Expungement Interview Form

If you would like us to review your criminal record for expungement eligibility, please fill out the Expungement Interview Form below to the best of your ability. We will then review your record and contact you at your convenience by phone or by email within the next 24 hours.

CLICK HERE FOR INSTRUCTIONS ON HOW TO OBTAIN YOUR ARREST RECORD IN NEW JERSEY.

Name*
First Middle Last
Date of Birth*
MM slash DD slash YYYY

Date of Birth
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Enter Email Confirm Email
If you prefer that we contact you in a certain manner, or during a certain time of day, please indicate so here
Please provide some information about your charge(s)
Description of charge
Police Agency/Township Involved
Arrest Date
MM slash DD slash YYYY
Disposition/Outcome
Date of Disposition/Outcome
MM slash DD slash YYYY
Would you like to provide information on another charge?
- Yes
- No
2nd charge
Description of 2nd charge
Police Agency/Township Involved in 2nd charge
Arrest Date of 2nd charge
MM slash DD slash YYYY
Disposition/Outcome of 2nd charge
Date of Disposition/Outcome of 2nd charge
MM slash DD slash YYYY
Would you like to provide information on another charge?
- Yes
- No
3rd charge
Description of 3rd charge
Police Agency/Township Involved in 3rd charge
Arrest Date of 3rd charge
MM slash DD slash YYYY
Disposition/Outcome of 3rd charge
Date of Disposition/Outcome of 3rd charge
MM slash DD slash YYYY
Would you like to provide information on any other charges?
- Yes
- No
List details of any additional charges
Comments
This field is for validation purposes and should be left unchanged.

Expungement Interview Form

Please provide some information about your charge(s)

2nd charge

3rd charge