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 oenses, on
“Additional Oenses 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 oense 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 oense.
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 oense, which would have been a Class B misdemeanor, a Class C misdemeanor, or a petty
oense or business oense if committed by an adult.
q f. was adjudicated for a Class A misdemeanor or felony, except rst degree murder or an oense under Article 11 of the
Criminal Code of 2012 if the person is required to register under the Sex Oender 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 (Oenses) 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