Form 282D Rev 7/15 The Family Court of the State of Delaware In and For New Castle Kent Sussex County STATE CRIMINAL HISTORY REQUIREMENT FOR JUVENILE EXPUNGEMENT Any individual seeking the expungement of a juvenile record must obtain and attach a copy of their Certified State Criminal History to their pleading. To obtain a copy of the Certified State Criminal History, you must report to one of the SBI locations listed below: New Castle County Delaware State Police – Troop 2 100 Lagrange Ave. Newark, DE 19720 1-800-464-4357 OR (302) 739-2528 (APPOINTMENT REQUIRED) Kent County Blue Hen Mall and Corporate Center – Suite 1B 655 Bay Rd. Dover, DE 19901 (302) 739-5871 (NO APPOINTMENT NECESSARY) Sussex County Thurman-Adams State Service Center Room 202 546 S. Bedford St. Georgetown, DE 19947 (302) 856-5340 (APPOINTMENT REQUIRED) You will incur a cost to obtain your Certified State Criminal History. New Castle and Kent Counties will accept cash, money order, or credit (debit, MasterCard & Visa) as payment. Sussex County will only accept money order or credit. Cash will NOT be accepted at the Sussex County location. Personal checks will not be accepted at any location. American LegalNet, Inc. www.FormsWorkFlow.com Form 282D Rev 7/15 The Family Court of the State of Delaware In and For New Castle Kent Sussex County PETITION FOR EXPUNGEMENT OF JUVENILE RECORD (DISCRETIONARY) Petitioner Respondent: Attorney General New Castle County 820 N. French Street Wilmington, DE 19801 Kent County 102 W. Water Street Dover, DE 19904 Sussex County 114 East Market Street Georgetown, DE 19947 Street Address (including Apt) P.O. Box Number City/State/Zip Code Attorney Name Interpreter needed? Language Yes Crim. Case No. CPI No. No 1. I am an adult born on (hereinafter “Petitioner”) seeking to expunge my juvenile arrest record. OR I am the parent/guardian of the minor child listed above who was born on who is seeking to expunge said minor child’s (hereinafter “Petitioner”) arrest record. 2. A certified copy of Petitioner’s state criminal history from the Delaware State Bureau of Identification (“SBI”) is attached hereto. 3. Petitioner asks the Court to expunge the following charges: Charge Disposition Disposition Date Criminal Case Number 4. Petitioner has no pending delinquency or criminal charges in any other Court. 5. AND, the continued existence and possible dissemination of information relating to the arrest of Petitioner causes, or may cause, circumstances which constitute a manifest injustice to Petitioner because (must allege specific facts): WHEREFORE, Petitioner prays that this court grant an order directing that the police records and court records pertaining to the above-listed charges be expunged. Petitioner’s Signature Sworn and subscribed before me this day of Date , Clerk of Court/Notary Public American LegalNet, Inc. www.FormsWorkFlow.com Form 282D Rev 7/15 AFFIDAVIT OF MAILING I, the Petitioner, affirm that a true and correct copy of this Petition was placed in the U.S. Mail on the day of and sent to the Attorney General at the address listed on the petition, first class postage pre-paid. Petitioner Sworn to subscribed before me this day of , Clerk of Court/ Notary Public American LegalNet, Inc. www.FormsWorkFlow.com