Petition to Expunge Juvenile Records 705 ILCS 405/5-915 (1)
(
12/01/20) CCJ 0040 A
IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
JUVENILE JUSTICE AND CHILD PROTECTION DEPARTMENT
JUVENILE JUSTICE DIVISION
IRIS Y. MARTINEZ, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
No. _____________________________________
IN THE INTEREST OF
__________________________________________________
Petitioner
PETITION TO EXPUNGE JUVENILE RECORDS
705 ILCS 405/5-915 (1 AND 2)
If necessary, or if seeking to expunge multiple arrests, please provide details of additional oenses, on
Additional Oenses Addendum” (page B of this Petition).
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 was arrested on _____________________ by the ___________________________________ Police Department
for the oense of _______________________________________________________________________________ , and
(select one)
q a. no petition was led with the Clerk of the Circuit Court.
q b. was charged with ______________________________ and was found not delinquent of the oense.
q c. a petition was led and the petition was dismissed without a nding of delinquency on ________________________.
q 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 __________________________.
q e. was adjudicated for the oense, which would have been a Class B misdemeanor, a Class C misdemeanor, or a petty
oense or business oense if committed by an adult.
q f. was adjudicated for a Class A misdemeanor or felony, except rst degree murder or an oense under Article 11 of the
Criminal Code of 2012 if the person is required to register under the Sex Oender Registration Act, and 2 years have
passed since the case was closed.
Petitioner Address: ___________________________________
City/State/Zip: ______________________________________
Telephone: _________________________________________
Primary Email: ______________________________________
Secondary Email: ____________________________________
Tertiary Email: ______________________________________
Total Number of Addendum Page B (Oenses) Attached: _____
Total Number of Addendum Page C (Charges) Attached: _____
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
Petition to Expunge Juvenile Records 705 ILCS 405/5-915(1) (12/01/20 CCJ 0040 B
IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
JUVENILE JUSTICE AND CHILD PROTECTION DEPARTMENT
JUVENILE JUSTICE DIVISION
IN THE INTEREST OF
________________________________________________________________________
Petitioner
ADDITIONAL JUVENILE RECORDS ADDENDUM FOR EXPUNGEMENT
(Complete as many Offenses Addendums as necessary to detail all expungeable offenses on this Petition.)
A B C D E F
Indicate
“X” if
applicable
Indicate “X” if
applicable
Indicate “X” if
applicable
Case No.
Arrest
Date
Arresting
Agency
Offense
No
petition
was filed
with
Clerk of
Circuit
Court.
Petitioner
was charged
and found
not
delinquent of
what
offense?
1
Petition was
filed and
dismissed
without a
finding of
delinquency
on what
date?
2
Petitioner Successfully
Completed
Supervision.
3
A
djudicated
offense would
have been a
Class B or C
misdemeanor
or petty or
business
offense.
4
A
djudicated for
a Class A
misdemeanor
or felony. See
exceptions
detailed
below.
5
Start
Date
End
Date
1
Insert offense for which the Petitioner was charged and found not delinquent.
2
Provide the date on which the petition was dismissed.
3
Petitioner was placed under and successfully completed supervision pursuant to Section 5-615 of the Juvenile Court Act of 1987. Provide start and end dates of supervision.
4
The offense would have been a Class B misdemeanor, Class C misdemeanor or a petty offense or business offense if committed by an adult.
5
Petitioner was adjudicated for a Class A misdemeanor or felony, except first degree murder or an offense under Article 11 of the Criminal Code of 2012 if the person is required to
register under the Sex Offender Registration Act, and 2 years have passed since the case was closed.
Petition to Expunge Juvenile Records 705 ILCS 405/5-915(1) (12/01/20 CCJ 0040 C
IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
JUVENILE JUSTICE AND CHILD PROTECTION DEPARTMENT
JUVENILE JUSTICE DIVISION
IN THE INTEREST OF
________________________________________________________________________
Petitioner
ADDITIONAL JUVENILE RECORDS ADDENDUM FOR EXPUNGEMENT
(Complete as many Charges Addendums as necessary to detail all expungeable offenses on this Petition.)
A B C D E F
Indicate
“X” if
applicable
Indicate “X” if
applicable
Indicate “X” if
applicable
Case No.
Arrest
Date
Arresting
Agency
Offense
No
petition
was filed
with
Clerk of
Circuit
Court.
Petitioner
was charged
and found
not
delinquent of
what
offense?
1
Petition was
filed and
dismissed
without a
finding of
delinquency
on what
date?
2
Petitioner Successfully
Completed
Supervision.
3
A
djudicated
offense would
have been a
Class B or C
misdemeanor
or petty or
business
offense.
4
A
djudicated for
a Class A
misdemeanor
or felony. See
exceptions
detailed
below.
5
Start
Date
End
Date
1
Insert offense for which the Petitioner was charged and found not delinquent.
2
Provide the date on which the petition was dismissed.
3
Petitioner was placed under and successfully completed supervision pursuant to Section 5-615 of the Juvenile Court Act of 1987. Provide start and end dates of supervision.
4
The offense would have been a Class B misdemeanor, Class C misdemeanor or a petty offense or business offense if committed by an adult.
5
Petitioner was adjudicated for a Class A misdemeanor or felony, except first degree murder or an offense under Article 11 of the Criminal Code of 2012 if the person is required to
register under the Sex Offender Registration Act, and 2 years have passed since the case was closed.