PLEASE READ BEFORE FILLING OUT FORM: This form should be filled out only for cases where a client was represented by the volunteer. Intake only cases--including CORI cases that do not proceed beyond the initial clinic date--should
NOT be submitted through this form.
ADDITIONAL NOTE: For administrative petitions to seal in the CORI clinics, please fill out this form AFTER you have received confirmation from Probation that the client's record has been sealed. While rare, issues can occur with administrative petitions to seal, and we will not know that the record is sealed prior to receiving confirmation from Probation.