District Court _______________________County, Colorado Court Address: PETITION OF: COURT USE ONLY Case Number: DEFENDANT (Primary subject of the criminal justice record) Division: Courtroom: ORDER TO SEAL ARREST AND CRIMINAL RECORDS, PURSUANT TO §24-72-308, C.R.S. The Court having read the Petition to Seal Arrest and Criminal Records, examined the record, considered the responses filed by the District Attorney or any other person or agency, finds that the harm to privacy of the subject of the record to be sealed or dangers of unwarranted adverse consequences to that person outweigh the public interest in retaining the record. Defendant’s Name: _________________________________ Date of Birth: _____________________ Address: _________________________________________ _________________________________________ ORDERS that the criminal records information specifically relating to and contained in: County Court case number: ______________________________________ District Court case number: ______________________________________ Municipal Court case number: ____________________________________ Law Enforcement Agency case number: ____________________________ Arrest number (from fingerprint card): ______________________________ Date: ______________ Law Enforcement Agency case number: ____________________________ Arrest number (from fingerprint card): ______________________________ Date: ______________ shall be sealed immediately, except for basic identifying information, and that upon inquiry in the matter, the person in interest and criminal justice agencies to which this order is directed may properly reply that no such records exist with respect to such person. The Court directs the above order to the Clerk of Court to seal the criminal case(s) listed above. The Court also directs the Clerk of Court to seal this civil action. The Petitioner shall mail a copy of this Order to (see attached mailing list): Sheriff’s Department District Attorney Law Enforcement Agency __________________________________________________________________ Municipal Court __________________________________________________________________________ Colorado Bureau of Investigation State Court Administrator’s Office, 1726 Cole Blvd. Building #22, Suite 300, Golden, CO 80401: Attn: Records Sealed Other __________________________________________________________________________________ Dated: _________________________________ ______________________________________ District Court Judge I certify that on ________________________ (date), I mailed, faxed, e-filed, or hand-delivered a copy of this Order to the following: Petitioner Petitioner’s Attorney _____________________________________ Clerk JDF 418 R3/07 ORDER TO SEAL ARREST AND CRIMINAL RECORDS, PURSUANT TO §24-72-308, C.R.S. American LegalNet, Inc. www.FormsWorkflow.com