Expungement Clinic

Expungement Clinic Entry Form

Please take a moment to fill out the form.

First Name

Middle Name

Last Name

Birthday

Phone

Charge

County Name (where expungement is needed)

Year of Disposition

Terms and Conditions

The Law Office of Gentry Palmer, PLLC will not knowingly disclose the contents of private information to anyone other than addressees, authorized recipients, or those to whom such disclosure is necessary. Submission of this form does not guarantee similar outcomes as those of previous clients, as each case is unique. Submission of this form does not guarantee representation, unless the candidate is selected and retained by the Law Office of Gentry Palmer, PLLC through a written agreement.

I agree to the terms and conditions.

Thanks for submitting! Selected individuals will be notified by April 5th.

This form no longer accepts submissions.