Petition to Expunge Juvenile Records 705 ILCS 405/5-915 (1)(9/15/17) CCJ 0040 AIN THE CIRCUIT COURT OF COOK COUNTY, ILLINOISJUVENILE JUSTICE AND CHILD PROTECTION DEPARTMENTJUVENILE JUSTICE DIVISION DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOISNo. þ IN THE INTEREST OF þ Now comes þ , 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:þ by the Police Department for the o037ense of þ , and(select one) a. no petition was 036led with the Clerk of the Circuit Court.b. was charged with þ and was found not delinquent of the o037ense.þ .d. þ on þ placed under supervision pursuant to Section 5-615 of the Juvenile Court Act of 1987 and such order of supervision successfully terminated on þ e. was adjudicated for the o037ense, which would have been a Class B misdemeanor, a Class C misdemeanor, or a petty o037ense or business o037ense if committed by an adult. f. þ was adjudicated for a Class A misdemeanor or felony, except 036rst degree murder or an o037ense under Article 11 of the Criminal Code of 2012 if the person is required to register under the Sex O037ender Registration Act, and 2 years havepassed since the case was closed.Petitioner Address: þ þ City/State/Zip: þ Telephone: þ Primary Email: þ Secondary Email: þ Tertiary Email: þ Total Number of Addendum Page B (O037enses) Attached: þ Total Number of Addendum Page C (Charges) Attached: þ þ Petitioner Signature Petition to Expunge Juvenile Records 705 ILCS 405/5-915(1) (09/15/17) CCJ 0040 B IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS JUVENILE JUSTICE AND CHILD PROTECTION DEPARTMENT JUVENILE JUSTICE DIVISION IN THE INTEREST OF Petitioner ADDITIONAL JUVENILE RECORDS ADDENDUM FOR EXPUNGEMENT (Complete as many Offenses Addendums as necessary to detail all expungeable offenses on this Petition.) A B C D E F Indicate 223X224 if applicable Indicate 223X224 if applicable Indicate 223X224 if applicable Case No. Arrest Date Arresting Agency Offense No petition was filed with Clerk of Circuit Court. Petitioner was charged and found not delinquent of what offense?1 Petition was filed and dismissed without a finding of delinquency on what date?2 Petitioner Successfully Completed Supervision.3 A djudicated offense would have been a Class B or C misdemeanor or petty or business offense.4 A djudicated for a Class A misdemeanor or felony. See exceptions detailed below.5 Start Date End Date 1 Insert offense for which the Petitioner was charged and found not delinquent. 2 Provide the date on which the petition was dismissed. 3 Petitioner was placed under and successfully completed supervision pursuant to Section 5-615 of the Juvenile Court Act of 1987. Provide start and end dates of supervision. 4 The offense would have been a Class B misdemeanor, Class C misdemeanor or a petty offense or business offense if committed by an adult. 5 Petitioner was adjudicated for a Class A misdemeanor or felony, except first degree murder or an offense under Article 11 of the Criminal Code of 2012 if the person is required to register under the Sex Offender Registration Act, and 2 years have passed since the case was closed. Petition to Expunge Juvenile Records 705 ILCS 405/5-915(1) (09/15/17) CCJ 0040 C IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS JUVENILE JUSTICE AND CHILD PROTECTION DEPARTMENT JUVENILE JUSTICE DIVISION IN THE INTEREST OF Petitioner ADDITIONAL JUVENILE RECORDS ADDENDUM FOR EXPUNGEMENT (Complete as many Charges Addendums as necessary to detail all expungeable offenses on this Petition.) A B C D E F Indicate 223X224 if applicable Indicate 223X224 if applicable Indicate 223X224 if applicable Case No. Arrest Date Arresting Agency Offense No petition was filed with Clerk of Circuit Court. Petitioner was charged and found not delinquent of what offense?1 Petition was filed and dismissed without a finding of delinquency on what date?2 Petitioner Successfully Completed Supervision.3 A djudicated offense would have been a Class B or C misdemeanor or petty or business offense.4 A djudicated for a Class A misdemeanor or felony. See exceptions detailed below.5 Start Date End Date 1 Insert offense for which the Petitioner was charged and found not delinquent. 2 Provide the date on which the petition was dismissed. 3 Petitioner was placed under and successfully completed supervision pursuant to Section 5-615 of the Juvenile Court Act of 1987. Provide start and end dates of supervision. 4 The offense would have been a Class B misdemeanor, Class C misdemeanor or a petty offense or business offense if committed by an adult. 5 Petitioner was adjudicated for a Class A misdemeanor or felony, except first degree murder or an offense under Article 11 of the Criminal Code of 2012 if the person is required to register under the Sex Offender Registration Act, and 2 years have passed since the case was closed.