Record Restriction Request Form

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Record Restriction Request Form

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record restriction REQUEST form

CP / Indictment Number Last Name (at the time of arrest) First Name Date of Birth Address City State Zip Code Phone Email Date of Arrest Arresting Agency Offense(s) Arrested For Do you have a copy of the Final Disposition?

Your application for record restriction will not be processed without a copy of your final disposition. Final disposition can either be uploaded or mail to the DA’s office.

Final Disposition

Upload a file

upload a file

Drivers License

Upload a file

upload a file

If you were given First Offender probation, do you have a copy of the discharge order?