Request To Expunge Arrest Record- City Of Albany (Page 3 of 3) in pdf

Request To Expunge Arrest Record- City Of Albany Page 3

Attach copies of the incident report, warrants, citations, GCIC criminal history record or

any other reports which may be required by the prosecuting attorney in conducting a

review of this request.

SECTION (3) THREE—PROSECUTING ATTORNEY

(to be completed by prosecuting attorney only)

Date Request Received ____________________________________________________

Judicial Circuit/County ____________________________________________________

District Attorney/Solicitor General ___________________________________________

Prosecutor Assigned to Case _______________________________________________

Case/Citation/Docket Number ______________________________________________

Please select one of the following actions

____ Expungement Meets Statutory Requirements

____ No Information Available; Expungement Forwarded Without Objection

____ No Information Available at Prosecutor’s Office; Returned to Arresting Agency

for Further Research. DO NOT FORWARD EXPUNGEMENT FORM TO

GCIC

____ Expungement Does Not Meet All Statutory Requirements. DO NOT FORWARD

EXPUNGEMENT FORM TO GCIC.

Prosecutor Comments:

________________________________________________________________________

___________________________________

______________________________

Signature of Prosecutor

Date

GCIC Record Expungement Form

Rev 3/2006

Request To Expunge Arrest Record- City Of Albany Page 3