ISP 1-266 (4/15)
REQUEST FOR EXPUNGEMENT OF JUVENILE LAW ENFORCEMENT RECORDS
LEGISLATIVE AUTHORITY
Implementing and authorized by Section 1.5 of the Juvenile Court Act of 1987 [705 ILCS 405/5-915] and
authorized by Section 1.6 of the Juvenile Court Act of 1987 [705 ILCS 405/5-915] and authorized by Title
20 of the Joint Committee on Administrative Rules, Part 1210, Individual’s Right to Access and Review
Criminal History Record Information.
Effective Date: January 1, 2015
LEGISLATIVE COMPLIANCE
Pursuant to the Legislative Authority listed above, the Department shall consider this “Request For
Expungement of Juvenile Law Enforcement Records” only from the individual whose law enforcement
records appear within this request. In addition the Department will provide their written response to the
address contained in this “Request For Expungement of Juvenile Law Enforcement Records”. The
Individual named in such request is legislatively mandated to provide a copy of the “Request For
Expungement of Juvenile Law Enforcement Records” to the arresting agency, prosecutor charged with the
prosecution of the minor, or the State’s Attorney of the county that prosecuted the minor.
REQUESTOR INFORMATION
Arrestee Name
Last: First: Middle:
Sex
Race
Date of Birth
/ / (MM/DD/YYYY)
Date of Arrest
/ / (MM/DD/YYYY)
Arresting Agency
Requestor Name
Last: First:
Middle:
Requestor
Address:
Street #/Name:
Apt:
P.O. Box
City: State: Zip:
Signature
REQUESTOR INFORMATION
INSTRUCTIONS
All data requested in the Requestor Information section of this form must be reported in order for
the Department to consider your request for expungement. A separate form must be completed
in its entirety for each date of arrest to be reviewed. If any of the required fields above are
unknown, the Access and Review Process must be utilized to acquire this information. Procedures
on how to file a Right to Access and Review can be located via the ISP home page at
http://www.isp.state.il.us/crimhistory/viewingchrircds.cfm.