Form FD-1114 FBI Expungement Form

OMB: 1110- 0000

FD-1114 (12-16-2014)

FBI EXPUNGEMENT FORM
This form is to be used for state expungements, sealings, governor’s
pardons, deletions, removals of dates of arrest or individual charges. Information
must be typed or legibly printed. Include State Bureau Stamp(s) if required.
Provide SID/Agency Case Number (OCA)/ORI if the FBI record shows multiple
arrests for one date. Required information is marked with an asterisk (*).
*SUBMITTING AGENCY:

*Check your EXPUNGEMENT TERMINOLOGY:
Expungement
FBI #

*NAME

Seal
*DOB

DOA

Delete
ENTIRE
RECORD

Remove
FULL

Gov Pardon

PARTIAL-list charges

SID/OCA/ORI

If you are requesting a modification AND a deletion/removal/expungement for the same FBI#, then use
the separate Records Modification Form.

FD-1114 (12-16-2014)

OMB: 1110- 0000

FBI EXPUNGEMENT FORM
This form is to be used for state expungements, sealings, governor’s
pardons, deletions, removals of dates of arrest or individual charges. Information
must be typed or legibly printed. Include State Bureau Stamp(s) if required.
Provide SID/Agency Case Number (OCA)/ORI if the FBI record shows multiple
arrests for one date. Required information is marked with an asterisk (*).

If you are requesting a modification AND a deletion/removal/expungement for the same FBI#, then use
the separate Records Modification Form.