Intake Form

Full Name:*

Additional Information (optional)

Email:*

Telephone:*

Client Name:*

Your Date(s) of Conviction(s) [The date of your plea or verdict.]:*

Were you sentenced to county, state or federal prison?*

Have you completed your Prison sentence?*

Were you ordered to serve any time on "Probation"? If so, how long? [Formal and informal probation are treated the same.]*

Have you completed your probation?*

What is your Case Number(s) [Sometimes called docket number.]*

Have all "Fines," "Fees," and/or "Restitution" been paid?*

Was it a Felony, Misdemeanor, Infraction or Unknown ?*

What are the Code Name(s) and Section Number(s) you were convicted of violating.*

Do you have any current/pending charges?*

Expungement Services We Offer: