Record Restriction Intake

Record Restriction Filing Intake

Thank you for your payment. Please complete this form so we can prepare your Record Restriction filing package. Most people finish in 3–5 minutes.

Questions? Call or Text: 470-351-1891

Required Information

Please provide your identity details, the case information you want restricted, and upload any court paperwork or your GBI record (if available).

    SECTION A — Client Identity (Required)

    Full Legal Name*

    Date of Birth*

    Mobile Phone*

    Email*

    Street Address*

    City*

    State*

    ZIP*


    SECTION B — Eligibility Snapshot (Re-ask if not prefill-capable)

    (If you can pre-populate from the eligibility form, do so. If not, ask here.)

    Have you completed probation/parole for the case(s)?*

    Do you currently have any pending criminal charges?*

    Do you owe any unpaid restitution/fines/fees related to the case(s)?*


    SECTION C — Case Details (Required)

    How many cases do you want us to review?*

    Case 1

    County of Arrest*

    City of Arrest*

    Arresting Agency*

    Date of Arrest*

    Court Name*

    Case Number (if known)

    Final Outcome / Disposition*


    SECTION D — Upload Documents

    Upload Court Paperwork / Disposition / Sentencing Docs

    Upload GBI Criminal History (if you have it)


    SECTION E — Certification

    After you submit this form, our team will begin preparing your filing package. If we need anything else, we will contact you.

    ProSe Legal Services Corp provides document preparation and self-help assistance only. Not a law firm.