Apply to Clear My Record

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How would you like the Public Defender's Office to update you about your application? An attorney may need to send you official documents in the mail or call you to help with your case.*

EmailText Message
Name*

First NameMiddle NameLast Name
Any other names that might be used on your record?
What is your phone number?*
Please enter a valid phone number.
What is another phone number we can reach you at?
Please enter a valid phone number.
Email
example@example.com
Where is a safe place you can receive mail?*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is your date of birth?*

MonthDayYear
Where is your place of birth?*
What is your Driver License or ID number? (if you have one)
This helps identify your case from people who have a similar name.
What is your case number, if you know it?
Are you currently being charged with a crime?*

YesNoI don't know
Are you currently serving a sentence?*

YesNoI don't know
Are you on probation or parole (including MSR or PRCS)? MSR is mandatory supervised release and PRCS is post release community supervision.*

YesNoI don't know
If you are on probation or parole, what county is it in?*
If you are on probation or parole, when does it end?*

MonthDayYear
Have you ever been arrested or convicted in any other counties?

YesNoI don't know
If you were arrested or convicted in other counties, which ones and when?
Do you owe any court fines or fees?*

YesNoI don't know
Are you currently employed?*

YesNo
What is your monthly household income? Include your spouse or legal partner's income. Your best estimate is okay.*
Where does your income come from? For example: Job, Social Security, Food stamps*
How much money do you have saved? Your best estimate is okay.*
Are you on any government benefits?*

YesNo
In the last 12 months, how much money have you received from other sources such as lawsuits, a tax refund, and/or pension fund?Enter a dollar amount. Your best estimate is okay.
How much do you spend each month on things like rent, groceries, utilities, medical expenses, or childcare expenses?Your best estimate is okay.*
Do you own a home or rental property?*

YesNo
Do you have children?*

YesNo
How many people depend on your financial support?*
Are you married or in a legal domestic partnership?*

YesNo
Why are you applying to clear your record?

To pass a background checkI have a job offer pendingTo qualify for housingImmigration status issuesWas asked to leave job because of my recordEnd probation earlyHomeless or on social servicesMy reason is not listed
Why are you applying to clear your record?

To pass a background checkI have a job offer pendingTo qualify for housingImmigration status issuesWas asked to leave job because of my recordHomeless or on social servicesMy reason is not listed
How did you hear about this program or website?
Is there anything else you would like us to know?
Is it okay for an attorney from the Public Defender's Office to access your criminal record, file petitions for you, and attend court on your behalf, even if you aren't there? *

Yes, I give them permission to do that
Do you understand that not everyone qualifies for help, submitting this form does not guarantee that you will be represented by one of our partners, and it might take a few months to finish?*

Yes, I understand
Application Status

UnreadReadNeeds Status UpdateComplete
Update Application Status

In ReviewNo Convictions FoundEligibleCourt date scheduledCan't Proceed: probationCan't Proceed: fines/feesCan’t Proceed: victim restitutionCan't Proceed: need more infoCan't Proceed: no eligible convictionsCan't Proceed: otherOutcome: grantedOutcome: denied
Additional Information
Next Steps

Submit personal statementSubmit letters of recommendationWait for court dateWait for court resultsContact usApply at another timeOther next steps:
Other Next Step
Status Email
Next Steps for Email
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