@NCRIFS EXPUNGEMENT CLINIC WAITLIST

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****PLEASE READ THE FOLLOWING CAREFULLY****

THE CLINIC WILL TAKE PLACE BY APPOINTMENT ONLY. LOCATION TO BE ANNOUNCED TO THOSE WHO MEET EXPUNGEMENT CRITERIA.

THERE ARE LIMITED SLOTS AVAILABLE. ONCE YOU COMPLETE THE INTAKE FORM, LAWYERS OPERATING THE CLINIC WILL RUN A BACKGROUND CHECK ON YOU AND YOU WILL BE NOTIFIED IF YOU ARE ELIGIBLE TO RECEIVE AN EXPUNGEMENT UNDER CURRENT NC LAW.

***PLEASE COMPLETE ALL QUESTIONS ON THE FORM***

ONCE YOU ARE NOTIFIED OF ELIGIBILITY, A CALENDAR WITH AVAILABLE TIME SLOTS TO MEET WILL BE EMAILED TO YOU. AT THAT POINT YOU WILL NEED TO SIGN UP FOR A TIME SLOT TO MEET WITH ATTORNEYS INVOLVED IN THE CLINIC.

NO WALK-INS WILL BE ACCEPTED ON DUE TO THE PREPARATIONS IT TAKES TO PREPARE PETITIONS. ONLY THOSE WHO HAVE BEEN NOTIFIED OF ELIGIBILTY WILL BE PERMITTED TO ENTER THE CLINIC.

SOCIAL DISTANCING AND A MASK MANDATE WILL BE ENFORCED.

www.ncreentryinnovators.org

Email *

@NCRIFS EXPUNGEMENT INTAKE FORM

Please complete all fields below.

First Name: *

Middle Name: *

Last Name: *

Have you ever gone by any other name that your record could be under (such as a maiden name, middle name, common misspelling of your name, etc.)? *

Mailing Address (please include apartment number): *

Phone number: *

Date of Birth: *

YYYY

Driver’s license or State ID number (your number will only be used to run your record and for no other purpose outside this): *

Social security number (your number will only be used to run your record and for no other purpose outside this): *

Gender: *

Female

Male

Race: *

Do you agree that a law student can work on your case under the supervision of a licensed attorney? *

Yes

Have you ever been convicted of a crime in another state or federal court within the past 10 years? *

Yes

Maybe

Current monthly income: *

Number of people living in your household: *

List the type AND amount of any public benefits you are currently receiving (such as SNAP, Medicaid, housing benefits, etc.), if any: *

I understand and agree that submitting this form does not create an attorney-client relationship between me, NCRIFS OR attorneys involved. An attorney-client relationship is not created unless and until I sign a representation agreement. *

I understand and agree.

A copy of your responses will be emailed to the address you provided.

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