New Jersey Cannabis Town Hall - Expungement Clinic Intake Form

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The information you provide in this form is crucial for your expungement petition. If you are ineligible for expungement based on legal criteria, your Attorney will let you know before proceeding. The submission of an unsuccessful or withdrawn petition generally does not prevent future attempts at refiling.

Your Attorney does not have access to your entire FBI Criminal Case History, so it's important to disclose any charges not in the Court's system. Failure to disclose any charges not currently reflected in the Court's computer system, whether in New Jersey or elsewhere (domestic or out-of-state) regarding those charges may result in a delay in processing your expungement petition.

However, you may need to undergo fingerprinting by Identigo for a comprehensive background check. Once your results are available, please email them to admin@thegloryfirm.com. We will then proceed in conducting an eligibility assessment.

By submitting this form, you are granting the Attorney(s) permission to attempt to obtain and review as much of your criminal history as possible to provide counsel. If certain charges are unavailable for expungement through the Court's system, the Attorney(s) may inform you that they were possibly included in the New Jersey Court’s automatic expungement process.

Your Attorney will use the NJ Courts Expungement portal to generate your petition electronically and inform you of any potential issues.

Accurate contact information and your cooperation are necessary for your Attorney to keep you informed throughout the petition process.

There are no guarantees of success, and your Attorney may choose not to file a petition at their discretion.

If you currently have pending charges or have previously applied for expungement, you may be ineligible.

Outstanding financial obligations to the Court, such as fines, fees, or restitution, may result in the petition converting those amounts to judgments against you.

If you commit a crime after expungement, the Court can reverse the expungement.

In consideration of the services provided by the Attorney(s), including researching and reviewing the Party Court History, you hereby waive and release any claims against sponsors, attorneys, or involved parties, whether paid or volunteer, associated with or participating in the review and potential expungement process provided at this clinic.

By attending or participating in this event, you agree to (a) be photographed, filmed, and/or otherwise recorded ("Recording"), and (b) permit the publication, exhibition, modification, or reproduction of the Recording, your appearance, voice, and name for any purposes whatsoever in perpetuity in connection with the Coalition for Medical Marijuana New Jersey, the Greater Rarity Workforce Development Board, Minorities for Medical Marijuana, Valley Wellness, CannaCoverage, and Future Entheogenic Medicines and Project Clean Slate including but not limited to use on social media and promotional materials. By entering this event, you waive and release any claims related to the use of the Recording, including, without limitation, any right to inspect or approve the recording, any claims for invasion of privacy, violation of the right of publicity, defamation, or copyright infringement, or for any fees for use of such recording. You acknowledge that recording will occur in reliance on this agreement, and if you do not agree to the foregoing, please refrain from attending or participating in the event.

First Name *

Middle Name

Last Name *

Suffix

Include any maiden name or aliases:

Street Address: *

City:

State / Province: *

Postal / Zip Code: *

Phone Number: *

Email: *

Date of Birth *

YYYY

Your SBI# if available:

Please check any that apply to you:

Previously Filed for Expungement

Charged or Convicted of an "Indictable" Offense

Been on Parole, Probabion or Court related Supervision in the past 5 years

A Natural Born or Neutralized Citizen of the United States

Name legally Changed, Including by Marriage

Have Outstanding Fines or Obligations to any Court

Undocumented Individual

Please Check if You Have Been Charged or Convicted of Any Offense Below:

Criminal Homicide

Robbery

Arson

Kidnapping

Criminal Restraint

False Imprisonment

Luring or Enticing

Human Trafficking

Sexual Assault, Criminal Sexual Assault

Endangering Welfare of a Child

Child Pornography

Terrorism

Producing Chemical, Biological or Nuclear Devices

Perjury

False Swearing

Embracery

Anarchy

Treason

Official Misconduct

Conspiracy or attempt to commit any of the above offenses

Aiding, assisting, or concealing persons accused of any of the above offenses

To the best of your knowledge, what were you charged with and where did the offense(s) occur, and what were the outcomes(s)? If you do not recall, the Attorney(s) will do their best to look up this information: *

Are you a Veteran?

Yes

Clear selection

Are you a US Citizen?

Yes

Clear selection

Do you have any out-of-state convictions?

Yes

Clear selection

Case Number #

Notes

Thank you for completing this intake form. By clicking "I Agree" and pressing "Submit" you agree to the Terms listed above and permit the Attorney(s) to look up your court records in NJ in an attempt to prepare and submit an expungement petition on your behalf.

I Agree

Required

Submit

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