‰District Court ‰Denver Juvenile Court ___________________ County, Colorado Court Address: ‰People of the State of Colorado in the Interest of: ‰People of the State of Colorado v. COURT USE ONLY Petitioner: Attorney or Party Without Attorney (Name and Address): Case Number: Phone Number: FAX Number: Division E-mail: Atty. Reg.#: Courtroom PETITION FOR EXPUNGEMENT OF RECORDS ‰JUVENILE “JD” CASE OR ‰CRIMINAL “CR” CASE I, Petition the court for an expungement of my records. Information about the Petitioner: Date of Birth: Current Mailing Address: City: State: Home Phone #: Date of Offense Zip Code: Work Phone #: Charge Cell #: Agency Case Number Arresting Agency I was released from the Court’s jurisdiction on (date you were found not guilty, date of law enforcement contact if formal charges were not filed, or date you were released from a deferred prosecution, deferred adjudication, probation, or parole). I have not been convicted of a felony or misdemeanor, nor have I been adjudicated a delinquent since termination of the court’s jurisdiction or the unconditional release from parole supervision. There are no felony, misdemeanor, or delinquency actions pending or being instituted against me. I request that this Petition for Expungement of Records be set for hearing. VERIFICATION AND ACKNOWLEDGMENT I (Petitioner) swear or affirm under oath that I have read the foregoing Petition and that the statements contained in this Petition are true to the best of my knowledge and belief. ____________________________________________ Signature of Petitioner Date The foregoing instrument was acknowledged before me in the County of ________________, State of Colorado, this ____day of ____________, 20___, by the Petitioner. My Commission Expires: ________________ ______________________________________ Signature of Attorney JDF 302 R9/09 PETITION FOR EXPUNGEMENT OF RECORDS ____________________________________________ Notary Public/Deputy Clerk American LegalNet, Inc. www.FormsWorkFlow.com