SEMCA Michigan Works! Clean Slate Application

Clean Slate Application

Wayne County - BRES 2025
By accessing this application form, you agree to be bound by the website’s terms and conditions. You also agree to be contacted via email, phone, or text by our staff.

This application form requires you to provide certain information (name, home address, valid email address, etc.) to allow us to retrieve your Internet Criminal History Access Tool (ICHAT) and assess your eligibility for expungement.

You must be 18 years or older to use and/or complete this form. Your information will be kept confidential and will not be shared with third parties, other than those who assist us in operating our website, conducting our business, or servicing you, as long as those parties agree to keep this information confidential.
You MUST enter a valid email address. If you do not have an email address, you may obtain one for free at www.gmail.com or www.yahoo.com.
Email Address (Required to check case status and receive updates)
example@example.com
How did you hear about the SEMCA Clean Slate program?
If selected other, please tell us how you heard about the SEMCA Clean Slate program?
You must upload photos of the front AND back of your State ID, or driver's license to verify residency eligibility. If there is no image uploaded, your application will not be processed.

IF YOU ARE A CURRENT RESIDENT OF WAYNE COUNTY BUT SEEK ADDITIONAL SERVICES LIKE RESUME ASSISTANCE OR JOB PLACEMENT, PLEASE USE BELOW LINK TO REGISTER.

Wayne County Residents Click Here
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
First Name - To find your record, we need to know your name AT THE TIME OF CONVICTION*
First_Name
Last Name - To find your record, we need to know your name AT THE TIME OF CONVICTION*
last_name
Date of Birth (MM-DD-YYYY)*

MonthDayYear
Date
Race - Race is required by the Michigan State Police to access your criminal record (ICHAT)*
Gender at Birth*

FemaleMale
Phone Number*
Please enter a valid phone number.
Are you currently Married?

YesNo
Annual Household Income*
Please enter your average household yearly income
Please enter how many individuals are in your household (please include yourself, significant others, children, and parents if you are considered a caregiver).
Numbers only
Please select your current employment status:
Are you receiving Cash Assistance?

YesNo
Are you currently on Medicaid?

YesNo
Are you receiving Unemployment?

YesNo
Are you receiving MRS (Michigan Rehabilitation Services?

YesNo
Are you currently receiving Disability payments?

YesNo
Driver's License Endorsement - Do you have a Chauffeur or Commercial Driver's License?*

NoYes
What convictions do you think may be on your criminal history record? Please list convictions, date (month/year), and what city you were arrested in.
Do you have any of these types of convictions?

- Out of State - We CANNOT expunge out of state convictions but need to know about them to properly determine your eligibility.

- Federal/US District Court - Federal convictions CANNOT be expunged, but we need to know about them to properly determine your eligibility.

- Deferred or sealed convictions (ie. HYTA, 7411, etc.)
(Check all that apply)*

NoneDeferred / Sealed ConvictionsFederalHYTA, 7411Out of State
How has/have your conviction(s) prevented you from seeking employment and or education and training?*
Please upload photos of the front AND back of your driver's license, or state ID. Your ID is required so we can verify your identity and residency. Your photo ID must contain a Monroe or Wayne County address.*

Cancelof
Application Status

PendingApprovedDenied
Denial Reason (Pick One)
Reason for Being {Application Status}
Current status of applicaiton for {lastName}:

{applicationStatus}
Reason for Denial: {denialReason}
Additional Information: {reasonFor23}
CS Email
example@example.com
Account ID
Created via
Should be Empty: