Request To Expunge Arrest Record Page 3
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3SECTION (3) THREE - PROSECUTING ATTORNEY
(to be completed by prosecuting attorney)
Date Request Received
Judicial Circuit/County
Prosecuting Agency ORI Number GA________________________________________
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
3
GCIC Record Expungement Form
Rev 3/2006
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