conditional dismissal,
enrolled into the Pretrial Intervention Program
(PTI), enrolled in a juvenile diversion program
(Juvenile Conference Committee or Intake
Service Conference), granted a deferred
disposition, performed community service, owed
fines or restitution or you served a term of
probation. If your case was transferred to
another county for supervision, you should send
the information to the original county probation
office and the county probation office where
your supervision was transferred.
The Division of Criminal Justice, Records and
Identification Unit should be provided a copy if
your case was processed through the State Grand
Jury.
Form E - Cover Letter - Notice of Hearing
You may use the Cover Letter - Notice of Hearing
(Form E) when mailing the copies to these agencies.
Fill in the blanks on the Cover Letter (Form E) and
attach the Cover Letter to each set of copies.
You should mail the copies of these forms right
away, because the law requires service or mailing
within five (5) days from the date that the Order
for Hearing was signed. Mail them at the post
office, by certified mail, return receipt requested
which can be done by electronic means (see Note
in box below).
Form F - Proof of Notice
After you have received the certified mail return
receipt cards or the electronic confirmation of
mailing from the post office, contact the Criminal
Case Management Office, and ask the clerk whether
the court requires that the proof of mailing be
submitted at or prior to the hearing. If proof is
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required to be produced at the hearing, make sure
that you bring the green certified mail return receipt
cards or the electronic confirmation of mailing (see
box below) and the Proof of Notice (Form F) to
court with you on the day of the hearing. Complete
the Proof of Notice form by following the
instructions for Form F. If proof is required to be
submitted prior to the hearing, make sure that you
bring or mail the green certified mail return receipt
cards or the electronic confirmation of mailing and
the Proof of Notice (Form F) to the Criminal Case
Management Office immediately. If you choose to
mail this information to the court, you should send it
by certified mail, return receipt requested.
Step 5: Go to the Hearing
Arrive at the court on your assigned hearing date
about 15 minutes early. (Not all counties require
you to appear for the hearing. If your appearance is
not required, you must mail the Proof of Notice and
the green return receipt cards or the electronic
confirmation of mailing to the Criminal Case
Management office where you filed your petition, at
least one week before the scheduled hearing.)
If you are required to appear, take your copies of the
filed Petition for Expungement, the Expungement
Order, and the green return receipt cards or the
electronic confirmation of mailing to the hearing
(unless you previously filed them with the court).
When you arrive at the court, tell the court clerk that
you are there.
If any law enforcement officers object to the
expungement, they will tell the judge the reason.
The judge may ask you some questions and will
decide whether to grant or deny you an
expungement. If there is no opposition, the judge
will, in most cases, grant your expungement.
If no law enforcement officers object to the
expungement, the court may order the expungement
of your records without a hearing. If this happens,
you will receive a signed and filed Expungement
Order in the mail.
It is a good practice to call the court the day before
the hearing to confirm that it is still on the court's
calendar.
For Granted Expungements - Distribute Your
Finalized Expungement Order
Immediately after you receive a copy of the
Expungement Order signed by the judge and
stamped “Filed” by the court, mail a copy of the
Expungement Order, by certified mail, return receipt
requested, to each of the following:
The Attorney General of New Jersey.
The Superintendent of State Police,
Expungement Unit.
The County Prosecutor.
The administrator of the municipal court if a
municipal court heard the matter.
The Chief of Police or other head of the police
department where the offense was committed or
the arrest was made.
The chief law enforcement officer of any other
law enforcement agency of the State that
participated in the arrest.
The Warden or superintendent of any institution
in which you were incarcerated.
The Records Division of any institution in which
you were incarcerated.
The Identification Bureau in the county where
the arrest was made or where you were
incarcerated (a list of County Identification
Bureaus appears at the end of this guide).
The County Probation Division should be
provided a copy if you were granted a
conditional discharge, conditional dismissal,
enrolled into the Pretrial Intervention Program
(PTI), enrolled in a juvenile diversion program
(Juvenile Conference Committee or Intake
Service Conference), granted a deferred
disposition, performed community service, owed
fines or restitution or you served a term of
probation.
The Division of Criminal Justice, Records and
Identification Unit should be provided a copy if
your case was processed through the State Grand
Jury.
The County Family Division should be provided
a copy if you are requesting the expungement of
any juvenile delinquency matters.
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Form G - Cover Letter - Notice Expungement
Granted
You may use this Cover Letter - Notice
Expungement Granted (Form G) when mailing the
Expungement Order to these agencies. Fill in the
blanks on the Cover Letter (Form G) and attach the
Cover Letter to each set of copies.
Keep the mailing receipts and the green cards that
are returned to you or the electronic confirmation of
mailing as proof that the documents were received.
In Conclusion
As a final reminder, make sure that you have
completely followed all of the steps required in this
guide. This is very important because even though
your records may be eligible for expungement, if
you miss any of the required steps, your Petition for
Expungement may be denied. In that case, you will
have to start over.
We have tried to explain as simply as possible the
steps to get your records expunged. The forms that
you can use are in the following section. If you have
questions, contact the Criminal Division in the
county where you are filing for the expungement, or
the local Judiciary Ombudsman Office.
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Expungement Forms
This section contains blank expungement forms and instructions. Follow the instructions in this guide and
complete these forms with information about your case(s).
The following forms and instructions are included in this guide:
Form A - Petition for Expungement
The application to the court requesting that the court expunge your record.
Form B - Order for Hearing
The document on which the court will schedule a hearing of your case.
Form C - Expungement Order
The document to be signed by the judge if your Petition for Expungement is granted.
Form D - Cover Letter - For Filing
The form letter to be sent to the court when filing your Petition for Expungement, Order for Hearing and
proposed Expungement Order.
Form E - Cover Letter - Notice of Hearing
The form letter to be sent when giving notice of the hearing.
Form F - Proof of Notice
The document to be filed with the court after notice is given.
Form G - Cover Letter - Notice Expungement Granted
The form letter to be sent when giving notice that the expungement was granted.
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Form Revised 06/2020, CN 10171 (Petition for Expungement)
Instructions for Petition for Expungement (Form A)
1. Fill in your name, address, telephone number, your State Bureau of Identification (SBI) number, if
available, and date of birth, at the top left-hand corner of the form. Your SBI number, if you have one, may
be found in a number of places including on your judgment of conviction, your criminal/juvenile history
record (“rap sheet”), or your summons/warrant complaint.
2. At the top right-hand corner, fill in the name of the county in which you will be filing the Petition for
Expungement.
3. Do not fill in “Expungement Docket Number.” Leave this space blank. This number is assigned by
Criminal Division staff.
4. In the box where it states “In the Matter of the Expungement of the Criminal/Juvenile Records of _______,”
print your full name.
5. Where it states, “I, _______,” fill in your full name.
6. Where it states “residing at,” fill in your current address.
7. In paragraph 1, fill in the date you were arrested/taken into custody. Include any arrests that may have
occurred when you were a juvenile, whether they were sealed or unsealed.
Fill in the name of the offense you were charged with, the New Jersey statute under which you were
arrested, the town (municipality) where you were arrested, and the original indictment, accusation,
summons, warrant, complaint, or docket number(s). Include FJ and FO docket number(s) in Family Part
matters.
You will need to do this for every offense. You must list all offenses. You should use the addendum page
to list other offenses.
8. Choose all that apply to complete the arrest information in paragraph 1.
a. Fill in the date on which the charge was dismissed, the name of the charge that was dismissed, and
the name of the court that dismissed the charge. Check “Yes” or “No” to whether the dismissal was a
result of a plea bargain.
b. Fill in the date on which the charge was acquitted, the name of the charge that was acquitted, and the
name of the court that acquitted the charge.
c. Fill in the date on which the charge was dismissed, the name of the charge that was dismissed, and
the name of the court that dismissed the charge after conditional discharge, conditional dismissal,
Pretrial Intervention Program (PTI), Veterans Diversion Program, Juvenile Conference Committee,
Intake Service Conference, deferred disposition, or was successfully completed.
d. Fill in the date you pled guilty or were found guilty, or were adjudicated delinquent, the name of the
offense to which you pled guilty or were found guilty, or were adjudicated delinquent, and the law
under which you pled guilty or were found guilty, or were adjudicated delinquent (example, N.J.S.A.
2C:33-4 (harassment)). Remember, this is the law under which you pled or were found guilty, or
adjudicated delinquent, not the law under which you were arrested or taken into custody.
Fill in the final sentence or disposition. For example, the sentence/disposition could have been
jail/prison/incarceration time, a fine or probation, or a combination of these. Also fill in the Court
name where you were sentenced, the date that you were released from jail/prison/incarceration, the
date that probation or parole was completed, and the date the fine(s) was paid.
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Form Revised 06/2020, CN 10171 (Petition for Expungement)
e. If you owe money for restitution, fine(s), or other court-ordered financial assessment(s), fill in the
total amount still owed. You should contact the appropriate Probation Division Office(s) for the
total still owed. Please see the list of Probation Division Offices at the end of this packet. If you do
not owe any money, leave this blank. If your case was a municipal court matter, you should contact
the appropriate municipal court(s) for the total amount still owed. For a full listing of Municipal
Courts please visit njcourts.gov.
Note: All of your arrests, charges, or prosecutions, even those for which you are not seeking an
expungement, must be listed in your petition.
9. Use Form A Addendum Page to list any additional arrests, charges, or prosecutions. Make photocopies
or print extra copies of this page as needed. Use one addendum page for each arrest. Number each
paragraph in the space provided, starting with “2”.
10. On Form A - Continued select the first checkbox only if you are seeking an expungement after four years
pursuant to N.J.S.A. 2C:52-2(a)(2), or after three years pursuant to N.J.S.A. 2C:52-3(b)(2), but less than five
years have passed since your most recent conviction, payment of court-ordered financial assessment,
satisfactory completion of probation or parole, or release from incarceration, whichever is later, and you
have not otherwise been convicted of a crime, disorderly persons offense, or petty disorderly persons
offense since the most recent conviction. Explain the compelling circumstances for this request.
Select the second checkbox only if you are seeking an expungement pursuant to N.J.S.A. 2C:52-2(c)(3) of
a third or fourth degree controlled dangerous substance crime. Explain the compelling circumstances for this
request.
11. On Form A - Continued sign and print your name following the paragraph, on the lines that state “your
signature” and “your name printed.”
12. You must sign the Verification page in the presence of a Notary Public because this page must have a
notary seal.
13. On the first line of the Verification page, fill in your full name.
14. In paragraph 3 of the Verification page, select the checkbox if you are seeking expungement of a
conviction/adjudication of an indictable offense (1st through 4th degree). This statement tells the court that
you have never been granted expungement, sealing, or other relief regarding a criminal conviction or
adjudication of delinquency.
15. In paragraph 3 of the Verification page, select the checkbox only if you had a legal name change. Explain
your name change, including your prior legal name, and the date of the court order for the name change.
You must also attach the court order for your name change. However, if your name change was requested
and ordered at the time of your divorce, you do not need to attach the divorce order.
16. In the presence of a Notary sign and print your name on the lines that indicate “your signature before a
Notary” and “your name printed.”
You must sign this Verification page in the presence of a Notary who will then affix their seal to this
page.
The Petition must be signed at the end of Form A Continued and at the bottom of the Verification page.
Petition for Expungement (Form A)
Kit updated 06/2020, CN 10557 (How to Expunge Your Criminal and/or Juvenile Record) page 12 of 36
Form Revised 06/2020, CN 10171 (Petition for Expungement)
(your name)
Superior Court of New Jersey
Law Division
(your address)
County
(city, state, zip code)
(where you are filing)
(your telephone number)
Expungement
(State Bureau of Identification (SBI) number, if available)
Docket Number:
(Date of Birth)
(leave blank clerk
will fill in)
Appearing Pro Se
Civil Action
In the Matter of the Expungement of the
Petition for Expungement
Criminal/Juvenile Records of
(your name)
I,
(your name)
, residing at
(Street Address)
(City)
(State)
(Zip Code)
SAY.
1.
I was arrested/taken into custody on
(date)
and was charged with
(name of offense(s))
,
in violation of N.J.S.A.
(statute(s))
arising out of
(municipalities)
as set forth in the
(original indictment/accusation/summons/warrant/complaint/docket number (include FJ and FO docket number(s) in
Family Part matters))
.
Choose all that apply:
a.
On
(date)
the charge(s) of
(name of offense(s))
was/were dismissed by the
(name of Court)
.
Was the dismissal a result of a plea bargain?
Yes
No
b.
On
(date)
, I was acquitted of
(name of offense(s))
in the
(name of Court)
Court.
c.
On
(date)
the charge(s) of
(name of offense(s))
was/were dismissed by the
(name of Court)
Court after
conditional discharge, conditional dismissal, Pretrial Intervention Program (PTI), Veterans
Diversion Program, Juvenile Conference Committee, Intake Service Conference, or deferred
disposition was successfully completed.
Save
Print
Clear
Petition for Expungement (Form A)
Kit updated 06/2020, CN 10557 (How to Expunge Your Criminal and/or Juvenile Record) page 13 of 36
Form Revised 06/2020, CN 10171 (Petition for Expungement)
d.
On
(date)
I pled/was found guilty/adjudicated delinquent of the charge(s) of
(name of offense(s))
,
in violation of N.J.S.A.
(statute(s))
and sentenced to
(final sentence)
by the
(name of Court)
Court.
I completed
(jail/prison/incarceration time)
on
(date)
;
probation on
(date)
and I paid the fine(s) on
(date)
.
e.
I currently owe restitution, a fine(s) or other court-ordered financial assessment(s) on the
following:
Original indictment/accusation/summons/warrant/complaint/FO or FJ docket number
in the amount of $
.
Petition for Expungement
Form A Addendum Page
Kit updated 06/2020, CN 10557 (How to Expunge Your Criminal and/or Juvenile Record) page 14 of 36
Form Revised 06/2020, CN 10171 (Petition for Expungement)
If you have no other arrests, do not include this page in your petition.
If you do have additional arrests, use one addendum page for each arrest. Number
each paragraph in the space provided, starting with “2”.
.
I was arrested/taken into custody on
(date)
and was charged with
(name of offense(s))
,
in violation of N.J.S.A.
(statute(s))
arising out of
(municipalities)
as set forth in the
(original indictment/accusation/summons/warrant/complaint/docket number (include FJ and FO docket number(s) in
Family Part matters))
.
Choose all that apply:
a.
On
(date)
the charge(s) of
(name of offense(s))
was/were dismissed by the
(name of Court)
.
Was the dismissal a result of a plea bargain?
Yes
No
b.
On
(date)
, I was acquitted of
(name of offense(s))
in the
(name of Court)
Court.
c.
On
(date)
the charge(s) of
(name of offense(s))
was/were dismissed by the
(name of Court)
Court after
conditional discharge, conditional dismissal, Pretrial Intervention Program (PTI), Veterans
Diversion Program, Juvenile Conference Committee, Intake Service Conference, or deferred
disposition was successfully completed.
d.
On
(date)
I pled/was found guilty/adjudicated delinquent of the charge(s) of
(name of offense(s))
,
in violation of N.J.S.A.
(statute(s))
and sentenced to
(final sentence)
by the
(name of Court)
Court.
I completed
(jail/prison/incarceration time)
on
(date)
;
probation on
(date)
and I paid the fine(s) on
(date)
.
e.
I currently owe restitution, a fine(s) or other court-ordered financial assessment(s) on the
following:
Original indictment/accusation/summons/warrant/complaint/FO or FJ docket number
in the amount of $
.
Petition for Expungement (Form A - Continued)
Kit updated 06/2020, CN 10557 (How to Expunge Your Criminal and/or Juvenile Record) page 15 of 36
Form Revised 06/2020, CN 10171 (Petition for Expungement)
NOTE: If you have additional arrests as an adult or were taken into custody as a
juvenile by the police, use the Form A - Addendum Page and include
those page(s) in this petition.
Check only if this applies and explain the compelling circumstances:
I am seeking an expungement pursuant to N.J.S.A. 2C:52-2(a)(2) (after four years),
or pursuant to N.J.S.A. 2C:52-3(b)(2) (after three years), but less than five years
have passed since my most recent conviction, payment of court-ordered financial
assessment, satisfactory completion of probation or parole, or release from
incarceration, whichever is later, and I have not otherwise been convicted of a
crime, disorderly persons offense, or petty disorderly persons offense since the most
recent conviction. The compelling circumstances for the Court to grant me an
expungement are as follows:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
I am seeking an expungement pursuant to N.J.S.A. 2C:52-2(c)(3) of a third or
fourth degree controlled dangerous substance crime. The compelling circumstances
for the Court to grant me an expungement are as follows:
_________________________________________________________________________
_________________________________________________________________________
I request that this Court grant me an Expungement Order as authorized by N.J.S.A. 2C:52-1,
et seq., directing the Clerk of the Court and all relevant criminal/juvenile justice and law
enforcement services of the State of New Jersey to expunge from their records all evidence
of the arrest/conviction/disposition (police record of when you were taken into custody as a
juvenile/adjudication of delinquency/disposition) and all proceedings in this matter, and
further directing any New Jersey law enforcement agency which sent records of the adult
arrest/juvenile custody and proceedings to the Federal Bureau of Investigation or any other
law enforcement agency outside of New Jersey to inform the recipient and the agencies
designated to retain control of expunged records to take sufficient precautions to ensure that
such records and information are not released.
Respectfully submitted,
Signed:
(your signature)
(your name printed)
Petition for Expungement
Verification (Form A - Continued)
Kit updated 06/2020, CN 10557 (How to Expunge Your Criminal and/or Juvenile Record) page 16 of 36
Form Revised 06/2020, CN 10171 (Petition for Expungement)
(Your Name)
, of full age, being duly sworn
according to law, upon his oath deposes and says:
1. I am the Petitioner in this matter and statements made in this Petition are true to the best
of my knowledge.
2. There are no disorderly persons, petty disorderly persons, indictable charges or
juvenile delinquency matters pending against me at this time.
3. Check if this applies:
I am seeking expungement of a conviction on a criminal case or an adjudication of
delinquency on a juvenile case pursuant to N.J.S.A. 2C:52-2, and I have never been
granted an expungement, sealing or similar relief regarding a criminal conviction, by
any state or federal court.
I have legally changed my name. I have explained the details of my name change(s)
below, included my previous legal name(s), and the date of the court order for the
name change(s).
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Signed:
(your signature before a Notary)
(your name printed)
Sworn to and subscribed before me this
day of
,
(Notary’s signature)
Instructions for Order for Hearing (Form B)
Kit updated 06/2020, CN 10557 (How to Expunge Your Criminal and/or Juvenile Record) page 17 of 36
1. At the top left-hand corner, fill in your name and address.
2. At the top right-hand corner, fill in the county in which you will be filing your
petition.
3. Do not fill in “Expungement Docket Number.” Leave this space blank. The court
clerk will give you an expungement docket number and will fill in the blank.
4. In the box where it states “In the Matter of the Expungement of the Criminal/Juvenile
Records of _________,” print your full name.
5. Where it states, “This matter having been opened to the Court upon the annexed
Petition of _________,” fill in your name.
6. Leave the lines blank in the paragraph that begins “IT IS ORDERED this….” The
court clerk with fill in the date and time of the hearing.
7. On the line “The Prosecutor of _____________ County,” fill in the county name
where you were arrested as an adult or taken into custody as a juvenile. If you were
arrested or taken into custody in more than one county, enter the names of each
county.
8. On the lines “The administrator(s) of the __________ Municipal Court(s)” and
“Chief(s) of the _____________ Police Department(s),” fill in the town where you
were arrested as an adult or taken into custody as a juvenile. If you were arrested or
taken into custody in more than one town, enter the names of each town.
9. On the line “The _________________ County(ies) Probation Division”, fill in the
county name for the probation division, if you were granted a conditional discharge,
were granted a conditional dismissal, enrolled into the Pretrial Intervention Program
(PTI), participated in a Juvenile Conference Committee, participated in Intake Service
Conference, received a deferred disposition, performed community service, owed
restitution or fines or you served a term of probation. If your case was transferred to
another county for supervision, you should send the information to the original
county probation office and the county probation office where your supervision was
transferred. If the probation division was not involved in your case, you may cross
this off.
10. On the line “The Warden(s) of the __________________ Jail(s) / Prison(s)” and “The
Superintendent(s) of ______________ (name of institution for juveniles only),” fill in
the name(s) of the jail(s), place(s) of incarceration or prison(s) if you were
incarcerated. If you were not incarcerated, you may cross this off.
11. Leave the space blank that states “Judge, Superior Court of New Jersey.” This is
where the judge will sign the order.
Kit updated 06/2020, CN 10557 (How to Expunge Your Criminal and/or Juvenile Record) page 18 of 36
(your name)
Superior Court of New Jersey
Law Division
(your address)
County
(city, state, zip code)
(where you are filing)
Expungement
Appearing Pro Se
Docket Number
(leave blank - clerk
will fill in)
In the Matter of the Expungement of the
Criminal/Juvenile Records of
Civil Action
Order for Hearing
(your name)
This matter having been opened to the Court upon the annexed Petition of
(your name)
, and for good cause appearing;
IT IS ORDERED this
day of
,
, that a
Hearing before this Court is set for the
day of
,
at
o'clock
.m. to determine whether an Order of Expungement shall be granted;
IT IS FURTHER ORDERED that Petitioner shall send by certified mail, copies of this Order
and Petition to the following officials within five (5) days of this Order:
The Attorney General of New Jersey
The Superintendent of the New Jersey State Police, Expungement Unit,
The Prosecutor of County(ies),
The administrator(s) of the Municipal Court(s),
Chief(s) of the Police Department(s),
The County(ies) Probation Division,
The Warden of the Jail/Prison,
The Superintendent of (name of institution for juveniles
only),
The Division of Criminal Justice, Records and Identification Unit.
Judge, Superior Court of New Jersey
Instructions for Order (Form C)
Kit updated 06/2020, CN 10557 (How to Expunge Your Criminal and/or Juvenile Record) page 19 of 36
1. At the top left-hand corner, fill in your full name and address.
2. At the top right-hand corner, indicate the county in which you will be filing your petition.
3. Do not fill in “Expungement Docket Number” leave this space blank. For cases filed in the
Criminal Division, the court clerk will give you an expungement docket number and will fill
in the blank.
4. In the box where it states, “In the Matter of the Expungement of the Criminal/Juvenile
Records of _______________,” print your full name.
5. Under “Expungement Order” is a “Check only if applies” section:
Check the first checkbox only for expungements that involve a successful graduation
from drug court that occurred prior to April 18, 2016.
Check the second checkbox only for expungements of the marijuana or hashish offenses
included in N.J.S.A. 2C:52-5.1.
Check the third box only for a Clean Slate Expungement pursuant to N.J.S.A. 2C:52-5.3
(Expungement of one or more crimes, disorderly persons or petty disorderly persons
offenses, or a combination of one or more crimes and offenses filed ten years from the
most recent conviction, payment of any court-ordered financial assessment, satisfactory
completion of probation or parole, or release from incarceration, whichever is later).
6. In the first paragraph of the Expungement Order, after “…Verified Petition of,” print your
full name, date of birth, and your State Bureau of Identification (SBI) number, if available,
where it is indicated.
7. Leave the next three spaces blank where it states “IT IS ORDERED this ___ day of
__________, ______________.” They will be filled in by the court.
8. On the line “The Prosecutor of _____________ County,” fill in the county name where you
were arrested as an adult or taken into custody as a juvenile. If you were arrested or taken
into custody in more than one county, enter the names of each county.
9. On the lines “The administrator(s) of the __________ Municipal Court(s)” and “Chief(s) of
the _____________ Police Department(s),” fill in the town where you were arrested as an
adult or taken into custody as a juvenile. If you were arrested or taken into custody in more
than one town, enter the names of each town.
10. On the lines “The Warden(s) of the __________________ Jail(s) / Prison(s)” and “The
Superintendent(s) of ______________ (name of institution for juveniles only),” fill in the
name(s) of the jail(s), place(s) of incarceration or prison(s) if you were incarcerated. If you
were not incarcerated, you may cross this off.
11. On the line “The _________________ County Probation Division”, fill in the county name
for the probation division, if you were granted a conditional discharge, were granted a
conditional dismissal, enrolled into the Pretrial Intervention Program (PTI), participated in a
Juvenile Conference Committee, participated in Intake Service Conference, received a
deferred disposition, performed community service, owed restitution or fines or you served a
term of probation. If your case was transferred to another county for supervision, you should
send the information to the original county probation office and the county probation office
where your supervision was transferred. If the probation division was not involved in your
case, you may cross this off.
Kit updated 06/2020, CN 10557 (How to Expunge Your Criminal and/or Juvenile Record) page 20 of 36
12. On the lines “Deputy Clerk of the Superior Court of New Jersey, _________________
County” fill in the county or counties where your records will be expunged (this includes the
Criminal and/or Family Divisions, if applicable).
13. After “all information relating to,” fill in your full name.
14. On lines 1-5, fill in the dates, the law(s) under which you were arrested or taken into custody,
and the original indictment, accusation, summons, warrant, complaint, or FJ and FO docket
number(s) in Family Part matters. If you need more than five rows, attach a separate sheet of
paper with the additional information.
15. On line 6, if you were a co-delinquent in any juvenile delinquency matters, list those FJ
docket numbers separately after “in which I am a co-delinquent _________.
16. Leave the section on monies that are still owed blank. The court will complete this section, if
appropriate.
17. Leave the signature line on the next page blank. This is where the judge will sign the order.
Expungement Order (Form C)
Kit updated 06/2020 to remove the filing fee, CN 10557 (How to Expunge Your Criminal and/or Juvenile Record) page 21 of 36
Form Revised 06/2020, CN 10173 (Expungement Order)
(your name)
Superior Court of New Jersey
Law Division
(your address)
County
(city, state, zip code)
(where you are filing)
Expungement
Appearing Pro Se
Docket Number:
(leave blank clerk will
fill in)
In the Matter of the Expungement of the
Criminal/Juvenile Records of
Civil Action
Expungement Order
(your name)
Check only if applicable:
Successful graduation from drug court
prior to 4/18/2016 pursuant to
N.J.S.A. 2C:35-14(m).
Expungement of the marijuana or
hashish offenses included in N.J.S.A.
2C:52-5.1.
Clean Slate Expungement pursuant to
N.J.S.A. 2C:52-5.3.
This matter having been brought to the Court by
(your name)
whose date of birth is
(date)
, and
State Bureau of Identification (SBI) number, if available, is
(SBI number, if available)
, and
HAVING FOUND that the requirements for an Expungement under N.J.S.A. 2C:52-1, et seq., have been
satisfied;
IT IS ORDERED this
day of
,
, that the
The Attorney General of New Jersey,
The Superintendent of the New Jersey State Police, Expungement Unit,
The Prosecutor of County(ies),
The administrator(s) of the Municipal Court(s),
Chief(s) of the Police Department(s),
The County(ies) Probation Division(s),
The Warden of the Jail/Prison,
The Superintendent of (name of institution for juveniles only),
Deputy Clerk of the Superior Court of New Jersey, Criminal and/or Family Divisions,
County, remove from their records all information relating to
Expungement Order (Form C - Continued)
Kit updated 06/2020, CN 10557 (How to Expunge Your Criminal and/or Juvenile Record) page 22 of 36
Form Revised 06/2020, CN 10173 (Expungement Order)
(your name)
's
(1)
(date)
arrest/custody on the charge of violating N.J.S.A.
(statute)
under
(original indictment/accusation/summons/warrant/complaint/FJ or FO docket number)
;
(2)
( date)
arrest/custody on the charge of violating N.J.S.A.
(statute)
;
under
(original indictment/accusation/summons/warrant/complaint/FJ or FO docket number)
;
(3)
(date)
arrest/custody on the charge of violating N.J.S.A.
(statute)
;
under
(original indictment/accusation/summons/warrant/complaint/FJ or FO docket number)
;
(4)
(date)
arrest/custody on the charge of violating N.J.S.A.
(statute)
;
under
(original indictment/accusation/summons/warrant/complaint/FJ or FO docket number)
;
(5)
(date)
arrest/custody on the charge of violating N.J.S.A.
(statute)
;
under
(original indictment/accusation/summons/warrant/complaint/FJ or FO docket number)
;
(6)
If applicable, including the following Family Part docket numbers in which I am a co-delinquent
(FJ docket numbers)
.
and remove all records concerning the subsequent criminal and/or juvenile proceedings
regarding such charge(s), including any conviction(s), adjudication(s) of delinquency or
disposition(s), if applicable, and place such information in the control of a person within the
office designated to retain control over expunged records.
IT IS FURTHER ORDERED THAT IF MONIES ARE STILL OWED AT THE TIME
THIS EXPUNGEMENT IS ORDERED
A civil judgment is to be entered in the Judiciary’s automated system in the name of “Treasurer,
State of New Jersey” in the following:
Indictment/accusation/summons/warrant/complaint/ FJ or FO docket number
in the amount of $
Indictment/accusation/summons/warrant/complaint/ FJ or FO docket number
in the amount of $
Indictment/accusation/summons/warrant/complaint/ FJ or FO docket number
in the amount of $
Indictment/accusation/summons/warrant/complaint/ FJ or FO docket number
in the amount of $
IT IS FURTHER ORDERED that any of the above officers or agencies which sent
fingerprints and/or any records of the above arrest/conviction/adjudication/disposition and
proceedings to the Federal Bureau of Investigation or any other office or agency shall notify
same of this Order and that the agencies designated to retain such records take sufficient
precautions to insure that such records and information are not released.
IT IS FURTHER ORDERED that any records, or the information therein, shall not be
released except as provided under the provision of N.J.S.A. 2C:52-1, et seq. and that the
persons designated to retain control over expunged records take sufficient precautions to insure
that such records and information are not released.
Expungement Order (Form C - Continued)
Kit updated 06/2020, CN 10557 (How to Expunge Your Criminal and/or Juvenile Record) page 23 of 36
Form Revised 06/2020, CN 10173 (Expungement Order)
IT IS FURTHER ORDERED that in response to requests for information or records, the
court office or law enforcement agency shall reply with respect to the arrest/conviction/
adjudication/disposition, which is the subject of this Order, that there is no record.
IT IS FURTHER ORDERED that the arrest/conviction/adjudication/disposition, which is
the subject of this Order, shall be deemed not to have occurred, and the Petitioner may answer
accordingly any question relating to this occurrence pursuant to N.J.S.A. 2C:52-27.
IT IS FURTHER ORDERED that this Order does not expunge the records contained in the
Controlled Dangerous Substances Registry created pursuant to P.L. 1970, c. 227 (C.26:2G-17
et seq.) or the registry created by the Administrative Office of the Courts pursuant to N.J.S.A.
2C:43-21.
Judge, Superior Court of New Jersey
Instructions for Cover Letter - For Filing (Form D)
Kit updated 06/2020, CN 10557 (How to Expunge Your Criminal and/or Juvenile Record) page 24 of 36
Form Revised 01/2019, CN 10174 (Cover Letter For Filing)
1. At the top right-hand corner of the page, fill in the date.
2. At the top-left-hand corner, print the county and the mailing address of the Criminal
Case Management Office where you are filing your petition papers. (A list of County
Criminal Case Management Offices appears at the end of this guide).
3. On the line that states “your name,” print your full name.
4. In the bottom right-hand corner, sign your name on the line that states “Your
signature” and then print your name and mailing address where indicated.
Cover Letter to Court For Filing (Form D)
Kit updated 06/2020, CN 10557 (How to Expunge Your Criminal and/or Juvenile Record) page 25 of 36
Form Revised 01/2019, CN 10174 (Cover Letter - for Filing)
(date)
Clerk, Superior Court of New Jersey
(county)
(address)
(city, state, zip code)
Re: In the Matter of the Expungement of the Criminal/Juvenile Records of:
(your name)
Dear Sir or Madam:
Enclosed are an original and two copies of a Petition, Order for Hearing and Proposed Final
Order in this matter. Kindly submit them to the appropriate Judge and return copies marked
"Filed."
Thank you.
Sincerely,
(your signature)
(your name)
(address)
(city, state, zip code)
Enc:
Instructions for Cover Letter Notice of Hearing (Form E)
Kit updated 06/2020, CN 10557 (How to Expunge Your Criminal and/or Juvenile Record) page 26 of 36
Form Revised 01/2019, CN 10175 (Cover Letter Notice of Hearing)
1. At the top right-hand corner of the page, fill in the date.
2. Fill in the addresses you have located for each applicable agency that was involved
with your case(s). Some of the addresses have been provided for you. If there are
multiple agencies in each category listed in the address section, you should make a
copy or copies of the cover letter.
3. On the line “County Probation _________________”, if your case was transferred to
another county for supervision, you should send the information to the original
county probation office and the county probation office where your supervision was
transferred.
4. On the line that states "Expungement Hearing: (date), (time)," fill in the date and time
that appear on your copy of the Order for Hearing.
5. On the line that states "Expungement Docket Number," fill in the docket number that
appears in the upper right-hand corner of your filed copies of the Petition for
Expungement, the Order for Hearing, and the proposed final order (Expungement
Order).
6. In the bottom right-hand corner, sign your name on the line that states "your
signature" and then print your name and mailing address where indicated.
7. Each Form E must be mailed via certified mail. Therefore, you must purchase/secure
more than one certified mail card/receipt from the post office if you are mailing Form
E to multiple agencies and/or locations.
8. Attach a copy of this Cover Letter (Form E) to each copy of the filed expungement
package and mail a package via certified mail return receipt requested, to each
agency. Keep a copy of Form E and your certified mail receipts/electronic confirmation
for your records.
Cover Letter Notice of Hearing (Form E)
Kit updated 06/2020, CN 10557 (How to Expunge Your Criminal and/or Juvenile Record) page 27 of 36
Form Revised 01/2019, CN 10175 (Cover Letter Notice of Hearing)
(date)
Attorney General, State of New Jersey
Hughes Justice Complex
Post Office Box 080
Trenton, NJ 08625-0080
Superintendent, State Police
Expungement Unit
Post Office Box 7068
West Trenton, NJ 08628
Prosecutor,
Municipal Court Administrator
(address)
(address)
(city, state, zip code)
(city, state, zip code)
Chief of Police,
Warden/Jail
(name of jail/prison)
(address)
(address)
(city, state, zip code)
(city, state, zip code)
County Probation
County Probation
Original County
Transfer County (use in Transfer Cases only)
(address)
(address)
(city, state, zip code)
(city, state, zip code)
Superintendent
County Sheriff,
(name of institution for juveniles only)
(address)
(address)
(city, state, zip code)
(city, state, zip code)
Division of Criminal Justice
Records and Identification Unit
25 Market Street
Post Office Box 085
Trenton, New Jersey 08625
Expungement Docket Number
Re: Expungement Hearing:
at
(date)
(time)
Dear Sir or Madam:
Enclosed are copies of the Petition for Expungement, Order for Hearing, and proposed Final
Order in this matter.
Sincerely,
(your signature)
(your name)
(address)
(city, state, zip code)
Instructions for Proof of Notice (Form F)
Kit updated 06/2020 to remove the filing fee, CN 10557 (How to Expunge Your Criminal and/or Juvenile Record) page 28 of 36
Form Revised 01/2019, CN 10176 (Proof of Notice)
This form is to be used only if the proof of mailing of the filed expungement package to each
agency is required to be submitted to the court prior to the court hearing. Submit this form
pursuant to the clerk's instructions.
1. In the upper left-hand corner, print your full name and address.
2. In the upper right-hand corner, fill in the county in which you filed the petition.
3. Fill in the Expungement Docket Number.
4. In the box where it states “In the Matter of the Expungement of the Criminal/Juvenile
Records of _________,” print your full name.
5. Fill in the date that you mailed copies of the filed Petition for Expungement, the
Order for Hearing, and the proposed Expungement Order to each agency. The date
will be found on your certified mail receipts or electronic confirmation.
6. Fill in the location (town or county) for each agency to which you sent your
expungement package.
7. On the line “The _________________ County(ies) Probation Division”, if your case
was transferred to another county for supervision, you should send the information to
the original county probation office and the county probation office where your
supervision was transferred.
8. Sign and date this form at the bottom.
9. Mail Form F, along with the certified mail receipts or electronic confirmation, to the
Court where your hearing is scheduled. Keep a copy of Form F and your certified
mail receipts or electronic confirmation for your records.
Proof of Notice (Form F)
Kit updated 06/2020, CN 10557 (How to Expunge Your Criminal and/or Juvenile Record) page 29 of 36
Form Revised 01/2019, CN 10176 (Proof of Notice)
(your name)
Superior Court of New Jersey
Law Division
(your address)
County
(city, state, zip code)
(where you are filing)
Expungement
Appearing Pro Se
Docket Number:
In the Matter of the Expungement of the
Criminal/Juvenile Records of
Civil Action
Proof of Notice
(your name)
On
(date)
, I mailed a copy of the Petition for Expungement, Order for Hearing
and Proposed Final Order by way of certified mail, return receipt requested to the following:
The Attorney General of New Jersey,
The Superintendent of the New Jersey State Police, Expungement Unit,
The Prosecutor of County(ies),
The administrator(s) of the Municipal Court(s),
Chief(s) of the Police Department(s),
The Warden of the Jail/Prison,
The Superintendent of (name of institution for
juveniles only),
The County(ies) Probation Division,
The Division of Criminal Justice, Records and Identification Unit.
Enclosed are the certified mail receipts or electronic confirmation that were returned to me.
(your signature)
(date)
Instructions for Cover Letter Notice Expungement Granted (Form G)
Kit updated 06/2020, CN 10557 (How to Expunge Your Criminal and/or Juvenile Record) page 30 of 36
Form Revised 01/2019, CN 10177 (Cover Letter Notice Expungement Granted)
1. At the top right-hand corner of the page, fill in the date.
2. Next, fill in the addresses for each applicable agency that you want to notify that your
record has been expunged. If there are multiple agencies in each category listed in the
address section, you should make a copy or copies of the cover letter.
3. On the line “County Probation _________________”, if your case was transferred to
another county for supervision, you should send the information to the original county
probation office and the county probation office where your supervision was transferred.
4. On the line that states “your name,” print your full name as it appears on your
Expungement Order.
5. On the line that states “Expungement Docket Number,” fill in the expungement docket
number that appears on your Expungement Order.
6. In the bottom right-hand corner, sign your name on the line that states “your signature”
and then print your name and mailing address where indicated.
6. Each Form G must be mailed via certified mail. Therefore, you must purchase/secure
more than one certified mail card/receipt from the post office if you are mailing Form G
to multiple agencies and/or locations.
7. Attach a copy of this Cover Letter (Form G) to each copy of the signed and filed
Expungement Order and mail it via certified mail, return receipt requested, to each
agency. Keep a copy of Form G and your certified mail receipts or electronic confirmation
for your records.
Cover Letter Notice Expungement Granted (Form G)
Kit updated 06/2020, CN 10557 (How to Expunge Your Criminal and/or Juvenile Record) page 31 of 36
Form Revised 01/2018, CN 10177 (Cover Letter Notice Expungement Granted)
(date)
Attorney General, State of New Jersey
Hughes Justice Complex
Post Office Box 080
Trenton, NJ 08625-0080
Superintendent, State Police
Expungement Unit
Post Office Box 7068
West Trenton, NJ 08628
Prosecutor,
Municipal Court Administrator
(address)
(address)
(city, state, zip code)
(city, state, zip code)
Chief of Police,
Warden/Jail
(name of jail/prison)
(address)
(address)
(city, state, zip code)
(city, state, zip code)
County Probation
County Probation
Original County
Transfer County (use for transfers only)
(address)
(address)
(city, state, zip code)
(city, state, zip code)
Superintendent
County Identification Bureau,
(name of institution for juvenile only)
(address)
(address)
(city, state, zip code)
(city, state, zip code)
Division of Criminal Justice
Records and Identification Unit
25 Market Street
Post Office Box 085
Trenton, New Jersey 08625
County Family Division
(address)
(city, state, zip code)
Re: In the Matter of the Expungement of the Criminal/Juvenile Records of
(your name)
(expungement docket number)
Dear Sir or Madam:
Enclosed is a copy of an Expungement Order. Please take the appropriate action to see that these
records are expunged.
Sincerely,
(your signature)
(your name)
(address)
(city, state, zip code)
Kit updated 06/2020, CN 10557 (How to Expunge Your Criminal and/or Juvenile Record) page 32 of 36
Address List Revised 01/15/2020, CN 11664 (Expungement Kit Address Lists - Criminal Case Management Offices)
Criminal Case Management Offices
Atlantic County
Superior Court of Atlantic County
Criminal Case Management
Expungement Clerk
4997 Unami Blvd
Mays Landing, NJ 08330
(609) 402-0100 x47293
Gloucester County
Criminal Division
Expungement Clerk
Gloucester County Justice Complex
70 Hunter St
Woodbury, NJ 08096
(856) 878-5050 x15392
Ocean County
Ocean County Superior Court
Expungement Clerk
120 Hooper Ave
Toms River, NJ 08753
(732) 504-0700 x64281
Bergen County
Criminal Case Management
Expungement Clerk
Bergen County Justice Center
10 Main St, Rm 124
Hackensack, NJ 07601
(201) 221-0700 x25054
(201) 221-0700 x25055
Hudson County
Criminal Case Management
Expungement Clerk
Administration Bldg.
595 Newark Ave, Rm 101
Jersey City 07306
(201) 748-4400 x60152
Passaic County
Superior Court
Criminal Division
Expungement Clerk
77 Hamilton St, 2nd Fl
Paterson, NJ 07505
(973) 653-2910 x24398
Burlington County
Burlington County Courthouse
Processing Office
Expungement Clerk
49 Rancocas Rd, 1st Fl
Mount Holly, NJ 08060
(609) 288-9500 x38239
Hunterdon County
Criminal Division
Expungement Clerk
Hunterdon Justice Center
65 Park Ave
Flemington, NJ 08822
(908) 824-9750 x13077
Salem County
Criminal Division
Expungement Clerk
Salem County Courthouse
92 Market St
Salem, NJ 08079
(856) 878-5050 x15855
Camden County
Hall of Justice
Expungement Clerk
101 South 5th St
Camden, NJ 08103
(856) 379-2200 x3339
Mercer County
Mercer County Criminal Courthouse
Criminal Records
Expungement Clerk
400 South Warren St, Rm 109
Trenton, NJ 08650
(609) 571-4200 x74048
Somerset County
Criminal Case Management
Expungement Clerk
20 North Bridge St
PO Box 3000
Somerville, NJ 08876
(908) 332-7700 x13233
Cape May County
Criminal Case Management
Expungement Clerk
9 North Main St
Cape May Court House NJ 08210
(609) 402-0100 x47426
Middlesex County
Middlesex County Court House
Criminal Records
Expungement Clerk
56 Paterson St, PO Box 964
New Brunswick, NJ 08903-0964
(732) 645-4300 x88155
Sussex County
Sussex County Judicial Center
Criminal Division
Expungement Clerk
43-47 High St
Newton, NJ 07860
(862) 397-5700 x75301
Cumberland County
Criminal Division
Expungement Clerk
60 W Broad Street
Bridgeton, NJ 08302
(856) 878-5050 x15492
Monmouth County
Criminal Division
Expungement Clerk
71 Monument Park, P.O. Box 1271
Freehold, New Jersey 07728
(732) 358-8700 x87350
Union County
Criminal Division
Expungement Clerk
2 Broad St
Elizabeth, NJ 07207
(908) 787-1650 x21079
(908) 787-1650 x21079
Essex County
Veterans Courthouse
Criminal Records Office
Expungement Clerk
50 West Market St, Rm 1012
Newark, NJ 07102
(973) 776-9300 x56587
(973) 776-9300 x57328
Morris County
Superior Court of New Jersey
Criminal Records Department
Expungement Clerk
PO Box 910
Morristown, NJ 07963
(862) 397-5700 x75238
Warren County
Criminal Case Management
Expungement Clerk
PO Box 900
Belvidere, NJ 07823
(908) 750-8100 x13379
Kit updated 06/2020, CN 10557 (How to Expunge Your Criminal and/or Juvenile Record) page 33 of 36
Address List Revised 04/04/2019, CN 11663 (Expungement Kit Address Lists - County Prosecutor Offices)
County Prosecutor Offices
Atlantic County
4997 Unami Blvd
PO Box 2002
Mays Landing, NJ 08330
Phone: (609) 909-7800
Fax: (609) 909-7802
Gloucester County
70 Hunter Street
PO Box 623
Woodbury, NJ 08096
Phone: (856) 384-5500
Fax: (856) 384-8624
Ocean County
119 Hooper Ave
PO Box 2191
Toms River, NJ 08754
Phone: (732) 929-2027
Fax: (732) 506-5088
Bergen County
Justice Center
2 Bergen County Plaza, 4
th
Floor
Hackensack, NJ 07601
Phone: (201) 646-2300
Fax: (201) 646-3794
Hudson County
Administration Building
595 Newark Ave, 6th Fl
Jersey City, NJ 07306
Phone: (201) 795-6400
Fax: (201) 795-3365
Passaic County
Administration Building
401 Grand St
Paterson, NJ 07505
Phone: (973) 881-4800
Fax: (973) 225-0155
Burlington County
County Courts Facility
49 Rancocas Rd
PO Box 6000
Mount Holly, NJ 08060
Phone: (609) 265-5035
Fax: (609) 265-5007
Hunterdon County
Justice Center
65 Park Ave
PO Box 756
Flemington, NJ 08822-0756
Phone: (908) 788-1129
Fax: (908) 806-4618
Salem County
87 Market St
PO Box 462
Salem, NJ 08079
Phone: (856) 935-7510 Ext. 8333
Fax: (856) 935-8737
Camden County
200 Federal Street
Camden, NJ 08103
Phone: (856) 225-8400
Fax: (856) 963-0080
Mercer County
County Court House
209 South Broad St, 3rd Fl
PO Box 8068
Trenton, NJ 08650
Phone: (609) 989-6350
Fax: (609) 989-0161
Somerset County
40 North Bridge St
PO Box 3000
Somerville, NJ 08876
Phone: (908) 231-7100
Fax: (908) 704-0056
Cape May County
Crest Haven Complex
4 Moore Rd
110 Justice Way
Cape May Court House NJ 08210
Phone: (609) 465-1135
Fax: (609) 465-1347
Middlesex County
25 Kirkpatrick St, 3rd
Fl
New Brunswick, NJ 08901
Phone: (732) 745-3300
Fax: (732) 745-2791
Sussex County
19-21 High St
Newton, NJ 07860
Phone: (973) 383-1570
Fax: (973) 383-4929
Cumberland County
115 Vine Street
Bridgeton, NJ 08302
Phone: (856) 453-0486
Fax: (856) 453-7707
Monmouth County
132 Jerseyville Ave
Freehold, NJ 07728
Phone: (732) 431-7160
Fax: (732) 409-3673
Union County
32 Rahway Ave
Elizabeth, NJ 07202-2115
Phone: (908) 527-4500
Fax: (908) 289-1267
Essex County
Veterans Courthouse
50 West Market St
Newark, NJ 07102
Phone: (973) 621-4700
Fax: (973) 621-4560
Morris County
Administration & Records Building
PO Box 900
Morristown, NJ 07963-0900
Phone: (973) 285-6200
Fax: (973) 285-6226
Warren County
Court House
413 Second St
Belvidere, NJ 07823
Phone: (908) 475-6275
Kit updated 06/2020, CN 10557 (How to Expunge Your Criminal and/or Juvenile Record) page 34 of 36
Address List Revised 09/2018, CN 11662 (Expungement Kit Address Lists - County Identification Bureaus)
County Identification Bureaus
Atlantic County
Atlantic County Sheriff
4997 Unami Boulevard
Mays Landing, NJ 08330
Attention: I.D. Bureau
Gloucester County
Gloucester County Sheriff
2 South Broad Street
PO Box 376
Woodbury, NJ 08096
Ocean County
Ocean County Sheriff
120 Hooper Avenue, 3
rd
Floor
P.O. Box 2191
Toms River, NJ 08753
Attention: I.D. Bureau
Bergen County
Bureau of Criminal Identification
Bergen County Sheriff
160 South River Street
Hackensack, NJ 07601
Hudson County
Hudson County Sheriff
Attention: BCI
Hudson County Plaza
257 Cornelison Avenue
Jersey City, NJ 07302
Passaic County
Passaic County Sheriff
Criminal Identification Bureau
11 Sheriff's Plaza
Paterson, NJ 07501
Burlington County
Burlington County Sheriff
49 Rancocas Rd
Mount Holly, NJ 08060
Attention: Expungement
Hunterdon County
Hunterdon County Sheriff
PO Box 2900
Flemington, NJ 08822
Attention: I.D. Bureau
Salem County
Salem County Sheriff
Identification Bureau
94 Market Street
Salem, NJ 08079
Camden County
Camden County Sheriff
520 Market St. 1st Floor
Camden, NJ 08102
Attention: I. D. Bureau
Mercer County
Mercer County Sheriff
PO Box 8068
Trenton, NJ 08650
Somerset County
Somerset County Sheriff
PO Box 3000
Somerville, NJ 08876
Attention: I.D. Bureau
Cape May County
Cape May County Sheriff
4 Moore Road
Cape May Court House, NJ 08210
Attention: I.D. Bureau
Middlesex County
Middlesex County Sheriff
701 Livingston Avenue
New Brunswick, NJ 08901
Attention: Records
Sussex County
Sussex County Sheriff
39 High Street
Newton, NJ 07860
Attention: Records
Cumberland County
Cumberland County Sheriff
220 North Laurel Street
Bridgeton, NJ 08302
Attention: I.D. Bureau
Monmouth County
Monmouth County Sheriff Office
Criminal Identification Bureau
2500 Kozloski Road
Freehold, New Jersey 07728
Attention: I.D. Bureau
Union County
Union County Sheriff
10 Elizabethtown Plaza
Elizabeth, NJ 07207
Attention: I.D. Bureau
Essex County
Essex County Sheriff
Veterans Courthouse
50 West Market Street
Newark, NJ 07102
Morris County
Morris County Sheriff
PO Box 900
Morristown, NJ 07963-900
Attention: C.I.D.
Warren County
Warren County Sheriff
413 2nd Street
Courthouse
Belvidere, NJ 07823
Attention: Warrant Officer
Kit updated 06/2020 CN 10557 (How to Expunge Your Criminal and/or Juvenile Record) page 35 of 36
Transcript Offices List Revised 06/2020, CN 11948 (Expungement Kit Address Lists Family Division Offices)
Family Division Offices
Atlantic County
Family Division Manager
Atlantic County Civil Court Building
West Wing
1201 Bacharach Blvd. 2
nd
Floor
Atlantic City, NJ 08401
609-402-0100 ext. 47503
Gloucester County
Assistant Family Division Manager
Gloucester County Family Court
Facility, Justice Complex
70 Hunter St.
Woodbury, NJ 08096
856-878-5050 ext. 15590
Ocean County
Family Division Manger
Ocean County Justice Complex
P.O. Box 2191
120 Hooper Ave. Rm. 240
Toms River, NJ 08754
732-504-0700 ext. 64470
Bergen County
Family Division Manager
Bergen County Justice Center
10 Main St. Rm. 257
Hackensack, NJ 07601
201-221-0700 ext. 25103
Hudson County
Family Division Manager
Hudson County Administration Bldg.
595 Newark Ave. Rm. 208
Jersey City, NJ 07306
201-748-4400 ext. 60860
Passaic County
Family Division Manager
Passaic County Administration Bldg.
401 Grand St. 8
th
Floor, Suite 819
Paterson, NJ 07505
973-653-2910 ext. 24430
Burlington County
Family Division Manager
Burlington County Court Facility
49 Rancocas Rd.
Mt. Holly, NJ 08060
609-288-9500 ext. 38830
Hunterdon County
Assistant Family Division Manager
Hunterdon County Justice Center
65 Park Ave.
Flemington, NJ 08822
908-824-9750 ext. 13330
Salem County
Assistant Family Division Manager
Salem County Family Court
92 Market St.
Salem, NJ 08079
856-878-5050 ext. 15871
Camden County
Family Division Manager
Camden County Hall of Justice
101 South 5th St. 2nd Floor
Camden, NJ 08103-4001
856-650-9100 ext. 43490
Mercer County
Family Division Manager
Mercer County Civil Courts Bldg.
175 South Broad St.
P.O. Box 8068
Trenton, NJ 08650-0068
609-571-4200 ext. 74390
Somerset County
Family Division Manager
Family Case Mgmt. Office
Courthouse - 2nd Floor
P.O. Box 3000
20 North Bridge
Somerville, NJ 08876
908-332-7700 ext. 13730
Cape May County
Assistant Family Division Manager
Superior Court of NJ
Family Division
4 Moore Rd.
Cape May Court House, NJ 08210
609-402-0100 ext. 47571
Middlesex County
Family Division Manager
Middlesex County Family Courthouse
120 New St. 1st Floor
P.O. Box 2691
New Brunswick, NJ 08903
732-645-4300 ext. 88664
Sussex County
Assistant Family Division Manager
Sussex County Judicial Center
43-47 High St.
Newton, NJ 07860
862-379-5700 ext. 75310
Cumberland County
Family Division Manager
Cumberland County Courthouse
60 West Broad St.
Bridgeton, NJ 08302
856- 878-5050 ext. 15720
Monmouth County
Family Division Manager
Monmouth County Courthouse
71 Monument Park
P.O. Box 1252
Freehold, NJ 07728-1252
732-358-8700 87260
Union County
Family Division Manager
Union Co. Courthouse, Cherry St. Annex
2 Cherry St.
Elizabeth, NJ 07207
908-787-1650 ext. 22300
Essex County
Family Division Manager
Essex Family Court
Robert N. Wilentz Bldg.
212 Washington Street
10
th
Floor Rm. 1053
Newark, NJ 07102
973-776-9300 ext. 57060
Morris County
Family Division Manager
Morris County Courthouse
P.O. Box 910
56 Washington St.
Morristown, NJ 07963-0910
862-379-5700 ext. 75190
Warren County
Assistant Family Division Manager
Family Case Management
Warren County Courthouse
PO Box 900
Belvidere, NJ 07823
908-750-8100 ext. 13015
Kit updated 06/2020, CN 10557 (How to Expunge Your Criminal and/or Juvenile Record) page 36 of 36
Transcript Offices List Revised 06/2020, CN 11948 (Expungement Kit Address Lists Probation Division Offices)
Probation Division Offices
Atlantic County
Vicinage Chief Probation Officer
Atlantic County Probation Division
1201 Bacharach Blvd
PO Box 5129
Atlantic City, NJ 08404
(609) 402-0100 ext. 47160
Gloucester County
Vicinage Chief Probation Officer
Gloucester County Probation Division
5 Points Plaza
1893 Hurffville Rd
Sewell, NJ 08080
(856) 878-5050 ext. 15750
Ocean County
Vicinage Chief Probation Officer
Ocean County Probation Division
120 Hooper Ave
Toms River, NJ 08754
(732) 504-0700 ext. 65410
Bergen County
Vicinage Chief Probation Officer
Bergen County Probation Division
39 Hudson St
Hackensack, NJ 07601
(201) 221-0700 ext. 25454
Hudson County
Vicinage Chief Probation Officer
Hudson County Probation Division
595 Newark Ave, Rm 106
Jersey City, NJ 07306
(201) 748-4400 ext. 60399
Passaic County
Vicinage Chief Probation Officer
Passaic County Probation Division
55 Dale Avenue
Paterson, NJ 07505
(973) 653-2910 ext. 24147
Burlington County
Vicinage Chief Probation Officer
Burlington County Probation Division
49 Rancocas Rd
PO Box 6555
Mt. Holly, NJ 08060
(609 288-9500 ext. 38011
Hunterdon County
Vicinage Chief Probation Officer
Hunterdon County Probation Division
65 Park Ave
Flemington, NJ 08822
(908) 332-7700 ext. 13860
Salem County
Vicinage Chief Probation Officer
Salem County Probation Division
85 Market St
Salem, NJ 08079
(856) 878-5050 ext. 15954
Camden County
Vicinage Chief Probation Officer
Camden County Probation Division
6 Executive Campus,
Ste 300, Rte 70
PO Box 8107
Cherry Hill, NJ 08002
(856) 650-9100 ext. 43280
Mercer County
Vicinage Chief Probation Officer
Mercer County Probation Division
175 South Broad St
PO Box 8068
Trenton, NJ 08650-0068
(609) 571-4200 ext. 74210
Somerset County
Vicinage Chief Probation Officer
Somerset County Probation Division
North Bridge & Main St
PO Box 3000
Somerville, NJ 08876-1262
(908) 332-7700 ext. 13760
Cape May County
Vicinage Chief Probation Officer
Cape May County Probation Division
Courthouse
9 North Main St
Cape May Courthouse, NJ 08210-1601
(609) 402-0100 ext. 47190
Middlesex County
Vicinage Chief Probation Officer
Middlesex County Probation Division
189 New Street
P.O. Box 789
New Brunswick, NJ 08903
(732) 645-4300 ext. 88585
Sussex County
Vicinage Chief Probation Officer
Sussex County Probation Division
43-47 High St
Newton, NJ 07860
(862) 397-5700 ext.75567
Cumberland County
Vicinage Chief Probation Officer
Cumberland County Probation Division
Courthouse
60 West Broad Street
Bridgeton, NJ 08302
(856) 878-5050 ext. 15020
Monmouth County
Vicinage Chief Probation Officer
Monmouth County Probation Division
2407 Rte 66
Ocean, NJ 07712
(732) 358-8700 ext. 87320
Union County
Vicinage Chief Probation Officer
Union County Probation Division
1143-45 East Jersey St
Elizabeth, NJ 07207
(908) 787-1650 ext. 21617
Essex County
Vicinage Chief Probation Officer
Essex County Probation Division
60 Evergreen Pl, 8th Fl
East Orange, NJ 07018
(973) 776-9300 ext. 53201
Morris County
Vicinage Chief Probation Officer
Morris County Probation Division
Courthouse
PO Box 910
Morristown, NJ 07963-0910
(862) 397-5700 ext. 75567
Warren County
Vicinage Chief Probation Officer
Warren County Probation Division
413 2nd St
PO Box 900
Belvidere, NJ 07823-1500
(908) 332-7700 ext. 13960