Check Your Eligibility — Virginia Record Seal

Section 1 — Your Information

Full Legal Name *

Date of Birth *

Phone Number *

Email Address *

County/City Where You Live *

Section 2 — The Charge You Want Sealed

Describe the charge *

Virginia Code section, if you know it

County/City where charged *

What was the outcome? *

Convicted / found guilty Deferred and dismissed (a program you completed instead of trial) Case dismissed (not deferred) Prosecutor dropped it (nolle prosequi) Found not guilty

Was it charged as a felony or misdemeanor? *

Misdemeanor Felony Not sure

Felony class, if you know it

Was this a larceny/theft charge?

Yes No

Date of the offense *

Date convicted / case closed *

Date you got out of jail or finished probation, if this applies

Was restitution (repayment) ordered in this case?

Yes No

Has it been paid in full?

Yes No

Was this offense drug or alcohol related?

Yes No

Have you gotten help since then, like treatment or counseling?

Yes Not yet / not sure

Section 3 — Your Broader Record

Do you have any other criminal convictions besides the one above? *

Yes No

Briefly describe your other conviction(s)

Please include all of them. This does not disqualify you. It just means an attorney will look at your case personally.

Have you already filed a sealing petition before? *

No, never Yes, one Yes, two or more

Section 4 — For Your Court Petition

We ask for this now so we don't have to track you down later. This goes on your court petition and the request for your official criminal history record.

Sex *

Race *

As it appears on your criminal record, if known.

Name you used at the time of arrest, if different from your name above

Date of arrest, if different from the offense date above

Arresting agency

Case number, if you know it

Social Security Number

Optional. Used only for your official court petition and request for your criminal history record, and stored securely. Providing it now can save a follow-up call later.

Submitted