Fill and Sign the Form 282d

Form 282DRev 8/18 The Family Court of the State of Delaware In and For New Castle Kent Sussex County STATE CRIMINAL HISTORY REQUIREMENT FOR JUVENILE EXPUNGEMENTAny individual seeking the expungement of a juvenile record must obtain and attach a copy of their Certified State Criminal History to their pleading. To obtain a copy of the Certified State Criminal History, you must report to one of the SBI locations listed below: New Castle County Delaware State Police – Troop 2 100 Lagrange Ave.Newark, DE 19720 1-800-464-4357 OR (302) 739-2528 (APPOINTMENT REQUIRED) Kent County Blue Hen Mall and Corporate Center – Suite 1B 655 Bay Rd. Dover, DE 19901(302) 739-5871 (NO APPOINTMENT NECESSARY) Sussex County Thurman-Adams State Service Center Room 202 546 S. Bedford St. Georgetown, DE 19947 (302) 856-5340 (APPOINTMENT REQUIRED) You will incur a cost to obtain your Certified State Criminal History. New Castle and Kent Counties will accept cash, money order, or credit (debit, MasterCard & Visa) as payment. Sussex County will only accept money order or credit. Cash will NOT be accepted at the Sussex County location. Personal checks will not be accepted at any location. Form 282DRev 8/18 The Family Court of the State of Delaware In and For New Castle Kent Sussex County PETITION FOR EXPUNGEMENT OF JUVENILE RECORD (DISCRETIONARY ) 1.I am an adult born on (hereinafter “Petitioner”) seeking to expunge my juvenile arrest record.ORI am the parent/guardian, guardian ad litem , or attorney of theminor child listed above who was born on who is seeking to expunge said minor child’s (hereinafter “Petitioner”) arrest record.2.A certified copy of Petitioner’s state criminal history from the Delaware State Bureau of Identification (“SBI”) is attached hereto.3.Petitioner asks the Court to expunge the following charges:ChargeDispositionDisposition DateCriminal Case Number 4.Other than those charges listed above, Petitioner has had no other adjudications or adult convictions in any court and has no pending delinquency or criminal charges. Crim. Case No. CPI No. PetitionerRespondent: Attorney General New Castle CountyStreet Address (including Apt)820 N. French Street Wilmington, DE 19801P.O. Box NumberKent County 102 W. Water StreetCity/State/Zip CodeDover, DE 19904 Sussex CountyAttorney Name 114 East Market Street Georgetown, DE 19947 Interpreter needed? Yes No Language 5.AND, the continued existence and possible dissemination of information relating to the arrest of Petitioner causes, or may cause, circumstances which constitute a manifest injustice to Petitioner because (must allege specific facts): WHEREFORE, Petitioner prays that this court grant an order directing that all indicia of arrest, including police records, court records, and any electronic records relating to the arrest associated with the above-listed charges be expunged. Petitioner’s Signature Date Petitioners Printed Name Sworn and subscribed before me this day of , Clerk of Court/Notary Public Form 282DRev 8/18 AFFIDAVIT OF MAILING I, the Petitioner, affirm that a true and correct copy of this Petition was placed in the U.S. Mail onthe day of and sent to the Attorney General at the addresslisted on the petition, first class postage pre-paid. Petitioner Sworn to subscribed before me thisday of , Clerk of Court/ Notary Public