The following form shall be used for filing an affidavit of response to a motion for expungement and sealing in accordance with Article 919:

AFFIDAVIT OF RESPONSE

Pursuant to Children’s Code Article 919, the Respondent agency or office, ____________________ , acknowledges the following:

{ } No Opposition. Respondent has no opposition to the motion and respectfully consents to waiver of the contradictory hearing.

{ } Opposition to the Motion of Expungement and Sealing with Reasons. Respondent respectfully requests a contradictory hearing.

As grounds for its objection, the Respondent asserts as follows:

{ } The court is still exercising jurisdiction.

{ } The adjudicated offense was for murder, manslaughter, an offense requiring registration as a sex offender under R.S. 15:542, kidnapping, or armed robbery and therefore a hearing is required by law.

{ }The adjudication was for a felony offense, and the applicant has an adult felony conviction.

{ }The adjudication was for a felony offense, and the applicant has an adult conviction for a misdemeanor against a person involving a firearm.

{ }The adjudication was for a felony offense, and the applicant has a pending indictment or bill of information filed against him.

Respectfully submitted,

_________________________________________

Name of Respondent/Signature of Attorney

_________________________________________

Address

_________________________________________

City/State/Zip

_________________________________________

Phone

PLEASE SERVE:

Parish of ____________________

District Attorney ______________

Clerk of Court _____________________

Sheriff ______________________

Bureau of Identification & Information

Attn: Expungements

7919 Independence Blvd.

Baton Rouge, Louisiana 70806

and

_________________________________ ______________________________

Name of Agency Name of Agency

_________________________________ ______________________________

Attn: Attn:

_________________________________ _____________________________

Address Address

_________________________________ ______________________________

City/State/Zip City/State/Zip