IN THE BEDFORD MUNICIPAL COURT CUYAHOGA COUNTY, OHIO
STATE OF OHIO Plaintiff vs.
) ) ) ) )
CASE NO. (Your case number goes here)
CITY/VILLAGE OF __________________ )
APPLICATION FOR SEALING OF CONVICTION PURSUANT TO O.R.C. 2953.32
) ) )
Defendant makes application to this court, pursuant to Ohio Revised Code Section 2953.32 for the sealing of his/her official record of conviction in the within styled case. Application provides the following information for use of the Probation Department and Prosecutor in determining whether the provisions of the expungement statute are satisfied and sealing of the record should be granted: Current Address: Telephone: Social Security No.: Charge: Date of Conviction: Defendant makes the following additional representations: 1) 2) He/She is a first offender, and there are no criminal proceedings currently pending against him/her. More than one year has elapsed since the final disposition of the misdemeanor charge for which he/she was convicted (final disposition includes sentencing and satisfactory completion of any period of probation, whether active or inactive). His/Her interest in having the record of conviction sealed is not outweighed by any legitimate governmental need to maintain those records.
Page 1 of 2
He/She has been satisfactorily rehabilitated. He/She is prepared to pay the costs of this proceeding.
Defendant states the foregoing information is true and accurate to the best of his/her knowledge and belief. _________________________________________
SIGNATURE OF DEFENDANT
TYPED OR PRINTED NAME OF DEFENDANT
____________________________________________________________ STREET ADDRESS
____________________________________________________________ CITY, STATE, ZIP
____________________________________________________________ TELEPHONE NUMBER
SERVICE AND NOTICE OF HEARING A copy of the foregoing Application for Sealing of Conviction was served upon the Prosecutor for the above-named municipality on this ______ day of _________, 200__. This matter shall be set for hearing by the Court upon the completion of a record check as required by statute. Notice of the date and time of hearing shall be forwarded to the parties.
Thomas E. Day, Jr., Clerk of Court by Deputy Clerk of Court
Page 2 of 2