The form has the petition, a Verification subscribed and sworn before a Notary Public, and a Certificate of Service.
Nolle prosequi: item 2 box for an Order of Nolle Prosequi entered more than one (1) year ago, with the charges not refiled by the prosecuting attorney or city attorney.
Acquittal: one box in item 2 is a Judgment of Acquittal that was not for reason of mental disease or defect.
Pending charges: item 4 has a box for no pending felony charges in any state or federal court, and a box for one or more pending felony charges.
Sex offender: item 5 has boxes for Defendant IS or IS NOT required to register as a sex offender under the Sex Offender Registration Act of 1997.
| Question | Answer |
|---|---|
| Form Name | ACIC Form |
| Form Length | 4 pages |
| Fillable? | Yes |
| Fillable fields | 45 |
| Avg. time to fill out | 8 min |
| Edition | Revised 04/22/2020 |
| Matches the agency's file | Yes, checked October 2, 2026 |
| Other names | ACIC form, ACIC, Arkansas ACIC petition, Petition to Seal Records Arkansas, Act 1460 of 2013 petition |
| Official source | ACIC Form Revised 04/22/2020 |
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