Petition to Expunge Juvenile Records CCJ 0040
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Petition to Expunge Juvenile Records (10/07/04) CCJ 0040
IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
DEPARTMENT OF JUVENILE JUSTICE AND CHILD PROTECTION
JUVENILE JUSTICE DIVISION
IN THE INTEREST OF
No. _________________________________________
___________________________________________________
Petitioner
PETITION TO EXPUNGE JUVENILE RECORDS
(705 ILCS 405/5-915 (Subsection 1))
(Please prepare a separate petition for each offense)
Now comes ____________________________________, Petitioner, and respectfully requests that this Honorable Court
Enter an order expunging all Juvenile Law Enforcement and Court records of Petitioner and in support thereof states that:
Petitioner has attained the age of 17, his/her birth date being __________________________________, or all Juvenile Court
Proceedings terminated as of _______________________________________, whichever occurred later
Petitioner was arrested on _____________________________, _________ by the _____________________________ Police
Department for the offense of _________________________________________________________________, and
(check one)
A. no petition was filed with the Clerk of the Circuit Court.
B was charged with _______________________________________ and was found not delinquent of the offense
C. a petition was filed and the petition was dismissed without a finding of delinquency on
____________________________________, ________
D. on ________________________________, ________ placed under supervision pursuant to Section 5-615 of the
Juvenile Court Act of 1987 and such order of supervision successfully terminated on ____________________, ________
E. was adjudicated for the offense, which would have been a Class B misdemeanor, a Class C misdemeanor, or a petty
Offense or business offense if committed by an adult
Petitioner has has not been arrested on charges in this or any county other than the charges listed above. If Petitioner
Has been arrested on additional charges, please list the charges below:
Charge(s): ________________________________________________________________________________________
Arresting Agency or Agencies: ________________________________________________________________________
Disposition/Result: (choose from a through e, above): _____________________________________________________
WHEREFORE, the Petitioner respectfully requests this Honorable Court to (1) order all law enforcement agencies to expunge
All records of Petitioner to this incident, and (2) to order the Clerk of the Court to expunge all records concerning the petitioner
Regarding this incident
___________________________________________
Petitioner Signature
Petitioner Address: ____________________________________
City/State/Zip Code: ___________________________________
Telephone: __________________________________________
Pursuant to the penalties of perjury under the Code of Civil Procedure, 735 ILCS 5/1-109, I hereby certify that the statements in
This petition are true and correct, or on information and belief I believe the same to be true
__________________________________________
Petitioner Signature
DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
DEPARTMENT OF JUVENILE JUSTICE AND CHILD PROTECTION
JUVENILE JUSTICE DIVISION
IN THE INTEREST OF
No. _________________________________________
___________________________________________________
Petitioner
PETITION TO EXPUNGE JUVENILE RECORDS
(705 ILCS 405/5-915 (Subsection 1))
(Please prepare a separate petition for each offense)
Now comes ____________________________________, Petitioner, and respectfully requests that this Honorable Court
Enter an order expunging all Juvenile Law Enforcement and Court records of Petitioner and in support thereof states that:
Petitioner has attained the age of 17, his/her birth date being __________________________________, or all Juvenile Court
Proceedings terminated as of _______________________________________, whichever occurred later
Petitioner was arrested on _____________________________, _________ by the _____________________________ Police
Department for the offense of _________________________________________________________________, and
(check one)
A. no petition was filed with the Clerk of the Circuit Court.
B was charged with _______________________________________ and was found not delinquent of the offense
C. a petition was filed and the petition was dismissed without a finding of delinquency on
____________________________________, ________
D. on ________________________________, ________ placed under supervision pursuant to Section 5-615 of the
Juvenile Court Act of 1987 and such order of supervision successfully terminated on ____________________, ________
E. was adjudicated for the offense, which would have been a Class B misdemeanor, a Class C misdemeanor, or a petty
Offense or business offense if committed by an adult
Petitioner has has not been arrested on charges in this or any county other than the charges listed above. If Petitioner
Has been arrested on additional charges, please list the charges below:
Charge(s): ________________________________________________________________________________________
Arresting Agency or Agencies: ________________________________________________________________________
Disposition/Result: (choose from a through e, above): _____________________________________________________
WHEREFORE, the Petitioner respectfully requests this Honorable Court to (1) order all law enforcement agencies to expunge
All records of Petitioner to this incident, and (2) to order the Clerk of the Court to expunge all records concerning the petitioner
Regarding this incident
___________________________________________
Petitioner Signature
Petitioner Address: ____________________________________
City/State/Zip Code: ___________________________________
Telephone: __________________________________________
Pursuant to the penalties of perjury under the Code of Civil Procedure, 735 ILCS 5/1-109, I hereby certify that the statements in
This petition are true and correct, or on information and belief I believe the same to be true
__________________________________________
Petitioner Signature
DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
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