Petition to Expunge Juvenile Records (10/07/04) CCJ 0040 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS DEPARTMENT OF JUVENILE JUSTICE AND CHILD PROTECTION JUVENILE JUSTICE DIVISION IN THE INTEREST OF ___________________________________________________ Petitioner } No. _________________________________________ PETITION TO EXPUNGE JUVENILE RECORDS (705 ILCS 405/5-915 (Subsection 1)) (Please prepare a separate petition for each offense) Now comes ____________________________________, Petitioner, and respectfully requests that this Honorable Court enter an order expunging all Juvenile Law Enforcement and Court records of Petitioner and in support thereof states that: Petitioner has attained the age of 17, his/her birth date being __________________________________, or all Juvenile Court proceedings terminated as of _______________________________________, whichever occurred later. Petitioner was arrested on _____________________________, _________ by the _____________________________ Police Department for the offense of _________________________________________________________________, and (check one) a. no petition was filed with the Clerk of the Circuit Court. b was charged with _______________________________________ and was found not delinquent of the offense. c. a petition was filed and the petition was dismissed without a finding of delinquency on ____________________________________, ________ d. on ________________________________, ________ placed under supervision pursuant to Section 5-615 of the Juvenile Court Act of 1987 and such order of supervision successfully terminated on ____________________, ________ e. was adjudicated for the offense, which would have been a Class B misdemeanor, a Class C misdemeanor, or a petty offense or business offense if committed by an adult. Petitioner has has not been arrested on charges in this or any county other than the charges listed above. If Petitioner has been arrested on additional charges, please list the charges below: Charge(s): ________________________________________________________________________________________. Arresting Agency or Agencies: ________________________________________________________________________. Disposition/Result: (choose from a through e, above): _____________________________________________________. WHEREFORE, the Petitioner respectfully requests this Honorable Court to (1) order all law enforcement agencies to expunge all records of Petitioner to this incident, and (2) to order the Clerk of the Court to expunge all records concerning the petitioner regarding this incident. ___________________________________________ Petitioner Signature Petitioner Address: ____________________________________ City/State/Zip Code: ___________________________________ Telephone: __________________________________________ Pursuant to the penalties of perjury under the Code of Civil Procedure, 735 ILCS 5/1-109, I hereby certify that the statements in this petition are true and correct, or on information and belief I believe the same to be true. __________________________________________ Petitioner Signature DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Print This Form For your protection and privacy, please press the Clear This Form button after you have printed the form. Clear This Form