Form EXJ-N 3204.1 Notice of Filing for Juvenile Expungement - Illinois

Form EXJ-N3204.1 is a Illinois Circuit Court form also known as the "Notice Of Filing For Juvenile Expungement". The latest edition of the form was released in January 1, 2018 and is available for digital filing.

Download an up-to-date Form EXJ-N3204.1 in PDF-format down below or look it up 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,
CIRCUIT COURT
NOTICE OF FILING FOR
JUVENILE EXPUNGEMENT
COUNTY
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 and
birth date.
Date of birth
Enter all case
numbers you listed in
Case numbers for all of your juvenile court records in this County:
this area of your
Request form.
In 1, enter the State’s
1.
To:
County State’s Attorney’s Office
Attorney’s Office in the
County Name
County where you are
filing.
Street Address
City
State
ZIP
In 2, enter the police or
2.
To:
Police or Sheriff’s Department that arrested you:
sheriff's department
that arrested you.
Name
Name
If there are more than
2, use the Additional
Arresting Agencies
Street Address
Street Address
form and check the box
and file it with this
City
State
ZIP
City
State
ZIP
Notice.
I have listed additional Arresting Agencies on the Additional Arresting Agencies
form which I will file with this Notice.
3.
To:
Illinois State Police
260 North Chicago Street
Joliet, Illinois 60432
4.
I have filed a Request to Expunge Juvenile Records with the Circuit Clerk of
County, Illinois.
County Name
5.
The Circuit Clerk will mail a copy of this Notice and the Request to all of the agencies
listed above in sections 1 - 3.
EXJ-N 3204.1
Page 1 of 2
(01/18)
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,
CIRCUIT COURT
NOTICE OF FILING FOR
JUVENILE EXPUNGEMENT
COUNTY
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 and
birth date.
Date of birth
Enter all case
numbers you listed in
Case numbers for all of your juvenile court records in this County:
this area of your
Request form.
In 1, enter the State’s
1.
To:
County State’s Attorney’s Office
Attorney’s Office in the
County Name
County where you are
filing.
Street Address
City
State
ZIP
In 2, enter the police or
2.
To:
Police or Sheriff’s Department that arrested you:
sheriff's department
that arrested you.
Name
Name
If there are more than
2, use the Additional
Arresting Agencies
Street Address
Street Address
form and check the box
and file it with this
City
State
ZIP
City
State
ZIP
Notice.
I have listed additional Arresting Agencies on the Additional Arresting Agencies
form which I will file with this Notice.
3.
To:
Illinois State Police
260 North Chicago Street
Joliet, Illinois 60432
4.
I have filed a Request to Expunge Juvenile Records with the Circuit Clerk of
County, Illinois.
County Name
5.
The Circuit Clerk will mail a copy of this Notice and the Request to all of the agencies
listed above in sections 1 - 3.
EXJ-N 3204.1
Page 1 of 2
(01/18)
If you are completing
this form on a
/s/
computer, sign your
Your Signature
Date
name by typing it. If
you are completing it
Prepared by:
by hand, sign and print
Street Address:
your name.
City, State, ZIP:
Enter your name,
Phone Number:
address, and 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
EXJ-N 3204.1
Page 2 of 2
(01/18)
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