Client Intakes

Client Intakes

copyright ExpungeAmerica - DO NOT DUPLICATE
Today's Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Case No.
Client's Legal Name
Client's Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date of Conviction

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Reason for Expungement
Client's Street Address
123 Test Street
Client's City
Los Angeles
Client's State
e.g. CA
Client's Zip
Client's Telephone No.
(XXX)XXX-XXXX
Client's Email Address
Office - D.A or C.A./Prosecutor
Court Selection
1. Step 1: Please select whether this case is being handled by the District Attorney or City Attorney. If unknown, please select District Attorney.

2. Step 2: Please select the proper courthouse, if unknown, select unkown.

3. Step 3: After your selection, the proper court address will populate on the paperwork.
Address Tool
Address Tool
Superior Court of CA County
e.g County of Orange
CourtAddressLine1
Street Address
CourtAddressLine2
City, State Zip
ProsecutorsOffice
e.g Long Beach Prosecutor
ProsecutorsAddressLine1
Street Address
ProsecutorsAddressLine2
City, State Zip
Code
Section
Type of Offense
Eligible for 17(b) Reduct?
Eligible for 17(d)(2) Reduct?
Code
Section
Type of Offense
Eligible for 17(b) Reduct?
Eligible for 17(d)(2) Reduct?
Code
Section
Type of Offense
Eligible for 17(b) Reduct?
Eligible for 17(d)(2) Reduct?
Code
Section
Type of Offense
Eligible for 17(b) Reduct?
Eligible for 17(d)(2) Reduct?
Code
Section
Type of Offense
Eligible for 17(b) Reduct?
Eligible for 17(d)(2) Reduct?
2. Felony or misdemeanor with probation granted (Pen. Code, § 1203.4) .
3. Misdemeanor or infraction with sentence other than probation (Pen. Code, § 1203.4a)
5.
b. more than two years have elapsed since petitioner completed the felony county jail sentence without a period of mandatory supervision imposed under Penal Code Section 1170(h)(5)(A) (Please note: You may explain why granting a dismissal would be in the interests of justice. You can provide that information by writing in the space below or by attaching a letter or other relevant documents. If you need more space for your writing, you can use the Attached Declaration (form MC-031) and attach it to this petition.)
6.

Felony prison sentence that would have been eligible for a felony county jail sentence after 2011 under Penal Code section 1170(h)(5) (Pen. Code, § 1203.42) (Please note: You may explain why granting a dismissal would be in the interests of justice. You can provide that information by writing in the space below or by attaching a letter or other relevant documents. If you need more space for your writing, you can use the Attached Declaration (form MC-031) and attach it to this petition.)
Deferred entry of judgment (Pen. Code, § 1203.43)
Dismissal Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
b
dataset reason
dataset name
dataset charge 1
dataset charge 2
dataset charge 3
dataset charge 4
dataset dec para 6
POS Langauge
Execution
Doc Title
Formatted title
Address Line 2
Decl Para3
Should be Empty: