Looking for a Indiana Legal Forms And Templates? Download it for free!

STATE OF INDIANA

)

IN THE ______________________COURT

) SS:

COUNTY OF ___________ )

CASE NUMBER: _____-____-MI-______

IN RE: PETITION TO RESTRICT

)

ACCESS TO CRIMINAL HISTORY )

RECORDS OF __________________)

VERIFIED PETITION UNDER I.C. 35-38-8 TO RESTRICT ACCESS

TO CRIMINAL HISTORY RECORDS

Comes now the Petitioner ____________ and pursuant to I.C. 35-38-8-3 petitions the

Court to order the Indiana State Police Department to restrict access to the records concerning

petitioner’s arrest and involvement in criminal court proceedings for a misdemeanor or a Class D

felony that did not result in injury to a person. In support of this petition, Petitioner states the

following:

1. That on or about __________, petitioner was arrested or served with a summons by

_______________ for the offense of __________________. (If you are petitioning

the court to restrict access to more than one criminal record under I.C. 35-38-8, please

check the box below, then complete and attach a supplemental form below for each

record to this petition when filing.)

□ I have completed and attached (indicate the total # of forms) ____ supplemental

form(s) to this petition for the court’s consideration.

2. That on _________, petitioner was convicted of the crime of ________________ in

Case Number _________________, which crime was a misdemeanor or a Class D felony that

did not result in injury to a person.

3. That on ___________ petitioner was sentenced for the crime as follows:

_____________________________________________________________________________

4. That petitioner completed the sentence and satisfied any other obligations imposed on

petitioner as part of the sentence on or before _________.

5. That petitioner has not been convicted of a felony since the completion of the sentence

and satisfaction of other obligations imposed as part of the sentence.

6. That the following are ALL the entities or persons that either incarcerated, provided

treatment or other services for petitioner under order of the court (such as Indiana Department of

Correction, mental health facilities, etc):

Form # TCM‐35388‐1 Approved by State Court

Administration (08/11)

Form # Tcm-35388-1 - Verified Petition Under I.c. 35-38-8 To Restrict Access To Criminal History Records