Questionnaire II — Expunction Intake

Questionnaire II — Verify Your Identity

This questionnaire was prepared specifically for you. Please confirm your identity to continue.

Email Address on File *

Date of Birth *

Enter your date of birth if one was provided when your link was issued. Leave blank if not required.

Progress — Part 1 of 5

Additional Criminal History

Beyond the Matter(s) Above

Please answer honestly — these questions help us assess your eligibility. NC law bars expunction in some situations involving prior records.

Any other criminal charges in NC not listed in the matters above? *

If yes — briefly describe those charges

Any criminal charges in any other state? *

If yes — state(s) and brief description

Have you ever had a record expunged before — in NC or any other state? *

Do you have any criminal charges currently pending (anywhere)? *

Have you ever violated probation, parole, or any other form of court supervision? *

Expunction Goals

Why This Matters to You

Understanding your goals helps us prioritize the right legal track and explain what expunction will — and won't — accomplish.

Primary reason for seeking expunction *

If "Other" or additional context — describe your reason

Is this offense currently appearing on background checks you are aware of? *

Have you been denied employment, housing, or a professional license because of this record? *

If yes — describe what was denied

Do you have a specific deadline driving this request? *

If yes — describe the deadline or opportunity

Would you like our office to obtain certified court records on your behalf? *

Anything else you want the attorney to know before reviewing your file?

Authorization

Authorization & Electronic Signature

Please read and check each authorization below. Your typed name serves as your electronic signature.

I authorize Barker Richardson, PLLC d/b/a LawVana to request my North Carolina criminal history record from the State Bureau of Investigation (SBI) for the purpose of evaluating my eligibility for expunction.

I authorize Barker Richardson, PLLC d/b/a LawVana to contact the Clerk of Court in any relevant county for the purpose of obtaining certified copies of my court records.

I understand that submitting this questionnaire does not create an attorney-client relationship. A formal flat-fee quote will follow attorney review. No legal action of any kind will be taken without my express written authorization.

No Legal Advice. Nothing in this questionnaire constitutes legal advice, a guarantee of outcome, or a commitment to represent you. NC G.S. § 15A-145 et seq. governs expunction eligibility, which requires attorney analysis. Submission does not guarantee that expunction is available in your case.

Typed Full Legal Name — Electronic Signature *

By typing your name above and checking the boxes, you are electronically signing this authorization.

Date

✓

Questionnaire Submitted

Thank you, .

Your responses have been received and will be reviewed by Daniel T. Barker, Esq.

You will receive a follow-up — typically within 1–2 business days — with next steps and a flat-fee quote if expunction appears available in your case.

Questions? Email [email protected] and reference your matter number: .

Questionnaire II — Verify Your Identity

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Beyond the Matter(s) Above

Why This Matters to You

Authorization & Electronic Signature

Questionnaire Submitted