HOW TO FILE AN ARD EXPUNGEMENT

HOW TO FILE AN ARD EXPUNGEMENT
Disclaimer
The information in this packet is not to be a substitute for professional legal advice.
The Court assumes no responsibility and accepts no liability for actions taken by users of these
documents, including reliance on their contents. If you want to obtain the services of an
attorney but do not know whom to contact, you may call the Lawyer Referral service.
05/20/2010
EXPUNGEM ENT INSTRUCTIONS
Accelerated Rehabilitative Disposition (ARD) Expungement
If you have completed the Accelerated Rehabilitative Disposition (ARD) program, you are eligible to
file a Petition for Expungement.* Please complete the following steps:
1.)
Prepare your Petition for Expungement. You will need to complete the attached form
with the following information in order to complete your Petition for Expungement:
(1) Your full name, Date of Birth and Social Security Number;
(2) OTN (Offense tracking number)
(3) Magisterial District Judge Docket Number and M agisterial District Number or
Municipal Court Docket Number;
(4) Court of Common Pleas Docket Number, if any;
(5) The specific charges to be expunged as they appear on Criminal Complaint;
(6) The Date of Arrest and the Criminal Justice Agency which made the arrest;
(7) The Reason for Expungement;
(8) The Date of Acceptance into ARD and the Sentencing Judge; and
(9) The Criminal Justice Agencies upon which certified copies of the Order shall
be served.
2.)
Complete the Affidavit Form (Exhibit “A”). This document needs to be notarized
prior to filing the Expungement.
3.)
Complete the Certification of Agency Form (Exhibit “B”). This document needs to be
signed and completed prior to filing the Expungement by the Adult Probation and Parole
Off.ice. This needs to be filled out by the Probation Officer that supervised your probation period.
4)
Complete a Certificate of Service Form (Exhibit “C”). You must serve a copy of this
Order and Petition simultaneously with filing. Service of this Order and Petition must be
by personal delivery or by mailing one copy of each by U.S. first class mail, postage prepaid, in accord with Pa.R.Crim.P. 576(B). If you choose the personal delivery option ,
you must deliver a copy of the Order and Petition to the District Attorney of your
County or you may choose to mail a copy of the Order and Petition to the District
Attorney's Office.
Regardless of which service option you choose, you must type or write the
address on the blanks provided on the Certificate of Service. You must fill in the date
line on the Certificate of Service indicating the date you actually either personally
delivered or mailed your Order and Petition. You must also attach a completed copy of
your Certificate of Service to your Petition before you file and serve it.
5)
F il e t h e O ri g in a l a nd fo u rt e en (1 4 ) c op i es wi t h t he Cl e rk of Co u rt s . Also, a $36.75
(only money order or cash will be accepted) NON-REFUNDABLE filing fee
is required at the time of s ub m is s io n .
*If you are pursuing an expungement not related to completion of the
ARD program, it is recommended that you consult an attorney.
IN THE COURT OF COM M ON PLEAS OF ________________ COUNTY, PENNSYLVANIA
CRIM INAL DIVISION
COM M ONW EALTH OF PENNSYLVANIA
v.
_______________________________ (name)
:
:
:
:
:
:
DOCKET NO.: ____________
OTN: ____________
M OTION FOR ORDER DISM ISSING CRIM INAL CHARGES AND TO EXPUNGE CRIM INAL RECORD
The Motion of___________________________________(name), the above-named Defendant, respectfully
represents as follows:
1.
The defendant was charged at the above number and term with _________________ (charge (s)
including section and subsection).
2.
On or about ______________________(date of acceptance into ARD), after accepting the conditions
of probation and agreeing to comply with the terms therewith, was placed in the Accelerated
Rehabilitative Disposition Program, for a period of __________ (period of time in ARD) by the
Honorable______________________(name of sentencing judge).
3.
Defendant has completed the probationary period and has complied with all conditions of probation,
including specifically, that Defendant has not been arrested or charged with any violation of the law. In
support thereof, Defendant has attached an affidavit, which is marked Exhibit “A”. Also attached to
this M otion, as Exhibit “B” is the Certification of the Adult Probation Department.
4.
A true and correct copy of this Motion and supporting documents was served upon the District
Attorney of Lancaster County.
5.
Defendant is entitled by the successful completion of Accelerated Rehabilitative Disposition (ARD),
and upon the dismissal of these proceedings, that an Order be entered that there is not, nor shall there
be, a conviction for any purpose whatsoever, unless otherwise provided by law.
W HEREFORE, the Defendant requests the Court enter an Order expunging and destroying all arrest
records, files and any other documents pertaining to the above listed arrest and prosecution of Defendant for
the above listed charges.
Respectfully submitted,
Dated:________________
____________________(signature of defendant)
____________________(name)
____________________(address)
____________________(address)
____________________(phone number)
IN THE COURT OF COM M ON PLEAS OF __ ____ ____ ___ ____ ____ COUNTY, PENNSYLVANIA
CRIM INAL DIVISION
COM M ONW EALTH OF PENNSYLVANIA
v.
_______________________________ (name)
D.O.B.: ___________ (date of birth)
S.S.N:
___________ (social security number)
:
:
:
:
:
:
:
:
DOCKET NO.: ____________
OTN: ____________
M .D.J. ____________ (Magisterial District Judge)
M .D. No.: ____________
ORDER
AND NOW , this_________day of______________, 20___, upon consideration of the foregoing Motion of
Defendant, the Court discharges and dismisses the proceedings against Defendant without adjudication of guilt, and
orders that this prosecution shall not constitute a conviction for any purpose whatsoever, unless provided otherwise
by law.
It is further ORDERED and DECREED that the Clerk of Courts of _____________ County, the criminal justice
agencies listed below, the Magisterial District Judge, and all other keepers of the criminal records in this case who
are to be served with a copy of the Order, except the Pennsylvania Department of Transportation pursuant to the
Vehicle Code, 75 Pa. C.S.A. § 1534 (b), shall expunge and destroy all arrest records, files and any other documents
pertaining to the arrest or prosecution for the charge(s) listed below; pursuant to the Defendant’s successful
completion of Accelerated Rehabilitative Disposition (ARD); and to request, insofar as they are able, the return of
such records that they have made available to federal and other state agencies, and to destroy such records upon
receipt thereof.
It is further ORDERED to file with this Court, within thirty days receipt of this Order, an affidavit that such
records have been expunged and destroyed, together with the Court’s expunction order, and to retain no copies
thereof.
Information Pursuant to Pa.R.Crim.P, Rule 722:
6.
Identifying information of Defendant:
(a)
Defendant’s Name:_______________________
(b)
Defendant’s date of birth:__________________
(c)
Defendant’s Social Security number:__________________
2.
OTN:__________________
3.
Docket numbers:
(a)
Magisterial District Judge number:______________________
(b)
Magisterial District Judge docket number:____________________
(c)
Court of Common Pleas docket number:_____________________
4.
Charge(s) to be expunged:__________________________________________________
5.
Date of arrest/citation:___________________
6.
Criminal Justice agency and Officer (name) making the
arrest:__________________________________
7.
On or about________________________(date of acceptance into ARD), Defendant, after
accepting the conditions of probation and agreeing to comply with the terms therewith, was placed in the Accelerated
Rehabilitative Program for a period __________(period of time in ARD) by the
Honorable________________________(name of sentencing judge).
8.
Defendant has completed the probationary period and has complied with all conditions of
probation, including specifically, that Defendant has not been arrested or charged with any violation of the law.
9.
Criminal Justice agencies upon which certified copies of this Order shall be served:
(a)
___________________________________________________
(b)
___________________________________________________
(c)
___________________________________________________
(d)
___________________________________________________
(e)
___________________________________________________
(f)
___________________________________________________
BY THE COURT:
___________________________
Judge
Attest:
EXHIBIT “A”
IN THE COURT OF COM M ON PLEAS OF __ ____ ____ ___ ____ ____ COUNTY, PENNSYLVANIA
CRIM INAL DIVISION
COM M ONW EALTH OF PENNSYLVANIA
v.
_______________________________ (name)
:
:
:
:
:
:
DOCKET NO.: ____________
OTN: ____________
AFFIDAVIT
I, _______________________________ (name), being duly affirmed according to law, does hereby depose
and say that the facts contained herein are true and correct; that your affiant is the above-named Defendant and
makes this application requesting the Court to enter an Order dismissing the aforesaid charges against him.
Defendant further swears and affirms that he has satisfactorily completed the program and complied with its
conditions.
__________________________ (signature)
_____________________________ (name)
Defendant
Sworn to and subscribed
before me this _____ day
of _____________, 200__.
___________________________
Notary Public
My commission expires:
EXHIBIT “B”
IN THE COURT OF COM M ON PLEAS OF __ ____ ____ ___ ____ ____ __ COUNTY, PENNSYLVANIA
CRIM INAL DIVISION
COM M ONW EALTH OF PENNSYLVANIA
v.
_______________________________ (name)
:
:
:
:
:
:
DOCKET NO.: ____________
OTN: ____________
CERTIFICATION OF AGENCY CHARGED W ITH SUPERVISION OF DEFENDANT
I, _______________________________ (name of probation officer), being a Probation Officer of the
Lancaster County Adult Probation Office does, hereby certify that I supervised the probation of Defendant,
_______________________, imposed by the Court of Common Pleas of __ ____ ___ __ _ C ounty; that I am aware of the
terms and conditions of Defendant’s probation and that Defendant has complied with the terms and conditions of the
probation and the signer herein does so certify.
______________________________________ (S)
___________________ (name of probation officer)
Dated:
_______________
EXHIBIT “C”
IN THE COURT OF COM M ON PLEAS OF __ ____ ____ ___ ____ COUNTY, PENNSYLVANIA
CRIM INAL DIVISION
COM M ONW EALTH OF PENNSYLVANIA
v.
_______________________________ (name)
:
:
:
:
:
:
DOCKET NO.: ____________
OTN: ____________
CERTIFICATE OF SERVICE
I, hereby certify that on this day, one (1) copy of the foregoing, “Motion for Order Dismissing Criminal
Charges and to Expunge Criminal Record”, was served upon the person at the address set forth below by, (list type
of service), in compliance with Pa.R.Crim.P. 576(B)(2):
_______________________________
_______________________________
_______________________________
Dated:
_______________
____________________________
Defendant’s Name
Defendant’s Address
Defendant’s Telephone Number