Form 2015 Exp 8-1 (L) - Order Of Expungement Of Arrest/conviction Record Page 2
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3Mover's misdemeanor conviction was not set aside and dismissed pursuant to Code of
Criminal Procedure Article 894(B).
Mover completed a DWI pretrial diversion program, but five years have not elapsed since
the mover's date of arrest.
Mover's conviction for felony carnal knowledge of a juvenile is not defined as
misdemeanor carnal knowledge of a juvenile had the mover been convicted on or after
August 15, 2001.
Denial for any other reason provided by law with attached reasons for denial.
THE
MOTION
IS
HEREBY
GRANTED
for
Item(s)
No.
_________________________________________________ and all agencies are ordered to
expunge the record of arrest/conviction and any photographs, fingerprints, or any other such
information of any kind maintained in connection with the Arrest(s)/Conviction(s) in the above
captioned matter, which record shall be confidential and no longer considered a public record, nor
be available to other persons except a prosecutor, member of a law enforcement agency, or a
judge who may request such information in writing certifying that such request is for the purpose
of prosecuting, investigating, or enforcing the criminal law, for the purpose of any other
statutorily defined law enforcement or administrative duties, or for the purpose of the
requirements of sex offender registration and notification pursuant to the provisions of R.S.
15:541, et seq. or upon an order of this Court to any other person for good cause shown, or as
otherwise authorized by law.
THE
MOTION
IS
HEREBY
GRANTED
FOR
EXPUNGEMENT
BY
REDACTION If the record includes more than one individual and the mover is entitled to
expungement by redaction pursuant to Code of Criminal Procedure Article 985, for Item(s) No.
_________________________________________________ and all agencies are ordered to
expunge the record of arrest/conviction and any photographs, fingerprints, or any other such
information of any kind maintained in relation to the Arrest(s)/Conviction(s) in the above-
captioned matter as they relate to the mover only. The record shall be confidential and no longer
considered a public record, nor be available to other persons except a prosecutor, member of a
law enforcement agency, or a judge who may request such information in writing certifying that
such request is for the purpose of prosecuting, investigating, or enforcing the criminal law, for the
purpose of any other statutorily defined law enforcement or administrative duties, or for the
purpose of the requirements of sex offender registration and notification pursuant to the
provisions of R.S.15:541 et seq. or upon an order of this Court to any other person for good cause
shown, or as otherwise authorized by law.
NAME: ___________________________
____________________________
________
(Last Name)
(First Name)
(MI)
DOB: _________/________/__________ (MM/DD/YYYY)
GENDER: _____ Female _____Male
SSN (last 4 digits): XXX-XX-______________________
RACE: ________________________________________
DRIVER LIC.#: _________________________________
ARRESTING AGENCY: _______________________________________________________
SID# (if available): _______________________________
ARREST NUMBER (ATN): _______________________
AGENCY ITEM NUMBER: _______________________
ARREST DATE: _________/________/_________ (MM/DD/YYYY)
FORM 2015 EXP 8‐2 (L)
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