Form EX-O 2905.3 Order to Expunge & Impound and/Or Seal Criminal Records - Illinois

Form EX-O2905.3 or the "Order To Expunge & Impound And/or Seal Criminal Records" is a form issued by the Illinois Circuit Court.

Download a PDF version of the Form EX-O2905.3 down below or find it on the Illinois Circuit Court Forms website.

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This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois Circuit Courts.
For Court Use Only
STATE OF ILLINOIS,
ORDER TO EXPUNGE & IMPOUND
CIRCUIT COURT
AND/OR SEAL CRIMINAL
COUNTY
RECORDS
Instructions
Directly above, enter the
Request of:
name of county where
you will file the case.
Enter your name, birth
Your name
(First, middle, last name)
date, race, and gender.
List any other names
you used when
Other names used in these cases
arrested on the cases
listed on this form.
If the Clerk gave you a
new case number,
Date of birth
Race
Gender
Case Number
(if the Clerk
enter it to the right.
assigns a new number):
In 1, enter the number
for all cases listed
1. Arrest or Case Numbers of all Eligible Criminal Offenses for Expungement in this County:
under Number 2 on
the Request form for
the cases you want to
have expunged.
If you completed an
Additional Arrests or
Cases for
I have attached an additional Order form.
Expungement form,
fill out an additional
Order and list those
cases.
2. Arrest or Case Numbers of all Eligible Criminal Offenses for Sealing in this County:
In 2, enter the number
for all cases listed
under Number 14 on
the Request form for
the cases you want to
have sealed. If you
completed an
I have attached an additional Order form.
Additional Arrests or
Cases for Sealing
form, fill out an
additional Order and
list those cases.
IT IS ORDERED:
DO NOT check this
 Your Request for expungement is GRANTED for the above cases and within 60 days of
box. The judge will
this Order:
check the correct boxes.
● The Arresting Agencies must expunge these records as required by law.
● The Clerk of the Circuit Court must impound these records as required by law.
The judge will cross out
the case numbers that
● The Illinois State Police must expunge or impound these records as required by law.
are denied and include
● The Illinois State Police and the Arresting Agencies must request the return of all arrest
them on the Order
Denying Request To
or conviction records from any agencies that were previously notified of these records
Expunge & Impound
as required by law.
and/or Seal Criminal
● The Illinois State Police must expunge any pardoned conviction and other arrests by
Records.
sealing these records as required by law.
(Continued on next page)
EX-O 2905.3
(09/18)
Page 1 of 2
This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois Circuit Courts.
For Court Use Only
STATE OF ILLINOIS,
ORDER TO EXPUNGE & IMPOUND
CIRCUIT COURT
AND/OR SEAL CRIMINAL
COUNTY
RECORDS
Instructions
Directly above, enter the
Request of:
name of county where
you will file the case.
Enter your name, birth
Your name
(First, middle, last name)
date, race, and gender.
List any other names
you used when
Other names used in these cases
arrested on the cases
listed on this form.
If the Clerk gave you a
new case number,
Date of birth
Race
Gender
Case Number
(if the Clerk
enter it to the right.
assigns a new number):
In 1, enter the number
for all cases listed
1. Arrest or Case Numbers of all Eligible Criminal Offenses for Expungement in this County:
under Number 2 on
the Request form for
the cases you want to
have expunged.
If you completed an
Additional Arrests or
Cases for
I have attached an additional Order form.
Expungement form,
fill out an additional
Order and list those
cases.
2. Arrest or Case Numbers of all Eligible Criminal Offenses for Sealing in this County:
In 2, enter the number
for all cases listed
under Number 14 on
the Request form for
the cases you want to
have sealed. If you
completed an
I have attached an additional Order form.
Additional Arrests or
Cases for Sealing
form, fill out an
additional Order and
list those cases.
IT IS ORDERED:
DO NOT check this
 Your Request for expungement is GRANTED for the above cases and within 60 days of
box. The judge will
this Order:
check the correct boxes.
● The Arresting Agencies must expunge these records as required by law.
● The Clerk of the Circuit Court must impound these records as required by law.
The judge will cross out
the case numbers that
● The Illinois State Police must expunge or impound these records as required by law.
are denied and include
● The Illinois State Police and the Arresting Agencies must request the return of all arrest
them on the Order
Denying Request To
or conviction records from any agencies that were previously notified of these records
Expunge & Impound
as required by law.
and/or Seal Criminal
● The Illinois State Police must expunge any pardoned conviction and other arrests by
Records.
sealing these records as required by law.
(Continued on next page)
EX-O 2905.3
(09/18)
Page 1 of 2
Enter the Case Number given by the Circuit Clerk:_________________________________
IT IS ORDERED:
DO NOT check this
 Your Request for sealing is GRANTED for the above cases and within 60 days of receiving
box. The judge will
this Order:
check the correct box.
● The Illinois State Police, the Arresting Agencies, and the Clerk of the Circuit Court
must seal these records as required by law.
● The Illinois State Police and the Arresting Agencies must request the return of all
arrest or conviction records from any agencies that were previously notified of these
records as required by law.
DO NOT fill in these
ENTERED:
lines. The judge will
Judge:
Date:
sign and enter date here.
Prepared by:
Enter the name and
contact information of
Street Address:
Phone Number:
the person completing
City, State, ZIP:
Email Address:
the Order.
EX-O 2905.3
Page 2 of 2
(09/18)
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