Case No.
State Of Alabama
ORDER OF EXPUNGEMENT
Unified Judicial System
(Section 15-27-1 et.seq., Code of Alabama 1975)
Form CR-65D Rev. 4/2015
IN THE CIRCUIT COURT OF
ALABAMA
(Name of County)
[ ] STATE OF ALABAMA
[ ] MUNICIPALITY OF ____________________________
(Court of Jurisdiction of case to be Expunged)
v.
___________________________________
(Defendant/Petitioner)
(Current Address)
XXX – XX –
_________________________
(Social Security Number, Last 4 Digits only)
(Date of Birth)
After reviewing the Petition for Expungement of Records submitted by the Petitioner, this
[ ]
Court is reasonably satisfied from the evidence that the Petitioner has complied with and
satisfied the requirements of Sections 15-27-1 et. seq., Ala. Code (1975),
It is Hereby Ordered as follows:
The clerk of the
Court of
shall
EXPUNGE, by immediately collecting and sending said records to the Alabama Law
Enforcement Agency (ALEA), all records in the custody of said court pertaining to the
Petitioner’s charge of
in Case No.
in the
Court of
. The
Petitioner was arrested on said charge on
by officers of said
agency.
___________________________________
(Arresting Agency)
(Address)
It is further ORDERED that any other Agency or Official having custody of records
pertaining to the above-listed Charge and Case No. shall EXPUNGE, by collecting and
sending said records to the Alabama Law Enforcement Agency (ALEA), all records, including
1
law enforcement records
, in the custody of the named Agency, Official, or Law Enforcement
Officer pertaining to the above-listed Charge and Case No.