3. The petitioner has not been previously adjudicated guilty or adjudicated delinquent of a
criminal offense or a comparable ordinance violation. The Petitioner has not secured a
prior records expunction or sealing under section 943.0585, 943.059, 943.058, 893.14, or
former section 901.33, Florida Statues, or any other law, rule or authority.
4. (To be used only when requesting expunction) Such record has been sealed under
section 943.059, 943.058, 893.14, or former section 901.33, Florida Statutes, for at least
ten years; or there has not been an indictment or information filed against the petitioner
who is the subject of this criminal history record information; or an indictment,
information or other charging document filed against the petitioner was dismissed by the
prosecutor or the court.
5. A Certificate of Eligibility for Expunction or Sealing of non-judicial criminal history
records issued by the Department of Law Enforcement accompanies this petition.
WHEREFORE, the Petitioner moves to ___________________ (expunge/seal) any criminal
history record information and any official Court records regarding his/her arrest by
_____________________________________________________________ (arresting agency) for
______________________________________________________________________ (charges)
on _____________________ (date of arrest).
I HEREBY CERTIFY that a true and correct copy of the foregoing pleading has been served on
____________________________________________ (name of prosecuting authority), State
Attorney for the __________ Judicial Circuit, in and for ________________________ County,
__________ Special Prosecutor, _________Statewide Prosecutor; ________________________
(arresting agency) and ____________________________ (Sheriff of county where defendant was
arrested, if different), on this ______________ day of ______________, ________
.
___________________________________________________
(Signature of Petitioner or Attorney for Defendant)
Name: _____________________________________
Address: ____________________________________
City/State/Zip Code: __________________________
Telephone: __________________________________
Florida Bar No: ______________________________