Summit County Court of Common Pleas Juvenile Division
Application to Seal Record
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Age
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Driver's License Number
Social Security Number
Back
Next
Type of Case
Delinquency
Traffic
Were you on probation or parole as a result of this charge?
Yes
No
If Yes, name of the probation or parole officer
Have you been adjudicated or convicted of any juvenile and/or adult criminal or traffic offenses since your last contact with the court?
Yes
No
Date
-
Month
-
Day
Year
Date of offense
Offense
Type of offense
Court or Location
Where was the case handled
Additional Offense?
Yes
Date
-
Month
-
Day
Year
Date of offense
Offense
Type of offense
Court or Location
Where was the case handled
Additional Offense?
Yes
Date
-
Month
-
Day
Year
Date of offense
Offense
Type of offense
Court or Location
Where was the case handled
Is your drivers license currently suspended?
Yes
No
Back
Next
Please indicate any other information you would like the court to know in reviewing your application
By submitting this application I am requesting that the Summit County Juvenile Court seal my record pursuant to the Ohio Revised Code 2151.356
Signature of Applicant
Signature of Parent/Guardian (If applicant is under age 18)
Please note: upon review of your application a court hearing will be scheduled. Please indicate any times that you are not available to appear for a hearing
Submit
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