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Expungement Registration Form 2025
If you are looking to get your record expunged, please fill out this form.
If you are looking to become a volunteer, please email Khalil Ferguson at
Khalil@united-core.org
We look forward to seeing you all there!
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
Address
*
Your answer
What is your zipcode?
*
Your answer
Gender
*
Male
Female
Other:
Race
*
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Latin or Hispanic
Age
*
18-24
25-34
35-44
45-54
55-64
65+
Marital Status
*
Single (never married)
Married, or in a domestic partnership
Widowed
Divorced
Separated
Current work status
*
Employed full time (40 or more hours per week)
Employed part time (up to 39 hours per week)
Unemployed and currently looking for work
Unemployed and not currently looking for work
Student
Retired
Homemaker
Self-employed
Unable to work
Do you have one or more convictions in California?
*
Yes
No
Do you owe restitution?
Yes
No
Clear selection
If so how much do you owe?
$0-$9,999
$10,000-$19,999
$20,000-$29,999
$30,000-$39,999
$40,000-$49,999
$50,000 or more
None
Clear selection
Income Level
*
Less than $20,000
$20,000 to $34,999
$35,000 to $49,999
$50,000 to $74,999
$75,000 to $99,999
Over $100,000
Highest Level of Education
*
Less than a high school diploma
High school degree or equivalent (e.g. GED)
Some college, no degree
Associate degree (e.g. AA, AS)
Bachelor’s degree (e.g. BA, BS)
Master’s degree (e.g. MA, MS, MEd)
Professional degree (e.g. MD, DDS, DVM)
Doctorate (e.g. PhD, EdD)
What Reason are Seeking to get your Record Expunged?
Gun Rights Restoration
I was recently denied employment
I am seeking a job that pays better wages
I am preparing to apply for a new job
I am trying to adopt
I have been denied visitation to a correctional facility
Other:
Veteran Status
*
Currently Serving/ Active Service Member
Retired Non-Active Service Member
Never Served in the Military
Do you have a Cannabis arrest or conviction?
*
Yes
No
Are you a registered Sacramento County Cannabis Social Equity candidate?
*
Yes
No
No but Interested
Option 4
What county or counties were your offenses in?
*
Alameda County
Contra Costa County
Sacramento County
Solano County
San Diego County
Los Angeles County
Yolo County
Monterey County
Placer County
Santa Clara County
San Francisco County
San Joaquin County
Other:
Required
How many cases do you have?
*
1
2
3
4 or more
none
Number of Misdemeanors
0
1
2
3
4
5 or More
Clear selection
Number of Felonies
0
1
2
3
4
5 or More
Clear selection
Are you on probation or parole?
*
Probation
Parole
None
Please list the charge(s) intended to get expunged:
Your answer
Do you have a working functional relationship with legal counselors/aides?
Yes
No
Clear selection
Are you registered to vote?
*
Yes
No
Are you available for immediate employment?
*
Yes
No
What type of additional services would you like more information about?
*
Medicaid
Government Assistance: General Relief, Food Stamps, SSI
Housing
Substance Use Treatment
Employment
Childcare
Voter Registration
Immigration Rights and Services
Mental Health Services
Reentry Information
How did you hear about us?
*
Your answer
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