ACIC Form
Revised 04/22/2020
IN THE ______________ COURT OF ________________, ARKANSAS
____________ DIVISION
STATE OF ARKANSAS PLAINTIFF
vs. Case No. ______________
_______________________ DEFENDANT
(First, Middle and Last name)
ORDER TO SEAL RECORDS OF NOLLE PROSEQUI, DISMISSALS,
JUDGMENTS OF ACQUITTAL, AND CHARGES NOT FILED UNDER
ACT 1460 OF 2013; A.C.A.16-90-1401, Et. Seq.
Before the Court is the Petition of the Defendant to seal his/her record. The
Court finds and orders as follows:
1. The Defendant was arrested on the _______ day of ____________,
________, and charged with the offense(s) of:
_____________________________________________________
_____________________________________________________
A Class _____ [_] felony [_] misdemeanor in violation of A.C.A.§
____________________
2. [_] An Order of Nolle Prosequi was entered in this case more than one (1)
year ago and the prosecuting attorney or the city attorney has not refilled
said charges against the Defendant; or
[_] An Order of Dismissal has been entered in this case; or
[_] A judgment of Acquittal was entered in this case and the acquittal was
not for reason of mental disease or defect under A.C.A.§5-2-301, et seq.;
or
[_] The prosecuting attorney or city attorney did not file charges in this
case.
ACIC Form
Revised 04/22/2020
3. The Defendant has paid all filing fees required to be paid with the filing of
this Petition mandated by A.C.A §16-90-1419.
4. [_]Defendant has no pending felony charges in any state or federal court;
or
[_]Defendant has one or more pending felony charges in state or federal
court and the status of that/those charges is/are as follows:
_____________________________________________________
_____________________________________________________
5. Defendant [_] IS or [_] IS NOT required to register as a sex offender under
the Sex Offender Registration Act of 1997 (A.C.A.§ 12-12-901, et seq)
6. The preponderance of the evidence shows that the granting of this Petition
does not place the public at risk and it does further the interests of justice.
IT IS, THEREFORE, by the Court, ORDERED that the Petition of the
Defendant, ______________________________, to seal the above referenced
order of Nolle Prosequi, Order of Dismissal, Judgment of Acquittal, or Charges
Not Filed pursuant to A.C.A. §16-90-1410 should be, and hereby is GRANTED.
IT IS FURTHER ORDERED that the Clerk is directed to mail or transmit a
certified copy of the ORDER to the Arkansas Crime Information, the
Administrative Office of the Courts, the prosecuting and/or city attorney as the
case may be, the District Court Clerk, if applicable, and the arresting agency.
Each of those agencies shall comply with the requirements of A.C.A. §16-90-
1413 as it pertains to them.
___________________________
Judge
___________________________
Date
ACIC Form
Revised 04/22/2020
THE FOLLOWING INFORMATION IS REQUIRED FOR PROPER
IDENTIFICATION OF THE DEFENDANT IN THE STATE AND
NATIONAL RECORD SYSTEMS
Race ____________ Arrest Tracking Number ________________
Sex ____________ SID No. _____________________
DOB ____________ FBI No. (if known)______________________