IN THE SIXTH JUDICIAL CIRCUIT COURT
IN AND FOR PINELLAS COUNTY, FLORIDA
STATE OF FLORIDA, Case No:
vs
Defendant/Petitioner
A/K/A and/or N/K/A
SPN:
DOB:
Report#
ORDER TO EXPUNGE, HUMAN TRAFFICKING VICTIM, UNDER SECTION 943.0583, FLORIDA
STATUTES, AND FLORIDA RULE OF CRIMINAL PROCEDURE 3.692
THIS CAUSE, having come on to be heard before me this date upon a petition to expunge certain
records of the petitioner’s arrest and/or conviction on (date) by the
(arresting agency) for
(charges) and the court being fully advised in the premises, the Court hereby finds:
The petitioner has been the victim of human trafficking, as discussed in section 787.06,
Florida Statutes, and has committed an offense, other than those offenses listed in
775.084(1)(b)1, which was committed as a part of a human trafficking scheme of which
he/she was the victim, or at the direction of an operator of the scheme. A conviction
expunged under this section is deemed to have been vacated due to a substantive defect in
the underlying criminal proceedings.
Whereupon it is
ORDERED AND ADJUDGED that the petition to expunge is granted. All court records pertaining to the
above-styled case shall be sealed in accordance with the procedures set forth in Florida Rule of Criminal
Procedure 3.692; and it is further
_
_
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
IN THE SIXTH JUDICIAL CIRCUIT
COURT IN AND FOR PINELLAS
COUNTY, FLORIDA
STATE OF FLORIDA, Case No:
vs
Defendant/Petitioner
A/K/A and/or N/K/A
SPN
AFFIDAVIT IN SUPPORT OF PETITION TO EXPUNGE
HUMAN TRAFFICKING VICTIM
State of Florida
County of Pinellas
I, (name of defendant/petitioner), am the
defendant/petitioner in
the above-styled cause and I do hereby swear or affirm that:
1. I fully understand the meaning of all the terms of this affidavit.
2. I have been the victim of human trafficking, as discussed in section 787.06, Florida Statutes, and have
committed an offense, other than those offenses listed in 775.084(1)(b)1, which was committed as a
part of a human trafficking scheme of which I was the victim or at the direction of an operator of the
scheme.
3. I was arrested on (date of arrest) by (arresting agency).
4. I am eligible for the relief requested, to the best of my knowledge and belief, and do not have any other
petition to expunge or seal pending before any court.
Sworn to and subscribed before me on
Petitioner
Personally known
or produced identification
Type of identification produced
My commission expires:
_
NOTARY PUBLIC, or other person authorized to
administer an oath.
Printed, typed, or stamped commissioned name of Notary Public
IN THE SIXTH JUDICIAL CIRCUIT COURT
IN AND FOR PINELLAS COUNTY, FLORIDA
STATE OF FLORIDA, Case No:
vs
Defendant/Petitioner
A/K/A and/or N/K/A
SPN
PETITION TO EXPUNGE /HUMAN TRAFFICKING VICTIM
The Petitioner, by and
through the undersigned attorney, petitions this honorable court, under Florida Rule of
Criminal Procedure 3.692 and section 943.0583, Florida Statutes, to expunge all criminal
history record information in the custody of any criminal justice agency and the official
records of the court concerning the petitioner’s arrest and/or conviction on (date
of arrest) by (arresting
agency),
for
(charges)
and as grounds therefore shows:
1. On (date of arrest), the petitioner
a (race) (sex) whose date of birth is , was
arrested by (arresting agency),
and charged with
(charges).
2. The petitioner has been the victim of human trafficking, as discussed in section 787.06,
Florida Statutes, and has committed an offense, other than those offenses listed in
775.084(1)(b)1, which was committed as a part of a human trafficking scheme of which
he/she was the victim or at the direction of an operator of the scheme as evidenced by the
attached official documentation of his/her status, or may be shown by clear and convincing
evidence presented to the Court.
WHEREFORE, the Petitioner moves to expunge any criminal history record information and
any official court records regarding his/her arrest and/or conviction 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,
(arresting agency) and _
Statewide Prosecutor;
(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:
6th
Pinellas County