Expungement Petition

ALASKA CRIMINAL JUSTICE INFORMATION SEALING REQUEST

Preparation Guide for an Agency Request Under Alaska Stat. § 12.62.180

IMPORTANT — USE THE CURRENT AGENCY FORM

This document is a preparation guide, not a court petition and not a substitute for
the current Alaska Department of Public Safety Request to Seal Criminal Justice
Information form. Transfer the relevant information to the current agency form or
procedure before submission. A court appeal is available only after an adverse final
agency decision.

1. REQUESTING PERSON

Full legal name: [________________________________]

Other names used: [________________________________]

Date of birth: [__/__/____]

Alaska driver license / ID number: [________________________________]

Mailing address: [________________________________]

Telephone: [________________________________]

Email: [________________________________]

2. AGENCY RECEIVING THIS REQUEST

Alaska Stat. § 12.62.180(a) permits a criminal justice agency to seal only the
information that the agency itself maintains. Submit a separate request to each agency
whose records are at issue.

Agency name: [________________________________]

Agency head / designated records official: [________________________________]

Agency address: [________________________________]

Records or identifiers maintained by this agency:

• Agency case / incident number: [________________________________]
• Court case number, if any: [________________________________]
• Arrest or event date: [__/__/____]
• Offense or allegation listed in the record: [________________________________]
• Other identifying information: [________________________________]

3. NARROW STATUTORY BASIS

I request sealing under Alaska Stat. § 12.62.180(b) because the identified past
conviction or current-offender information resulted, beyond a reasonable doubt, from:

☐ Mistaken identity

☐ False accusation

This statute does not provide general sealing merely because a charge was dismissed,
the person was acquitted, a sentence was completed, time passed, or rehabilitation was
shown. It also does not permit an agency request or appeal to collaterally attack a court
judgment or a decision that was or could have been challenged through appeal,
post-conviction relief, or another administrative remedy.

4. FACTUAL STATEMENT

Explain specifically why the agency's information concerns the wrong person or arose
from a false accusation. Identify dates, witnesses, documents, biometric differences,
the correct subject, recantations, or official findings where applicable.

[____________________________________________________________]

[____________________________________________________________]

[____________________________________________________________]

[____________________________________________________________]

5. SUPPORTING MATERIALS

Attach only accurate, relevant documents. Possible supporting materials include:

☐ Certified disposition or court order

☐ Law-enforcement report identifying the correct person

☐ Fingerprint or biometric comparison

☐ Identity-theft report or affidavit

☐ Sworn recantation or official finding concerning a false accusation

☐ Government-issued identification

☐ Other: [________________________________]

Do not include unnecessary sensitive personal information. Confirm the receiving
agency's submission and redaction requirements before filing.

6. RELIEF REQUESTED

I respectfully request that the head of the agency:

1. review the identified information and supporting materials;

2. determine that the information resulted beyond a reasonable doubt from mistaken
   identity or false accusation;

3. seal the information maintained by this agency under Alaska Stat. § 12.62.180; and

4. send the final administrative decision to the mailing or email address listed above.

The decision of the agency head is the final administrative decision on this request.
Under § 12.62.180(c), an adverse decision may be appealed under the procedural rules
governing appeals from administrative agencies, and the appellant bears the burden of
showing that the agency decision was clearly mistaken.

7. EFFECT OF SEALING

Under Alaska Stat. § 12.62.180(d), a person whose information is sealed may deny the
existence of the information and the arrest, charge, conviction, or sentence shown in
it. Sealed information may still be provided for:

1. record-management purposes, including auditing;
2. criminal-justice employment purposes;
3. review by the subject of the record;
4. research and statistical purposes;
5. preventing imminent harm to a person; or
6. a use authorized by statute or court order.

8. DECLARATION AND SIGNATURE

I declare that the information supplied with this request is true and complete to the
best of my knowledge. I understand that the agency may require its own signature,
identity-verification, or notarization procedure.

Date: [__/__/____]

Signature: ______________________________________

Printed name: [________________________________]

9. SUBMISSION RECORD

Method submitted: ☐ Agency portal ☐ Mail ☐ Hand delivery ☐ Other: [________]

Submission date: [__/__/____]

Tracking / confirmation number: [________________________________]

Copy retained: ☐ Yes

Final agency decision received: ☐ Granted ☐ Denied ☐ Pending

Decision date: [__/__/____]

Administrative-appeal deadline calendared after attorney review: [__/__/____]

SOURCES AND REFERENCES

• Alaska Legislature, Alaska Statutes 2025, Title 12: https://www.akleg.gov/basis/statutes.asp

• Alaska Department of Public Safety, Request to Seal Criminal Justice Information:
  https://dps.alaska.gov/getmedia/1c3d2bfe-2f0c-4c05-a168-7b4669dab0b3/RequestToSealCrimInfo.pdf;.aspx

• FindLaw, Alaska Stat. § 12.62.180 operative text (mirror fallback):
  https://codes.findlaw.com/ak/title-12-code-of-criminal-procedure/ak-st-sect-12-62-180/