PT
ORDERED AND ADJUDGED that the Clerk of this court shall forward a certified copy of this order to
the
State Attorney,
Special Prosecutor,
Statewide Prosecutor,
(arresting
agency), and the Sheriff of Pinellas County, who will comply with the procedures set forth in section
943.0583, Florida Statutes, and appropriate regulations of the Department of Law Enforcement, and
who will further forward a copy of this order to any agency that their records reflect has received the
instant criminal history record information; and it is further
ORDERED AND ADJUDGED that
(arresting agency)
shall expunge all information concerning indicia of arrest, conviction, or criminal history record
information regarding the arrest, conviction, or alleged criminal activity to which this petition pertains
in accordance with the procedures set forth in section 943.0583, Florida Statutes, and Florida Rule of
Criminal Procedure 3.692.
All costs of certified copies involved herein are to be borne by the ______________________________.
DONE AND ORDERED in chambers at Clearwater, Pinellas Florida, this day of
Certified Copies Sent To:
Attorney
Defendant
Florida Department Law Enforcement (FDLE)
Pinellas County Sheriff Office
State Attorney’s Office
Arresting Agency
Circuit Judge
Pretrial Intervention
Probation- DOC
Probation Salvation Army Department
of Motor Vehicles Department of
Juvenile Justice Domestic Violence
Program Unemployment Compensation
Program
Other