Expungement Intake Form

Name *
Name
Date of Birth *
Date of Birth
In order for the SBI to expunge your criminal record, we must provide the agency your social security number. The firm encrypts all messages to protect your privacy, but please feel free to call 919-913-4701 to provide us with it over the phone instead. Please input N/A or Phone in the below-field since it is required.
For example, OOOOOOOO/NC
Permanent Resident Address *
Permanent Resident Address
This is necessary for the SBI to confirm your identity, as well as for us to send you the expungement in the mail if the court grants your petition. Please use your permanent address and notify us if there is any change while the state processes your expungement.