Rachel Anderson Criminal Defense Attorney

Expungement Prequalification

Florida Expungement Intake Form

Florida Expungement / Record Sealing Intake Form

Client Information Client Name Date of Birth Contact Info (Phone or Email) Date of Intake

Case Information Case Number(s) County / Jurisdiction Date(s) of Arrest / Charge Charge(s) / Offense(s) Disposition of Case

Dismissed Not Guilty / Acquitted Found Guilty / Convicted Withheld Adjudication (Probation without conviction) Deferred Prosecution / Diversion Program Other

Eligibility Questions Have you ever been convicted of a felony or misdemeanor in Florida or any other state?

Yes No

Note: Expungement applies only to charges that were dismissed or found not guilty (no conviction). Sealing applies to withheld adjudication or certain convictions.

Have you previously been granted an expungement or sealing for any case?

Yes No

Is your case a felony or misdemeanor?

Felony Misdemeanor

Did the charge involve any of the following disqualifying offenses? (Select all that apply)

Murder or manslaughter
Sexual battery or other sex offenses
Child abuse or neglect
Human trafficking
Violation of probation or community control related to disqualifying offense
Other serious violent crimes

Have you successfully completed any probation, community control, or court-ordered supervision?

Yes No

If yes, specify date completed: For withheld adjudication or diversion cases: Have you met all court-ordered requirements, including waiting periods?

Yes No

Time Requirements Has it been at least 2 years since final disposition (dismissal, completion of probation, or withholding of adjudication)?

Yes No

Has it been at least 3 years since completion of sentence for misdemeanors eligible for sealing?

Yes No

Additional Information Do you currently have any pending criminal charges?

Yes No

Are you a registered sex offender?

Yes No

Have you ever been adjudicated delinquent as a juvenile for a felony?

Yes No

Are you currently on probation, parole, or community control?

Yes No

Documentation to Provide

Please bring or upload the following documents for review:

Copy of arrest record / case disposition
Copy of sentencing order or court documents showing final disposition
Proof of completion of probation/community control (if applicable)
Any previous expungement or sealing orders (if applicable)

Certification I certify that the above information is accurate to the best of my knowledge. I understand that providing false or incomplete information may affect my eligibility for expungement or sealing.

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