IN THE CIRCUIT COURT OF THE FOURTEENTH JUDICIAL CIRCUIT, IN AND FOR BAY COUNTY, FLORIDA STATE OF FLORIDA, Plaintiff, Vs. CASE NO.____________________ _____________________________ Defendant/Petitioner PETITION TO EXPUNGE OR SEAL The Petitioner, ____________________________, by and through the undersigned attorney, petitions this honorable court, under Florida Rule of Criminal Procedure 3.692 and section 943.0585 or section 943.059, Florida Statues, to expunge/seal 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 show: 1. 2. 3. 4. 5. On __________________(date), the Petitioner, _________________________________, a ________________________(race/sex) whose date of birth is _______________ was arrested by_______________________(arresting agency) and charged with _____________________________(charges). The Petitioner has not been adjudicated guilty of committing any of the acts stemming from this arrest or alleged criminal activity. 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. The Petitioner has not secured a prior records expunction or sealing under section 943.0585 or 943.059, Florida Statutes, former section 893.14, Florida Statutes, or former section 901.33, Florida Statutes, or any other law, rule or authority. (To be used only when requesting expunction.) The Petitioner’s record has been sealed under section American LegalNet, Inc. www.FormsWorkflow.com 943.059, Florida Statutes, former section 943.058, Florida Statutes, former section 893.14, Florida Statutes, or former section 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. A Certificate of Eligibility for expunction/sealing of non-judicial criminal history records issued by the Florida Department of Law Enforcement accompanies this petition. 6. WHEREFORE, the Petitioner moves to expunge/seal any criminal history record information and any official court records regarding his/her arrest by _________________________(arresting agency) for _______________________________________________(charges) on _________________(date). I HEREBY CERTIFY that a true and correct copy of the foregoing pleading has been served on (name of prosecuting authority). Check One __ State Attorney for the Fourteenth Judicial Circuit in and for Bay County; __ Special Prosecutor __ State Prosecutor __ Arresting Agency ___________________________ __ Sheriff of (county in which Defendant was arrested, if different) __ Florida Department of Law Enforcement on_____________ (date). ____________________________ Name ____________________________ Address ____________________________ City/State ____________________________ Telephone Number ____________________________ Florida Bar No American LegalNet, Inc. www.FormsWorkflow.com