JDF 324 R 3 / 1 8 PETITION FOR EXPUNGEMENT OF RECORDS FOR A LAW ENFORCEMENT CONTACT NOT RESULT ING IN A REFERRAL TO ANOTHER AGENCY Page 1 of 1 District Court Denver Juvenile Court County, Colorado Court Address: Petition of: Petitioner: COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E - mail: FAX Number: Atty. Reg.#: Case Number: Division Courtroom PETITION FOR EXPUNGEMENT OF RECORDS FOR A LAW ENFORCEMENT CONTACT NOT RESULT ING IN REFERRAL TO ANOTHER AGENCY I , , p etition the C ourt for an expungement of record s pursuant to C.R.S. 247 19 - 1 - 30 6(6)( c ) 1. Information about the Petitioner: Date of Birth: Current Mailing Address: City: State: Zip Code: Home Phone #: Work Phone #: Cell #: Date of Contact Agency Case Number Contacting Agency 2. One year has passed since I had the contact with a law enforcement agency that did not result in a referral to another agency. 4 . There are currently n o felony , misdemeanor , or delinquency actions pending or being instituted against me . By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form. By checking this box, I am acknowledging that I have made a change to the original content of this form. SIGNATURE (Printed name of Petitioner) S ignature of Petitioner Date American LegalNet, Inc. www.FormsWorkFlow.com