Registration Form

Registration Form

Thank you for your interest in our expungement program. Due to overwhelming interest, your registration may not be reviewed for several days. You will receive an email from us when your review is complete advising you of your eligibility. You will also receive weekly emails advising you of your current Case Status. Please DO NOT register more than once.

Registration Form Waiver*

By accessing this Registration Form, you agree to be bound by the website’s terms and conditions. You also agree to be contacted via email, phone, or text by our staff. This Registration Form requires you to provide certain information (name, home address, valid email address, etc.) to allow us to retrieve your Internet Criminal History Access Tool (ICHAT) and assess your eligibility for expungement. You must be 18 years or older to use and/or complete this form. Your information will be kept confidential and will not be shared with third parties, other than those who assist us in operating our website, conducting our business, or servicing you, as long as those parties agree to keep this information confidential.

Consent

Limited Scope Legal Representation Agreement*

By submitting the Registration Form, you consent to this Limited Scope Legal Representation Agreement, and you are requesting to participate in the City of Detroit's expungement program, Project Clean Slate (PCS). You agree that you are interested in receiving information and free legal assistance from a licensed Michigan attorney regarding your eligibility for expungement. You understand and agree that participating in PCS does not guarantee expungement of your conviction(s).

If you are deemed eligible for expungement pursuant to Michigan law, you agree to:

(1) Cooperate with PCS attorneys and/or staff and/or representatives of the program;

(2) Promptly notify PCS of any changes in your address, phone number, or email address;

(3) Promptly notify PCS of any need to cancel or reschedule appointments and/or hearings;

(4) Provide complete and accurate information to PCS;

(5) Return phone calls and emails from PCS when required; and

(6) Follow through with the expungement process to completion.

Sharing Information

All PCS representatives, including attorneys, have a legal obligation to keep information about your case confidential. In order to represent you, you authorize PCS to obtain and review all documents regarding your criminal conviction(s) and criminal record.

Conflict of Interest

By submitting the Registration Form and consenting to the Limited Scope Legal Representation Agreement, you acknowledge that you are aware that no PCS attorney has performed a conflict of interest search. If you become aware of a conflict of interest or potential conflict when meeting with PCS staff or attorneys, you must inform that individual about the conflict or potential conflict immediately. If anyone associated with PCS becomes aware of a conflict of interest, that person will notify you and someone else may be assigned to assist you.

Acknowledgement of Limited Representation

By submitting the Registration Form and consenting to the Limited Scope Legal Representation Agreement, you acknowledge that PCS staff may assist you during the initial stages of expungement, but have no duty to assist you after registration. If you are deemed eligible for expungement services, PCS will assist you with your expungement efforts. Occasionally, PCS partners with pro bono (volunteer) attorneys to assist with expungement hearings. You consent to a pro bono/volunteer attorney assisting with your expungement.

Consent

Participant Consent*

By submitting the Registration Form, you consent to Project Clean Slate's (the Program) sharing of personal information with partners and various entities for the purpose of research to improve the Program and expungement in Michigan. Those entities include, but are not limited to, The University of Michigan. Your personal information will only be used by such entities for the purpose of research, investigation, and improvement of the Program and expungement in Michigan. Your participation in the Program is voluntary, as is your participation in any research study. Nobody has forced you to submit this form or consent to a research study.

Neither the City of Detroit nor its partners or other entities described above shall be liable for any claims that may arise for any injury due to your participation in the Program or research studies. By consenting, you waive any and all claims against the City of Detroit, its partners, and other entities the Program may ask to research and study its data. You consent to assume all risks and agree to be solely responsible for any injury arising from your participation in the program or use of your personal information.

If you do not consent, your data may still be shared, but it will be de-identified.

Consent

No consent

First Name at Conviction*

To find your record, we need to know your first name at the time of your conviction.

Last Name at Conviction*

To find your record, we need to know your last name at the time of your conviction. Please do not include Jr., Sr., II, III, etc. We look up your record with the name provided and your Date of Birth.

Date of Birth*

Please enter Date of Birth as MM/DD/YYYY

Race*

Race is required by the Michigan State Police to access your criminal record (ICHAT).

Select

Gender at Birth*

Select or enter value

Address*

City*

To be eligible for Project Clean Slate, you MUST must be a current Detroit resident. You must upload photos of the front AND back of your State ID, Detroit municipal ID, or driver's license.

IF YOUR ID DOES NOT CONTAIN A DETROIT ADDRESS, WE CANNOT ASSIST YOU.

Non-Detroit residents may consider reaching out to Lakeshore Legal Aid (888-783-8190) or the Legal Aid and Defenders Association (877-964-4700) for assistance. Both entities offer free expungement services to eligible individuals.

Zip*

Phone Number*

You will receive an email regarding eligibility, but we also need your phone number in the event we need to speak with you.

Phone

Email*

You MUST enter a valid email address. Our case management system automatic email updates regarding your eligibility and/or case status. If you do not have an email address, you may obtain one for free at www.gmail.com or www.yahoo.com.

Please upload photos of the front AND back of your driver's license, state ID, or Detroit ID.*

If you do not upload a valid Michigan Driver's License or State ID that is not expired, your file will not be reviewed. We can also accept a City of Detroit Municipal ID.

Drag and drop files here or

Were you referred by someone?*

Select

Resources*

We partner with many community organizations to offer our clients additional resources. Please select the resources from which you may benefit.

Select

Why Seeking Expungement?*

Please select as many as apply.

Select

Employment Status*

Select

Seeking employment?*

Select

Pending Case(s)*

Do you have any open or pending cases? If you have an open case, active warrant, or upcoming court date, please select YES. Otherwise, select No.

Select

Send me a copy of my responses

Privacy Notice|Report Abuse