Art. 992. Order of expungement form to be used
STATE OF LOUISIANA
JUDICIAL DISTRICT FOR THE PARISH OF
______________________________
No.: ____________ Division: "_______"
State of Louisiana
vs.
_______________________________________________________
ORDER OF EXPUNGEMENT OF ARREST/CONVICTION RECORD
Considering the Motion for Expungement
□ The hearing conducted and evidence adduced herein, OR
□ Affidavits of No Opposition filed,
IT IS ORDERED, ADJUDGED AND DECREED
□ THE MOTION IS DENIED for No(s). ___, , , , ________ for the following
reasons (check all that apply):
□ More than five years have not elapsed since Mover completed the
misdemeanor conviction sentence.
□ More than ten years have not elapsed since Mover completed the felony
conviction sentence.
□ Mover was convicted of one of the following ineligible felony
offenses:
□ A violation of the Uniform Controlled Dangerous Substances Law
which is ineligible to be expunged.
□ An offense currently listed as a sex offense that requires registration
pursuant to R.S. 15:540 et seq., at the time the Motion was filed,
regardless of whether the duty to register was ever imposed.
□ An offense defined or enumerated as a "crime of violence" pursuant
to R.S. 14:2(B) at the time the Motion was filed.
□ The arrest and conviction being sought to have expunged is for
operating a motor vehicle while intoxicated and a copy of the proof
from the Department of Public Safety and Corrections, office of
motor vehicles, is not attached as required by C.Cr.P. Art. 984(A).
□ Mover was convicted of a misdemeanor which arose from
circumstances involving a sex offense as defined in R.S. 15:541.
□ Mover was convicted of misdemeanor offense of domestic abuse
battery which was not dismissed pursuant to C.Cr.P. Art. 894(B).
□ Mover did not complete pretrial diversion.
□ The charges against the mover were not dismissed or refused.
□ Mover's felony conviction was not set aside and dismissed pursuant
to C.Cr.P. Art. 893(E).
□ Mover's felony conviction was not set aside and dismissed pursuant
to C.Cr.P. Art. 894(B).
□ Mover completed a DWI pretrial diversion program, but five years
have not elapsed since the mover's date of arrest.
□ Mover's conviction for felony carnal knowledge of a juvenile is not
defined as misdemeanor carnal knowledge of a juvenile had the
mover been convicted on or after August 15, 2001.
□ Mover was not convicted of a crime that would be eligible for
expungement as required by C.Cr.P. Art. 978(E)(1).
□ Mover has criminal charges pending against him.
□ Mover was convicted of a criminal offense during the ten-year period,
excluding any noncapital felony during the preceding ten-year period
that would otherwise be eligible for expungement pursuant to C.Cr.P.
Art. 978(F).
□ Mover received a first offender pardon but for an ineligible offense.
□ Mover did not receive a first offender pardon.
□ Denial for any other reason provided by law with attached reasons for
denial.
□ THE MOTION IS HEREBY GRANTED for No(s). ____________ and all
agencies are ordered to expunge the record of arrest/conviction and any photographs,
fingerprints, or any other such information of any kind maintained in connection with the
Arrest(s)/Conviction(s) in the above-captioned matter, which record shall be confidential and
no longer considered a public record, nor be available to other persons except a prosecutor,
member of a law enforcement agency, or a judge who may request such information in
writing certifying that such request is for the purpose of prosecuting, investigating, or
enforcing the criminal law, for the purpose of any other statutorily defined law enforcement
or administrative duties, or for the purpose of the requirements of sex offender registration
and notification pursuant to the provisions of R.S. 15:541 et seq. or upon an order of this
Court to any other person for good cause shown, or as otherwise authorized by law.
□ THE MOTION IS HEREBY GRANTED FOR EXPUNGEMENT BY
REDACTION If the record includes more than one individual and the mover is entitled to
expungement by redaction pursuant to Code of Criminal Procedure Article 985, for No(s).
____________ and all agencies are ordered to expunge the record of arrest/conviction and
any photographs, fingerprints, or any other such information of any kind maintained in
relation to the Arrest(s)/Conviction(s) in the above-captioned matter as they relate to the
mover only. The record shall be confidential and no longer considered a public record, nor
be available to other persons except a prosecutor, member of a law enforcement agency, or
a judge who may request such information in writing certifying that such request is for the
purpose of prosecuting, investigating, or enforcing the criminal law, for the purpose of any
other statutorily defined law enforcement or administrative duties, or for the purpose of the
requirements of sex offender registration and notification pursuant to the provisions of R.S.
15:541 et seq. or upon an order of this Court to any other person for good cause shown, or
as otherwise authorized by law.
NAME: _______________________________________________________
(Last, First, MI)
DOB: ______/_____/______ (MM/DD/YY)
GENDER: _____ Female _____Male
SSN (last 4 digits): XXX-XX-_________
RACE: _________________
DRIVER LIC.# _________________
ARRESTING AGENCY: ______________________________________
SID# (if available): _________________
ARREST NUMBER (ATN): _________________
AGENCY ITEM NUMBER: _________________
ARREST DATE: ______/_____/______ (MM/DD/YY)
THUS ORDERED AND SIGNED this _____ day of _______________, 20____
at ________________________, Louisiana.
___________________________________
JUDGE
PLEASE SERVE:
1. District Attorney: ______________________________________________
2. Arresting Agency: _____________________________________________
3. Parish Sheriff:________________________________________________
4. Louisiana Bureau of Criminal Identification and Information___________
5. Attorney for Defendant (or defendant)_____________________________
6. Clerk of Court ____________________________
Acts 2014, No. 145, §1; Acts 2015, No. 200, §1; Acts 2016, No. 125, §1, eff. May
19, 2016; Acts 2018, No. 711, §1; Acts 2020, No. 71, §1; Acts 2020, No. 73, §1; Acts 2020,
No. 78, §1; Acts 2024, No. 580, §1.