Form 282M Rev 5/18 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 226 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 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 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 282M Rev 5/18 The Family Court of the State of Delaware In and For New Castle Kent Sussex County PETITION FOR EXPUNGEMENT OF JUVENILE RECORD (MANDATORY) 1. I am a n adult born on (hereinafter 223Petitioner224) see king to expunge my juvenile arrest record . OR I am the parent/guardian, guardian ad litem or attorney of the minor child listed above who was born on who is seeking to expunge said minor child222s (hereina fter 223Petitioner224) arrest record. 2. A certified copy of Petitioner222s state cri mi nal history from the Delaware State Bureau of Identification (223SBI224) is attached h ereto . 3. Petit ioner asks the Court to expunge the following charges: Charg e Disposition Disposition Date Criminal Case Number 4. Other than those charges listed above Petitioner has had no other adjudications of delinquency or adult c onvictions in any Court and has no pending delinquency or criminal charges. Petitioner Street Address (including Apt) P.O. Box Number City / State / Zip Code Attorney Name Interpreter needed? Yes No Language Crim. Case No. CPI No. Petitioners Signature Petitioners Printed Name Sworn to subscribed before me this day of , Clerk of Court /Notary Public Date American LegalNet, Inc. www.FormsWorkFlow.com