Art. 999.1. Order form to be used; expedited expungement

JUDICIAL DISTRICT FOR THE PARISH OF

______________________________

No.: _____________Division: "_______"

State of Louisiana

vs.

_______________________________________________________

ORDER OF EXPUNGEMENT UNDER

CODE OF CRIMINAL PROCEDURE ARTICLE 999

            Pursuant to Code of Criminal Procedure Article 999, wherein all of the following applies,

            (1) The defendant was seventeen years of age when the defendant was arrested or charged with any criminal offense as provided in Title 14 or 40 of the Louisiana Revised Statutes of 1950.

            (2) The district attorney, for any reason, declined to prosecute all offenses arising out of that arrest, including the reason that the person successfully completed a pretrial diversion program.

            (3) Prosecution was instituted and such proceedings have been finally disposed of by dismissal, sustaining of a motion to quash, or acquittal.

            IT IS HEREBY ORDERED, ADJUDGED, AND DECREED that the following charges and arrest on the dates provided herein be expunged.

            THUS ORDERED AND SIGNED, ADJUDGED, AND DECREED this ____ day of ___________, 20 ____ at ______________, Louisiana, ___________________________.

___________________________

JUDGE

DEFENDANT INFORMATION:

NAME:________________________________________________

                                    First                            Middle                        Last

DATE OF BIRTH:_____________

GENDER:_____________

SS#___________________________

RACE___________________________

DRIVER'S LICENSE#___________________

ARRESTING AGENCY___________________

SID#___________________

ARREST NUMBER (ATN)___________________

AGENCY ITEM NO:________________________

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 2024, No. 270, §1.