[directive] Expungement Reference Number: ---------------- Appearing Pro Se Calendar Date: In the Matter of the Expungement of the Arrest/Charge Records of Civil Action Expungement Order (your name)  This matter having been opened to the Court upon the above· Application of (your name) whose date of birth is .:..(d_at_o.:..) --------' and State Bureau of Identification (SBJ) number, if available, is (SBI number, available) and it if appearing that the requirements for Expungement under 2C:52-6 have been satisfied; N.J.S.A. , that the ----· Is Ordered this -------------------day of ------------ It The Attorney General ofNew Jersey, The Superintendent of the New Jersey State Police, Expungement Unit, The County Prosecutor, The Municipal Court Administrator, Department(s), Chief(s) ofthe Police The Warden of the Jail, of Juvenile Detention Facility, and The Superintendent The Deputy Clerk of the Superior Court ofNew Jersey, Criminal Division, receiving this Order must remove from their records all information relating to 's (date) arrest on/issuance of on the charge of violating (complaint number) (1) .N.J.S.A./Ordinance (2) arrest on/issuance of on the charge of violating (date) (complaint number) N.J.S.A./Ordinance arrest on/issuance of on the charge of violating (3) (date) (complaint number) .N.J.S.A./Ordinance arrest on/issuance of (date) (complaint number) on the charge of violating (4) .N.J.S.A./Ordinance (5) arrest on/issuance of (date} (complaint o)lmber) on the charge of violating N.J.S.A./Ordinance and remove all records concerning the subsequent proceedings regarding such charge(s), and place such information in the control of a person within the office designated to retain control over expunged records; Published: 05/2016, CN: 11980 (Municipal Order for Expungement of Arrest or Charge Records) page of2 I .. _ IT IS FURTHER ORDERED that any of the recipient officers or agencies which sent fingerprints and/or any records of the to the Federal Bureau of Investigation or any other office or agency shall notify same above arrest(s)/charge(s) and proceedings of this Order and that the agencies designated to retain such records take sufficient precautions to insure that such records and information are not released; IT IS FURTHER ORDERED that any records, or the information therein, shall not be released except as provided under the of 2C:52-l, et seq. and that the persons designated to retain control over expunged records take sufficient provision N.J.S.A. insure that such records and information are not released; precautions to IS FURTHER ORDERED that in response to requests for information or records, the court office or law enforcement agency IT shall reply with respect to the arrest/charge, which is .the subject of this Order, that there is no record; IS FURTHER ORDERED that. the arrest/charge, which is the subject of this Order, shall be deemed not to have occurred, IT and the person subject to this order may answer accordingly any question relating this occurrence pursuant to 2C:52- to N.JS.A. 27; IS FURTHER ORDERED that this Order not expunge the records contained in the Controlled Dangerous Substance IT d~es Registry created pursuant to 1970, c. 227 (C.26:2G-17 et seq.) or the registry created by the Administrative Office of the P.L. 2C:43-21.