JDF 477 R8/2016 MOTION TO SEAL CRIMINAL JUSTICE RECORDS, PURSUANT TO §24-72-702.5, C.R.S.
© 2016 Colorado Judicial Department for use in the Courts of Colorado
District County Court
_______________________County, Colorado
Court Address:
Petition of:
Defendant (Primary subject of the criminal justice record)
COURT USE ONLY
Case Number:
Division: Courtroom:
MOTION TO SEAL CRIMINAL JUSTICE RECORDS
PURSUANT TO §24-72-702.5, C.R.S.
I, _________________________________________________ (defendant’s name), am the defendant in the
above captioned case.
Defendant’s Name: Date of Birth:
Current Mailing Address:
City: _________ ______ State: Zip Code:
I was acquitted of all charges on ______________________________________________________.
The case was completely dismissed on ________________________________________________, and
the dismissal was not part of a plea agreement in a separate case.
I completed a diversion agreement on _________________________________________________.
I completed a deferred judgment and sentence on _______________________________________, and
the deferred judgment and sentence does not pertain to any of the following offenses:
- Driving Under the Influence (DUI), Driving While Ability Impaired (DWAI), or DUI Per-Se pursuant to §
42-4-1301(1) or (2), C.R.S.,
- An offense concerning the holder of a commercial driver’s license or the operator of a commercial
motor vehicle pursuant to § 42-2-402, C.R.S.
- An offense for which the factual basis involved unlawful sexual behavior pursuant to § 16-22-102(9),
C.R.S.
I have paid any and all restitution, fines, court costs, late fees or other fees ordered by the Court, or the Court has
vacated such order(s).
The records in this case do not pertain to a class 1 misdemeanor traffic offense, class 2 misdemeanor traffic
offense, class A traffic infraction, or a class B traffic infraction.
Agencies having records related to this case are:
Sheriff’s Department
District Attorney
Colorado Bureau of Investigation
Law Enforcement Agency (identify): _____________________
Other: _____________________ _____________________
Arrest number (from fingerprint card): Date:
I respectfully request that any criminal justice records, except identifying information, related to this case be
sealed promtly pursuant to § 24-72-702.5, C.R.S.
Firestone Municipal Court
151 Grant Ave / P.O. Box 100
Firestone, CO 80520 Phone: 303-531-6271
