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Petition to Expunge And Impound Criminal Records Form. This is a Illinois form and can be use in Cook Local County.
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Tags: Petition to Expunge And Impound Criminal Records, CCCR 0330, Illinois Local County, Cook
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Petition to Expunge and Impound Criminal Records
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(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
_____________________________________________________________________________________
_____________________________________________________________________________________
__________________________________________________________________________________________
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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