Legal Expungement Form

LEGAL EXPUNGEMENT AUTHORIZATION AND PETITION

This Legal Expungement Authorization and Petition (the Agreement) is entered into by and between Client Name: , Client Date of Birth: , Client Address: (hereinafter “Client”), and Attorney/Firm Name: , Attorney Bar Number: , Attorney Address: (hereinafter “Attorney”). Effective Date: .

RECITALS

WHEREAS, Client seeks relief to expunge, seal, set aside, or otherwise vacate certain criminal records and/or convictions as described herein; and

WHEREAS, Attorney is duly authorized and qualified to prepare, file, and prosecute petitions, motions, and related pleadings for record relief and to represent Client in proceedings before the court and relevant governmental agencies; and

WHEREAS, Client desires to retain Attorney to take all necessary legal actions to pursue expungement or related relief described below, and Attorney is willing to accept such engagement under the terms of this Agreement.

NOW, THEREFORE

In consideration of the mutual covenants contained herein, the parties agree as follows:

1. SPECIFIC MATTERS

Client authorizes Attorney to pursue relief for the following conviction/record: Case Number: ; Jurisdiction/Court: ; Offense/Charge: ; Date of Conviction or Disposition: ; Disposition: .

2. AUTHORIZATION TO FILE AND PURSUE RELIEF

Client grants Attorney full authority to prepare, sign on Client’s behalf where permitted, file, and prosecute petitions, motions, declarations, and supporting documents seeking expungement, sealing, vacatur, or other relief as appropriate under applicable law. Attorney is authorized to request hearing dates, appear at hearings, negotiate stipulations, and take such procedural steps as Attorney deems reasonably necessary to pursue relief.

3. SCOPE OF REPRESENTATION

Attorney’s representation is limited to the matters described in Section 1 and does not include unrelated appeals, criminal defense, or separate proceedings unless specifically agreed in writing. Attorney will provide legal advice, draft and file pleadings, serve and receive notices, and represent Client at hearings relating to the petition for relief.

4. CLIENT REPRESENTATIONS AND ACKNOWLEDGMENTS

Client represents that the information provided to Attorney about the conviction and relevant records is accurate and complete to the best of Client’s knowledge. Client agrees to execute required affidavits, provide certified records when available, and promptly disclose any information that may affect eligibility for relief, including subsequent convictions or pending charges.

5. FEES, COSTS, AND PAYMENT

Client agrees to pay Attorney fees and costs as follows. Retainer Amount:

Fixed fee for petition and hearing Hourly (rate: ) Other (describe below)

Unless otherwise stated, Client is responsible for filing fees, costs for certified records, service of process, and other out-of-pocket expenses advanced by Attorney. Advanced costs may be refunded if not incurred.

6. CONFIDENTIALITY AND RECORDS

Attorney will maintain the confidentiality of Client communications to the extent required by law and applicable rules of professional conduct. Client authorizes Attorney to obtain, review, and retain copies of criminal records, court files, and other documents necessary to pursue relief. Upon conclusion of representation, Attorney may retain a copy of Client file, subject to applicable retention rules.

7. COOPERATION

Client shall cooperate fully with Attorney, attend hearings as required, provide truthful testimony, and promptly respond to Attorney requests. Failure to cooperate may result in withdrawal of representation and/or termination of this Agreement.

8. FILING, SERVICE, AND DISCLOSURE

Attorney will file the petition or pleading when, in Attorney’s professional judgment, the matter is ready. Client consents to the public filing of information necessary for the petition and acknowledges that certain filings may become part of the public record. Attorney will take reasonable steps to redact sensitive information when permissible.

9. LIMITATION OF LIABILITY

Attorney does not guarantee any particular result, and Client acknowledges that relief is within the discretion of the court and/or agencies. Attorney’s liability for any claim arising out of this Agreement shall be limited to fees paid for the specific matter, except as otherwise required by law.

10. NOTICES

Notices are effective upon personal delivery, confirmed electronic transmission, or three (3) business days after deposit in the United States mail, postage prepaid, to the address provided above.

11. GOVERNING LAW; VENUE

This Agreement shall be governed by and construed in accordance with the laws of the State of . Venue for any dispute arising out of this Agreement will be proper in the courts of that State.

12. ENTIRE AGREEMENT

This Agreement constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, understandings, and negotiations, whether written or oral.

13. SEVERABILITY

If any provision of this Agreement is held invalid or unenforceable, the remaining provisions shall continue in full force and effect and shall be construed to give effect to the parties’ intent to the maximum extent permitted by law.

14. AMENDMENTS; WAIVER; COUNTERPARTS

Any amendment to this Agreement must be in writing and signed by both parties. A waiver by either party of any breach shall not operate as a waiver of any other or subsequent breach. This Agreement may be executed in counterparts, each of which shall be deemed an original.

15. CERTIFICATION

By signing below, Client certifies under penalty of perjury that the information provided in support of the petition is true and correct to the best of Client’s knowledge. Client authorizes Attorney to sign documents on Client’s behalf where permitted and to disclose necessary information to courts and agencies in furtherance of this matter.

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