• Juvenile Record Sealing Application Form

    Use this form to request sealing of a juvenile record and provide the information needed to review your application.

  • Applicant Information

  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.

  • Juvenile Record Sealing Details

  • Date of Disposition or Case Closure*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Records to Be Sealed*

  • Application Basis and Supporting Details

  • Reason for requesting sealing*
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  • Declaration and Signature

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