Here is the text we could read:
In the Interest of: ___________________, a Minor
IN THE JUVENILE COURT OF ______________
COUNTY, PENNSYLVANIA
JUVENILE DIVISION
DOCKET NO: ______________________
ORDER
AND NOW, this ____ day of _____________, 20___, the Motion for Expungement
is ____________________________________.
It is ORDERED that the record in this matter shall be expunged, and any fingerprints or photographs taken shall be destroyed.
The Court specifically directs that the following items shall be expunged:
The Court specifically directs that the following items shall be destroyed:
The keeper of the juvenile records shall expunge the following items:
The keeper of the juvenile records shall destroy the following items:
Each agency, department, or office, upon request, shall notify the Court or its designee, in writing, of the action taken in
response to the order to expunge or destroy.
The school building principal or his or her designee is directed to destroy the information received from the court pursuant to
Pa.R.J.C.P. 163.
ORDER by reference.
The information required under Rule Pa.R.J.C.P. 172 appears on the attached page(s) which is hereby incorporated into this
BY THE COURT:
Judge
AOPC Rev. 7/1/2019
Page 1 of 2
In the Interest of: ___________________, a Minor
Expungement Order - Juvenile
Docket No: _____________________
1. Name of Juvenile: ________________________________________
2. Alias(es): _______________________________________________
3. Date of Birth of Juvenile if known: __________
4. The juvenile's case docket number, if any: _____________________
5. The allegations or offenses to which the expungement order pertains:
Statute
Grade
Description
Disposition
________________________ ________ ______________________________________ ___________________________________
________________________ ________ ______________________________________ ___________________________________
________________________ ________ ______________________________________ ___________________________________
________________________ ________ ______________________________________ ___________________________________
________________________ ________ ______________________________________ ___________________________________
6. The law enforcement agency that initiated the allegations: _________________________________________________________
7. The reference number of the police report or written allegation to be expunged or destroyed, including the juvenile offense tracking
number (JOTN) if available: _____________
8. The date of arrest: ___________
9. The reasons and statutory authority for expunging or destroying the documents, fingerprints, or photographs:
10. The agencies upon which certified copies of the court order shall be served:
AOPC Rev. 7/1/2019
Page 2 of 2
(Untitled)
This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Pennsylvania state courts.
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Downloads: You can download both the original form (last checked 2023-03)
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About This Form:
- Sourced from www.pacourts.us (2023-03)
- Page(s): 2
- Fields(s): 39
- Average fields per page: 19
- Reading Level: Grade 8
- LIST Grouping(s):
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Identified Data Fields:
We have done our best to automaticly identify and name form fields according to our naming conventions.
When possible, we've used names tied to our question library. See e.g., user1_name.
If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.
Here are the fields we could identify.
county was County (0.54 conf)order_day was OrderDay (0.32 conf)order_month was OrderMonth (0.28 conf)order_year was OrderYear (0.30 conf)presented was PresentedBy (0.33 conf)order_disposition was OrderDisposition (0.41 conf)ordered was It is ORDERED (0.47 conf)court_expunged_items was CourtExpungedItems (0.51 conf)court_destroyed_items was CourtDestroyedItems (0.45 conf)keeper_expunged_items was KeeperExpungedItems (0.45 conf)keeper_destroyed_items was KeeperDestroyedItems (0.45 conf)judge_signature was JudgeSignature (0.39 conf)aliases was Aliases (0.44 conf)juvenile_dob was JuvenileDOB (0.33 conf)statute__1 was Statute1 (0.35 conf)grade__1 was Grade1 (0.35 conf)description__1 was Description1 (0.35 conf)disposition__1 was Disposition1 (0.35 conf)statute__2 was Statute2 (0.35 conf)grade__2 was Grade2 (0.35 conf)description__2 was Description2 (0.35 conf)disposition__2 was Disposition2 (0.35 conf)statute__3 was Statute3 (0.35 conf)grade__3 was Grade3 (0.35 conf)description__3 was Description3 (0.35 conf)disposition__3 was Disposition3 (0.35 conf)statute__4 was Statute4 (0.35 conf)grade__4 was Grade4 (0.35 conf)description__4 was Description4 (0.35 conf)disposition__4 was Disposition4 (0.35 conf)statute__5 was Statute5 (0.35 conf)grade__5 was Grade5 (0.35 conf)description__5 was Description5 (0.35 conf)disposition__5 was Disposition5 (0.35 conf)law_enforcement_agency was LawEnforcementAgency (0.55 conf)jotn was JOTN (0.35 conf)date_arrest was DateOfArrest (0.47 conf)reasons_statutory_authority was ReasonsAndStatutoryAuthority (0.43 conf)agencies_served was AgenciesServed (0.39 conf)
We've done our best to group similar variables togther to avoid overwhelming the user.
Suggested Screen 0:
Suggested Screen 1:
Suggested Screen 2:
court_expunged_itemscourt_destroyed_itemskeeper_expunged_itemskeeper_destroyed_items
Suggested Screen 3:
Suggested Screen 4:
Suggested Screen 5:
grade__1grade__2grade__3grade__4grade__5
Suggested Screen 6:
order_dayorder_monthorder_yearorder_dispositionorderedjudge_signaturestatute__1description__1disposition__1statute__2description__2disposition__2statute__3description__3disposition__3statute__4description__4disposition__4statute__5description__5disposition__5law_enforcement_agencyjotndate_arrestreasons_statutory_authority
Suggested Screen 7:
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