Form 2015 Exp 5-1 (L) - Motion For Expungement Page 3
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Mover was arrested with another individual.
The Mover prays that if there is no objection timely filed by the arresting law enforcement agency, the district
attorney's office, or the Louisiana Bureau of Criminal Investigation and Information, that an order be issued herein
ordering the expungement of the record of arrest and/or conviction set forth above, including all photographs,
fingerprints, disposition, or any other such information, which record shall be confidential and no longer considered
a public record, nor be made 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 as an order of this Court to any other person for
good cause shown, or as otherwise authorized by law.
If an "Affidavit of No Opposition" by each agency named herein is attached hereto and made a part hereof,
Defendant requests that no contradictory hearing be required and the Motion be granted ex parte.
Respectfully submitted,
______________________________________________
Signature of Attorney for Mover/Defendant
______________________________________________
Print Name of Attorney
______________________________________________
Attorney's Bar Roll No.
______________________________________________
Address
______________________________________________
City, State, ZIP Code
______________________________________________
Telephone Number
If not represented by counsel:
_____________________________________________
Signature of Mover/Defendant
______________________________________________
Print Name
______________________________________________
Address
______________________________________________
City, State, ZIP Code
______________________________________________
Telephone Number
FORM 2015 EXP 5‐3 (L)
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