
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE
STREAMLINED DNA EXPUNGEMENT APPLICATION FORM
DLE 244
(Orig. 02/2011)
PAGE 1 of 3
REQUEST TO THE CALIFORNIA DEPARTMENT OF JUSTICE CAL-DNA DATA BANK PROGRAM
TO EXPUNGE MY STATE DNA DATABASE PROFILE AND REMOVE MY SAMPLE
I,
(Insert Name) SET FORTH UNDER PENALTY OF PERJURY AS FOLLOWS:
1. My name is (Insert legal name and other name(s)
used), and my address, or an address that I can be reached at, is:
2. My email address is: (Insert email address if you have one and would like to be contacted by email)
3. My Social Security Number (SSN) is ; my Date of Birth is ;
and my Driver's License Number (or State Identification Card Number) is .
4. My CA Identification & Information (CII) Number is (Insert number if known).
5. On or about (Date/Year), I provided a DNA sample for inclusion in the
CAL-DNA Data Bank Program (Penal Code section 295 et seq.) to a law enforcement agency in
County, under the name I entered above.
(Name of County where sample taken; Insert prison name if taken at a prison)
6. To the best of my knowledge, the crime for which my DNA database sample was taken was:
(Describe or name crime if known).
7. I contend I am not required by law to provide a DNA Data Bank Sample, and there is no legal basis
for the California Department of Justice to retain my DNA sample, or searchable DNA profile.
8. I certify to the best of my knowledge that all of the following statements are true:
a. I have no past or present criminal offense that qualifies me for inclusion in the CAL-DNA Data Bank
Program.
[Note: (1) If you provided a DNA sample after you were validly convicted of a felony, the fact you subsequently had that felony
conviction expunged under Penal Code section 1203.4, or reduced to a misdemeanor, etc., under Penal Code section 17,
does not entitle you to also have your DNA profile expunged or sample removed from the Data Bank. (See, Cal. Pen. Code,
§ 299 (f).); (2) If you provided a DNA sample after a conviction for a misdemeanor and had any past felony conviction at that
time, your sample is not eligible for expungement or removal from the Data Bank. (See, Cal. Pen. Code, § 296.1(a)(2) &(3).).]
b. I have no past or present duty to register as a sex or arson offender.
[Note: Termination of the duty to register does not qualify as a reason for sample expungement. (See, Pen. Code, § 299(e).).]
c. I did not provide a DNA sample as part of a plea bargain.