Print Form Petition to Expunge and Impound Criminal Records Clear Form (4/29/10) CCCR 0330 A IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS PEOPLE OF THE STATE OF ILLINOIS or ______________________________________________, A Municipal Corporation, v. ______________________________________________, Defendant/Petitioner } Case Nos. _____________________________ _____________________________ _____________________________ __________________________ _____________________________ Date of Birth: ___________________ Gender: ‰ Male Race: ‰ Female _________________________ PETITION TO EXPUNGE AND IMPOUND CRIMINAL RECORDS The above-named Petitioner states under oath that: 1. ‰ The Petitioner was arrested and/or charged on the date(s) and for the offense(s) stated below: Case Number(s) Arresting Agency(ies) Charge(s) Date(s) of Arrest SID/IR, DCN/CB _____________________________________________________________________________________ _____________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ ________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ‰ Additional cases listed on attached page. Petitioner’s Address: _______________________________________________________________________________ ________________________________________________________________________________________________ 2. ‰ a. ‰ The Petitioner’s conviction was set aside on direct review or on collateral attack and the court determined by clear and convincing evidence that the Petitioner was factually innocent of the charge, or b. ‰ The Petitioner has never been convicted of a criminal offense as defined by 20 ILCS 2630/5.2(a)(1)(C), and 3. ‰ Each arrest or charge not initiated by arrest, other than a minor traffic offense resulted in a. ‰ acquittal, dismissal, or the petitioner’s release without charging; and/or b. ‰ a conviction that was vacated or reversed; and/or c. ‰ an order of supervision was successfully completed for an offense that is subject to expungement and the requisite time period has elapsed. (OVER) (4/29/10) CCCR 0330 B d. ‰ an order of qualified probation was successfuly completed for an offense that is subject to expungement and the requisite time period has elapsed and the Petitioner has attached proof to this Petition that s/he has passed a drug test taken within 30 days before the filing of this Petition showing the absence within his or her body of all illegal substances; and/or e. ‰ The Petitioner was granted a pardon by the Governor which specifically authorizes expungement. 4. ‰ The Petitioner was arrested and released without charging for a minor traffic offense. 5. ‰ The Petitioner does not have pending charges against him/her. WHEREFORE, the Petitioner asks the Court to expunge and impound his/her arrest records and return the expunged records to Petitioner at the address shown above, or at the address updated by the Petitioner with the Clerk of Court as required by 20 ILCS 2630/5.2(d)(2). Under penalties as provided by law pursuant to Section 1-109 of the Code of Civil Procedure, 735 ILCS 5/1-109 the undersigned certifies that the statements set forth in this instrument are true and correct, except as to matters therein stated to be on information and belief and as to such matters the undersigned certifies as aforesaid that s/he verily believes the same to be true. Dated: _____________________________, ____________ _________________________________________ Defendant/Petitioner Prepared By: _______________________________________ Cook County Attorney Code: ____________________________ Address: ___________________________________________ City/State/Zip: ______________________________________ Received this day ________ of __________________ Telephone: _________________________________________ ____________________________________________ (States Attorney/Prosecutor/ISP/Arresting Agency/Chief Local Government Legal Office) DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS