Your 16059 case

Your Address

Your Cell *

Area Code Phone Number
Your email address
I want to seal

One conviction Two convictions
Have you already filed another application for sealing under CPL 160.58 or 160.59 or do you plan to?

Yes No
My court was in
My second (most recent) conviction was in
My "other" court was located in
My second "other" court was located in
My conviction was under this name

First Name Middle Name Last Name
My DOB *

Month Day Year
Date
I am asking the court to grant this motion for the following reasons: *
Please say why you want it sealed. Mention positive steps taken in your life or your accomplishments, documentation of which may be attached below. (To be notarized later)
Optional additional documents (select all that apply)

Certificate of relief from disabilities Certificate of good conduct Verification of employment Volunteer/charity work Letters of recommendation Certificate from drug program Certificate from alcohol program
Documentation of accomplishments since conviction

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Not required. May include certificate of relief or good conduct, verification of employment, community service, charity work, school transcripts, letters of recommendation, treatment programs Cancel of
Do you have a copy of the certificate of disposition for the case(s) you want sealed?

Yes No
Certificate of disposition (for case you want sealed)

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Cancel of
Certificate of disposition (for second and most recent case you want sealed)

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Cancel of
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