Jon A. Gegenheimer JEFFERSON PARISH CLERK OF COURT. 1 st Parish Court 924 David Dr. Metairie LA (504)

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1 Jon A. Gegenheimer JEFFERSON PARISH CLERK OF COURT 1 st Parish Court 924 David Dr. Metairie LA (504) CRIMINAL RECORD EXPUNGEMENT PROCEDURE INSTRUCTIONS & FEES 1. Provide cash or two cashier s checks or money orders [must be U.S. Postal Service money orders only] made payable to Jefferson Parish Clerk of Court : a. $60.00 (misdemeanors only) (clerk of court s filing fee and administrative costs fee NON-REFUNDABLE) [La. R.S. 13:847(E)(1)(c) & La. R.S. 44:9(3)(b)] PLUS copy and other fees allowed by 13:847(A). b. $ (Bureau of Criminal Identification and Information, JPSO, and District Attorney fees refundable if expungement is denied) NOTE: You will not be required to pay filing fees if you obtain a letter of certification from the District Attorney s Felony Records Division, 200 Derbigny St., Gretna, stating that you have no felony convictions or pending felony charges and a. you were found not guilty at trial; b. you did not participate in a pretrial diversion program; c. your case was dismissed or nolle prosequi if you were not prosecuted within time limitations established by law or the district attorney declined to prosecute. d. this does not apply to any plea of Article 894 or diversion cases. 2. You must obtain a Review of Record from the Jefferson Parish Sheriff s Office, 1233 West Bank Expressway, Harvey, LA 70058, (504) The fee for this service is $50.00 (NON-REFUNDABLE)[CASH ONLY]. When filing the JPSO Review of Record with the expungement, the Review must be issued within 30 days prior to filing the expungement. 3. The Jefferson Parish Clerk of Court s Office is prohibited by law from practicing law. Therefore, this office cannot assist you in completing the Motion for Expungement forms. You must either complete them yourself or seek qualified legal counsel for assistance. Return the original form with 10 copies.

2 STATE OF LOUISIANA 1 st Parish Court for the Parish of Jefferson No.: Division: State of Louisiana vs. MOTION & ORDER FOR EXPUNGEMENT C.Cr.P. Art. 894 Pursuant to the La. Code of Criminal Procedure Article 894 and in conjunction with the La. R.S. 44:9, defendant,, through undersigned counsel, moves this Honorable Court for an Order expunging the record of his arrest in connection with the Police Department, Item No., charging the misdemeanor violation(s) of and of their prosecution herein in connection with Case No., showing to the Court that this matter was adjudicated as follows: R.S. Citation Number Disposition FULL LEGAL NAME OF DEFENDANT: _ SEX AND RACE OF DEFENDANT: SEX: _ RACE: DATE OF BIRTH: SOCIAL SECURITY NO.: DRIVER S LICENSE OR STATE ID NO.: ARRESTING AGENCY: DATE OF ARREST: ARREST TRACKING NO: SID NUMBER OF DEFENDANT: CCN OF DEFENDANT: CURRENT ADDRESS OF DEFENDANT: _ PHONE NUMBER:

3 A. Defendant pled guilty/nolo contendere under Louisiana Code of Criminal Procedure Article 894 on: B. Defendant has successfully completed probation, therefore, the conviction has been set aside and the case dismissed. Mover/Defendant [ ] HAS or [ ] HAS NOT (CHECK ONE) been convicted of a felony. The Mover/Defendant attaches to this motion the following pertinent documents: A. Official Arrest Register B. Bill of Information (if any) C. Certified court minute entry showing the final disposition of the case (if any) D. Review of Record The Mover/Defendant prays that all agencies and law enforcement officers having any record of the arrest, whether on microfilm, computer card or tape, or on any other photographic, electronic, or mechanical method of storing data, be ordered to expunge any record of arrest, photograph, fingerprint, or any other information of any and all kinds of descriptions. The Mover/Defendant further prays that the custodians of said records be ordered to file an affidavit attesting that the records have been expunged and that no notations or references have been retained in the agency s central repository which will or might lead to the inference that any record ever was on file with any agency or law enforcement office. Respectfully submitted, Attorney for Mover/Defendant Attorney s Bar Roll No. Address City, State, ZIP Code Telephone Number If not represented by counsel: Mover/Defendant Address City, State, ZIP Code Telephone Number

4 STATE OF LOUISIANA 1 st Parish Court for the Parish of Jefferson No.: Division: State of Louisiana vs. ORDER TO SHOW CAUSE C.Cr.P. Art. 894 The foregoing motion considered, IT IS HEREBY ORDERED by the Court that the Hon. Paul D. Connick, Jr., District Attorney for the Parish of Jefferson, and the Hon. Newell D. Normand, Sheriff of the Parish of Jefferson, and/or the arresting agency, namely, Police Department, appear on the day of, 20, at 10:00 A.M. to show cause why the foregoing motion should not be granted. Order signed at Metairie, Louisiana, this day of, 20. JUDGE, 1st Parish Court PLEASE SERVE: 1. Office of Louisiana State Police, Criminal Records Unit, P.O. Box 66614, Baton Rouge LA The Hon. Paul D. Connick, Jr., District Attorney, 924 David Dr., Metairie LA The Hon. Newell D. Normand, Sheriff, Parish of Jefferson, P.O. Box 485, Gretna LA Arresting Agency: 5. Attorney for Defendant and/or Defendant

5 STATE OF LOUISIANA 1 st Parish Court for the Parish of Jefferson No.: Division: State of Louisiana vs. JUDGMENT FOR EXPUNGEMENT C.Cr.P. Art. 894 Considering the foregoing motion and the attached documents, IT IS ORDERED by the Court, that all agencies and law enforcement officers, including the following: Louisiana State Police, Department of Public Safety and Corrections, Bureau of Identification, The Hon. Paul D. Connick, Jr., District Attorney for the Parish of Jefferson, The Hon. Newell D. Normand, Sheriff of the Parish of Jefferson, The Hon. Jon A. Gegenheimer, Clerk of Court of the Parish of Jefferson, and the Arresting Agency, namely,, Expunge any record of arrest, photograph, fingerprint, or any other information of any and all kinds of description, relating to the following: ITEM NO. FULL LEGAL NAME OF DEFENDANT: _ SEX AND RACE OF DEFENDANT: SEX: _ RACE: DATE OF BIRTH: SOCIAL SECURITY NO.: DRIVER S LICENSE OR STATE ID NO.: COMPLAINT NO./ITEM NO.: ARRESTING AGENCY: DATE OF ARREST: ARREST TRACKING NO: SID NUMBER OF DEFENDANT: CCN OF DEFENDANT: CURRENT ADDRESS OF DEFENDANT: _ PHONE NUMBER:

6 R.S. Disposition IT IS FURTHER ORDERED that the Clerk of Court for the Parish of Jefferson shall expunge all information from the defendant s files as a matter of public knowledge and information and preserve and maintain a confidential file. IT IS FURTHER ORDERED that the above named agencies file a sworn affidavit with the Clerk of Court for the Parish of Jefferson that the above has complied with in every respect, and said affidavits are to be filed on or before the day of, 20. Order signed at Metairie, Louisiana, this day of, 20. JUDGE, 1st Parish Court Respectfully submitted, Attorney for Mover/Defendant Attorney s Bar Roll No. Address City, State, ZIP Code Telephone Number PLEASE SERVE: 1. Office of Louisiana State Police, Criminal Records Unit, P.O. Box 66614, Baton Rouge LA The Hon. Paul D. Connick, Jr., District Attorney, 924 David Dr., Metairie LA The Hon. Newell D. Normand, Sheriff, Parish of Jefferson, P.O. Box 485, Gretna LA Arresting Agency: 5. Attorney for Defendant and/or Defendant

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