I hereby authorize Philadelphia Lawyers for Social Equity (PLSE), including all staff and volunteers, to represent me for record clearing services, including representation for expungements and pardons.

I hereby authorize any and all judicial districts in Pennsylvania to send to Philadelphia Lawyers for Social Equity, including all staff and volunteers, any and all criminal history information relating to me, whether public, secure, sealed, subject to Limited Access, or otherwise. Including Juvenile Court information and information covered by the “Clean Slate Act” or Act 36 (amended) of 2023.

I hereby authorize Philadelphia Lawyers for Social Equity to maintain and use my records as necessary for an expungement and pardon services.  

 Philadelphia Lawyers for Social Equity (hereafter PLSE) has been retained by the above-named person to represent them in connection with an arrest and/or conviction in Philadelphia County of an offense which may be subject to Limited Sealing due to the provisions of the Clean Slate Act. The above-named person does not have the information regarding the arrest or conviction which is necessary for the filing of an expungement petition, a petition for clemency, or other matter. As noted above, PLSE, including its staff and volunteers, has been authorized to obtain all dockets including Secure Dockets of Limited Access Cases as well as the Court Summaries and associated documents which will provide sufficient information regarding the offense to enable PLSE to enter an appearance for the above individual, and to thereafter obtain any additional necessary case record.