Form EX-N 2904.2 Notice of Filing for Expungement and/Or Sealing - Illinois

Form EX-N2904.2 is a Illinois Circuit Court form also known as the "Notice Of Filing For Expungement And/or Sealing". The latest edition of the form was released in March 1, 2018 and is available for digital filing.

Download a PDF version of the Form EX-N2904.2 down below or find it on 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,
NOTICE OF FILING FOR
CIRCUIT COURT
EXPUNGEMENT AND/OR
COUNTY
SEALING
Instructions
Request of:
Directly above, enter
the name of county
where you will file the
case.
Your name
(First, middle, last name)
Enter your name, birth
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)
Enter the number for
Arrest or Case Numbers of all Eligible Criminal Offenses on your Record in this County:
all eligible arrests and
charges on your
criminal record in this
county. If an arrest did
not result in formal
charges, enter the
arrest number.
In 1, enter the State’s
1.
To:
County State’s Attorney
Attorney office that
County Name
prosecuted your cases.
Street Address
City
State
ZIP
In 2, enter the local
police agencies that
arrested you.
2.
To:
Arresting Agencies that arrested you:
If you run out of space,
use the Additional
Name
Name
Notice of Filing for
Expungement and/or
Sealing form and
Street Address
Street Address
check the box.
City
State
ZIP
City
State
ZIP
In 3, enter the names
and addresses of the
I have listed additional Arresting Agencies on the attached Additional Notice of
Chief Legal Officer of
Filing for Expungement and/or Sealing form.
the Unit of Local
Government that
arrested you.
3.
To:
Chief Legal Officers of the Units of Local Government that arrested you:
The Chief Legal Officer
is usually the lawyer for
Name
Name
the city or town in
which you were
arrested or, in some
Street Address
Street Address
cases, if you were
arrested by the sheriff,
City
State
ZIP
City
State
ZIP
it is the State's Attorney
for that county.
I have listed additional Chief Legal Officers on the attached Additional Notice of
If you run out of space,
Filing for Expungement and/or Sealing form.
use the Additional
Notice of Filing for
Expungement and/or
4.
To:
Illinois State Police
Sealing form and check
260 North Chicago Street
the box.
Joliet, Illinois 60432
EX-N 2904.2
Page 1 of 2
(03/18)
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,
NOTICE OF FILING FOR
CIRCUIT COURT
EXPUNGEMENT AND/OR
COUNTY
SEALING
Instructions
Request of:
Directly above, enter
the name of county
where you will file the
case.
Your name
(First, middle, last name)
Enter your name, birth
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)
Enter the number for
Arrest or Case Numbers of all Eligible Criminal Offenses on your Record in this County:
all eligible arrests and
charges on your
criminal record in this
county. If an arrest did
not result in formal
charges, enter the
arrest number.
In 1, enter the State’s
1.
To:
County State’s Attorney
Attorney office that
County Name
prosecuted your cases.
Street Address
City
State
ZIP
In 2, enter the local
police agencies that
arrested you.
2.
To:
Arresting Agencies that arrested you:
If you run out of space,
use the Additional
Name
Name
Notice of Filing for
Expungement and/or
Sealing form and
Street Address
Street Address
check the box.
City
State
ZIP
City
State
ZIP
In 3, enter the names
and addresses of the
I have listed additional Arresting Agencies on the attached Additional Notice of
Chief Legal Officer of
Filing for Expungement and/or Sealing form.
the Unit of Local
Government that
arrested you.
3.
To:
Chief Legal Officers of the Units of Local Government that arrested you:
The Chief Legal Officer
is usually the lawyer for
Name
Name
the city or town in
which you were
arrested or, in some
Street Address
Street Address
cases, if you were
arrested by the sheriff,
City
State
ZIP
City
State
ZIP
it is the State's Attorney
for that county.
I have listed additional Chief Legal Officers on the attached Additional Notice of
If you run out of space,
Filing for Expungement and/or Sealing form.
use the Additional
Notice of Filing for
Expungement and/or
4.
To:
Illinois State Police
Sealing form and check
260 North Chicago Street
the box.
Joliet, Illinois 60432
EX-N 2904.2
Page 1 of 2
(03/18)
Enter the Case Number given by the Circuit Clerk: _________________________________
In 5, enter the name of
5.
I have filed a Request to Expunge & Impound and/or Seal Criminal Records
the county where you
with the Clerk of the Circuit Court of
County, Illinois.
are filing your Request.
County Name
In 6, check the box if
6.
I am seeking a fee waiver under Supreme Court Rule 298, or have attached an Order
you have or are getting
waiving my filing and State Police fees.
a fee waiver.
7.
The Circuit Court Clerk will mail a copy of this Notice and the Request to all of the agencies
listed above in sections 1 - 4.
If you are completing
/s/
this form on a
Your Signature
Date
computer, sign your
Prepared by:
name by typing it. If
you are completing it
Street Address:
by hand, sign and print
City, State, ZIP:
your name.
Phone Number:
CERTIFICATE OF MAILING
DO NOT fill out this
section. The Circuit
The undersigned certifies that the above Notice and attached documents were placed in the U.S.
Clerk will sign and
Mail with first class postage prepaid to all parties listed above.
mail it.
Signature of Circuit Clerk
Name of Deputy Clerk
PRINT FORM
SAVE FORM
RESET FORM
EX-N 2904.2
Page 2 of 2
(03/18)

Download Form EX-N 2904.2 Notice of Filing for Expungement and/Or Sealing - Illinois

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