SB 731 Record Clearing Clinic - Eligibility Form

Please complete the following form to determine your eligibility

First Name: *

Last Name: *

Contact Phone Number: *

Email Contact: *

Please confirm your email *

Information regarding expunging your record

Do you have a copy of your criminal record? *

Yes, click submit to send form and we will be in touch with you soon.

No

Do you need assistance with your LiveScan? *

Yes

No, click submit to send form and we will be in touch with you soon.

Please choose from the following schedule to assist you with a Live Scan: *

10:00 AM - 2:00 PM

2:00 PM - 6:00 PM