Expungement of Kentucky Criminal Records: Intake Form Please submit the following information via this online form, which is encrypted with SSL to help ensure the data you enter is secure. Full Legal Name* Prefix Mr.Ms.Other First Middle Last Suffix Maiden Name or AliasDate of Birth* MM DD YYYY Social Security NumberYour social security number is required to obtain the court-required expungement certification and is included on the expungement petition. They need this to access your case records and not those of someone with a similar name. Our firm will keep it confidential and will not use it for any other purpose. If you prefer not to provide your number we can attempt the expungement without it but the request may be rejected as incomplete.Email* Enter Email Confirm Email Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Criminal Diversion HistoryHave you ever accepted diversion for a Kentucky criminal or traffic offense? Diversion is a program in which the charge is not prosecuted while the defendant completes a fine, classes, and/or community service.YesNoDiverted Charge(s)For what charge(s) were diversion offered?Diversion Count(ies)In what count(ies) were diversion offered?Diversion CompletionWere the diversion program(s) completed successfully?Additional InformationPlease include any additional information you would like our attorneys to know about the charge(s) to be expunged.Expungement Waiting Period*I understand that in most cases I must wait until at least 5 years after my most recent Kentucky criminal conviction date. This does not apply to charges that were dismissed/acquitted, drug possession convictions, felony convictions where a pardon is sought, and certain other rare exceptions.It has been at least 5 years since my last Kentucky criminal convictionI understand the expungement waiting period criteria and believe the 5 years waiting period does not apply to my recordDisclaimer*Our attorneys may review the information you submit for the purposes described on this website. The use of this form for communication with our firm does not establish an attorney-client relationship. Our review of the information sent to us will not preclude us from representing any other client if confidential information is sent through this form.I agreeI do not agreePhoneThis field is for validation purposes and should be left unchanged.
