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Get KS Order of Expungement of Arrest Record Cover Sheet 2016-2024

Is to be sent to the Kansas Bureau of Investigations to assist them with determining the right arrest to be expunged. This form must be typed or printed legibly. PETITIONER S INFORMATION NAME: ADDRESS: SOCIAL SECURITY NUMBER: MALE FEMALE DOB: RACE: WHITE BLACK ASIAN PACIFIC ISLAND AMERICAN INDIAN/ALASKAN UNKNOWN ETHNICITY: HISPANIC NON-HISPANIC UNKNOWN ALIAS NAMES USED: KSJC 12/2016.

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