Form 281 Rev 9/18 1 of 3 The Family Court of the State of Delaware In and For New Castle Kent Sussex County BACKGROUND CHECK INFORMATION FOR ADULT EXPUNGEMENTS Any individual seeking the expungement of an adult 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 226 Troop 2 100 Lagrange Ave. Newark, DE 19702 1-800-464-4357 OR (302) 739-2528 (APPOINTMENT REQUIRED) Kent County Blue Hen Mall and Corporate Center 226 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 at SBI 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 281 Rev 9/18 2 of 3 The Family Court of the State of Delaware In and For New Castle Kent Sussex County PETITION FOR EXPUNGEMENT OF ADULT RECORD Petitioner DEPUTY ATTORNEY GENERAL New Castle County Street Address (including Apt) 820 N. French Street Wilmington, DE 19801 P.O. Box Number Kent County 102 W. Water Street City / State / Zip Code Dove r , DE 19904 Sussex County Att orney Name 114 East Market Street Georgetown, DE 19947 Interpreter needed? Yes No Language Pursuant to 10 Del. C. 247 1025 , (Petitioner), h ereby petitions for the e xpungement of his/her criminal record. The following are the charges brought against the Petitioner in Family Court (list any additional charges on Form 281E ) : Charge Offense Date Incident No. Disposition Date Disposition The following information MUST be completed in its entirety for the Court to consider the petition T he Petitioner has no prior criminal record. T he continued existence and possible dissemination of information relating to the arrest of the P etitioner causes , or may cause, circumstances which constitute a manifest injustice t o the Petitioner. You must explain how the Petitioner is negatively affected by the continued existence of this record: Pursuant to 10 Del. C . 247 1025, the Petitioner requests that this C ourt enter an order directing: That all indicia of arrest contained in the police records and the Court records relating to the above mentio ned charges be expunged and removed from the files and placed in the control of the supervisor of the State Bureau of Identification as provided for in 10 Del. C. 247 1025 (e ) (5) . That certified copies of this C ourt222s Order be sent t o the Petitioner, t he Delaware Department of Justice, the United States Department of Justice, t he State Bureau of Identification, t he Delaware State Police and the Arresting Agency. That the Department of Justice and t he Family Court of the State of Delaware take appropriate steps to see that all records not destroyed pursuant to this order be handled in such a manner as to insure that they not be opened to public inspection or disclosure . That it shall not be nece ssary for the Petitioner to disclose his/her arrest on the above mentioned charges for any reason. Crim. Case No. Civil Petition No. Petitioner222s Signature Sworn to and subscribed before me this day of , Clerk of Court /Notary Public Date American LegalNet, Inc. www.FormsWorkFlow.com Form 281 Rev 9/18 3 of 3 AFFIDAVIT OF MAILING I, the Movant, affirm that a true and correct copy of this Motion was placed in the U.S. Mail on the day of and sent to the other party or attorney at the address listed on the petition, first class postage pre-paid. Movant Sworn to subscribed before me this day of , Clerk of Court / Notary Public American LegalNet, Inc. www.FormsWorkFlow.com