Your browser does not support javascript. This is required for using the requested form.
State Attorney's Office
KATHERINE FERNANDEZ RUNDLE - Miami-Dade's State Attorney
SEALING & EXPUNGEMENT PRE-APPLICATION
Last Name, First Name /
Apellido, Primer Nombre: *
Date of Birth /
Fecha De Nacimiento: *
mm/dd/yyyy
Race /
Raza: *
Gender /
Sexo: *
MALE
FEMALE
AKA:
SSN# *
Phone Number /
Numero de Telefono *
Driver's License /
De Licencia:
ARREST INFORMATION / INFORMACION DEL ARRESTO
County /
Condado: *
State /
Estado: *
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington, DC
West Virginia
Wisconsin
Wyoming
QUESTIONS / PREGUNTAS
1. Have you successfully sealed or expunged a record in the past?
1. Usted a sellado o borrado un record criminal en el pasado? *
Yes / Si
No
2. Have you been convicted of Driving with a Suspended License, DUI or Reckless Driving?
2. Hacido convicto de manejar con la licencia suspendia, DUI o Reckless Driving? *
Yes / Si
No
3. Were you arrested as a juvenile?
3. Fue usted arrestado cuando era un menor de edad? *
Yes / Si
No
4. Are you currently on probation or have a pending case?
4. Esta usted bajo probatoria o tiene un caso pendiente? *
Yes / Si
No
* = Input is required
This form was created at
www.formdesk.com