Follow the steps to fill out the form correctly.

1. Click the ‘Get Form’ button to access the form and open it in your preferred digital editor.
2. In the first section, enter your full name as the applicant in the specified fields, including your last name, first name, and middle name.
3. Provide your date of birth in the designated field. This is important for verifying your identity.
4. Indicate your sex and race as required in the form's respective fields.
5. Optionally, enter your Social Security Number (SSN) in the provided field.
6. Fill in your current address, including street, city, state, and ZIP code.
7. Provide your phone number for contact purposes.
8. In the section regarding the agency making the arrest, enter the name of the agency involved.
9. Specify the date of arrest and the offense charged against you.
10. Input the court where the case was heard and the court case number if applicable.
11. Include the disposition date and specify the final disposition of the case.
12. Sign the form in the designated area, and ensure you provide your initials where required.
13. A witness must print their name, sign, and provide their address in the specified fields.
14. Finally, if requested, ensure that prints of your right four fingers are taken and recorded.
15. Review all provided information for accuracy, then save, download, print, or share the completed form as necessary.

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