IN THE CIRCUIT COURT OF THE ELEVENTH JUDICIAL CIRCUIT IN AND FOR MIAMI-DADE COUNTY, FLORIDA
IN THE COUNTY COURT IN AND FOR MIAMI-DADE COUNTY, FLORIDA.
472
DIVISION
CRIMINAL
JUVENILE
TRAFFIC/MISDEMEANOR
PETITION TO EXPUNGE
CASE NUMBER
THE STATE OF FLORIDA VS.
PLAINTIFF DEFENDANT
CLOCK IN
The petitioner, ____________________________ by and through the undersigned attorney, petitions this honorable court, under Florida
Rule of Criminal Procedure 3.692 and section 943.0585, 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 on _________________ (date) ________,
by____________________________(arresting agency)____________________, for _____________________________________________
(charges) , and as grounds therefore shows:
1. On ______ day of ____________________, 20_____, the petitioner, ___________________________________ , a ____________(race)
________(sex), whose date of birth is ____________________, was arrested by _____________________________________ and charged with
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________.
2. The petitioner has not been previously adjudicated guilty of nor adjudicated guilty of committing any of the acts stemming from this arrest
or alleged criminal activity.
3. The petitioner has not been previously adjudicated guilty of a criminal offense or a comparable ordinance violation
nor adjudicated delinquent
for committing a felony or a misdemeanor specified in section 943.051(3)(b), Florida Statutes.
4. The petitioner has not secured a prior records expunction or sealing under section 943.0585, or 943.059, Florida Statutes, or under former
section 943.058, 893.14, or 901.33, Florida Statues.
5. The petitioner ‘s record has been sealed under section 943.059, Florida Statutes, or under former section 943.058, 893.14, 901.33,
Florida Statutes, for at least 10 years; or there has not been an indictment, information, or other charging document 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 who is the subject of this criminal history information was dismissed by the prosecutor or the court.
6. A Certificate of Eligibility, for expunction of non-judicial criminal history records issued by the Florida Department of Law Enforcement
accompanies this petition.
WHEREFORE, the petitioner moves to expunge any criminal history record information and any official court records regarding his/her arrest by
_____________________________________________ (arresting agency) for__________________________ (charges) on the
________ day of______________________, 20_____.
I HEREBY CERTIFY that a true and correct copy of the foregoing pleading has been served on KATHERINE FERNANDEZ RUNDLE, State Attorney
(check one)
State Attorney for the 11th Judicial Circuit, in and for Miami-Dade County, 1350 Northwest 12th Avenue, Miami, FL 33136;
Special Prosecutor; Statewide Prosecutor;_______________________________________(arresting agency); and the Miami-Dade Police
Department, Records Section, 9105 Northwest 25th Street, Miami, FL, 33172, and the Florida Department of Law Enforcement on, ______ day
of ________________________, 20_____.
_____________________________________________________ __________________________________________________
Signature Print Name
Address: _______________________________________________ City-State ______________________ Zip Code:_____________
Telephone Number: (______)_______________________________ E-mail Address ________________________________________
Fla. Bar No:___________________________________________
CLK/CT 24 Rev. 08/19 Clerk’s web address: www.miami-dadeclerk.com