Form EXJ-R 3203.1 Request to Expunge Juvenile Records - Illinois

Form EXJ-R3203.1 is a Illinois Circuit Court form also known as the "Request To Expunge Juvenile Records". The latest edition of the form was released in January 1, 2018 and is available for digital filing.

Download a PDF version of the Form EXJ-R3203.1 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,
CIRCUIT COURT
REQUEST TO EXPUNGE
JUVENILE RECORDS
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
date of birth.
Enter the number for
Date of birth
court cases in your
juvenile record that
you are asking to
Case numbers for all of your juvenile court records in this County:
expunge. If an arrest
did not result in a
court case, the Circuit
Clerk will assign it a
case number. When
the Circuit Clerk
assigns the number
enter it here.
In 1, for each eligible
1. I ask the court to expunge all my eligible juvenile law enforcement and court records from
offense on your
the agency that arrested me, the Circuit Clerk, and the Illinois State Police. I was arrested
juvenile record, enter:
on the dates and for the offenses listed below:
the case number,
the police or
sheriff's
a.
department that
Case Number
Arresting Agency
Arrest Charges (if you were
Date of Arrest
arrested you,
found guilty of a different
the charge you
charge, list that charge)
were arrested for
Outcome for this case
:
or the charge you
(check only one)
were found guilty
of,
 Arrest without court case filed/station or probation adjustment/ pre-petition diversion
the date of arrest,
 Given supervision and successfully completed it
and
check the box that
 Guilty of felony or class A misdemeanor
Case dismissed
(thrown out)
matches the
 Guilty of class B or C misdemeanor
Found not guilty or not delinquent
outcome of your
case.
If your arrest did not
b.
result in a court case,
Case Number
Arresting Agency
Arrest Charges (if you were
Date of Arrest
the Circuit Clerk will
found guilty of a different
assign it a case
charge, list that charge)
number. When the
Outcome for this case
:
(check only one)
Circuit Clerk assigns
the number enter it
here.
Arrest without court case filed/station or probation adjustment/ pre-petition diversion
I was given supervision and successfully completed it
Guilty of felony or class A misdemeanor
Case dismissed
(thrown out)
Guilty of class B or C misdemeanor
Found not guilty or not delinquent
See How to Expunge
Juvenile Records to
c.
make sure all of your
Case Number
Arresting Agency
Arrest Charges (if you were
Date of Arrest
cases can be erased by
found guilty of a different
expunging your
charge, list that charge)
record.
EXJ-R 3203.1
Page 1 of 3
(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
REQUEST TO EXPUNGE
JUVENILE RECORDS
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
date of birth.
Enter the number for
Date of birth
court cases in your
juvenile record that
you are asking to
Case numbers for all of your juvenile court records in this County:
expunge. If an arrest
did not result in a
court case, the Circuit
Clerk will assign it a
case number. When
the Circuit Clerk
assigns the number
enter it here.
In 1, for each eligible
1. I ask the court to expunge all my eligible juvenile law enforcement and court records from
offense on your
the agency that arrested me, the Circuit Clerk, and the Illinois State Police. I was arrested
juvenile record, enter:
on the dates and for the offenses listed below:
the case number,
the police or
sheriff's
a.
department that
Case Number
Arresting Agency
Arrest Charges (if you were
Date of Arrest
arrested you,
found guilty of a different
the charge you
charge, list that charge)
were arrested for
Outcome for this case
:
or the charge you
(check only one)
were found guilty
of,
 Arrest without court case filed/station or probation adjustment/ pre-petition diversion
the date of arrest,
 Given supervision and successfully completed it
and
check the box that
 Guilty of felony or class A misdemeanor
Case dismissed
(thrown out)
matches the
 Guilty of class B or C misdemeanor
Found not guilty or not delinquent
outcome of your
case.
If your arrest did not
b.
result in a court case,
Case Number
Arresting Agency
Arrest Charges (if you were
Date of Arrest
the Circuit Clerk will
found guilty of a different
assign it a case
charge, list that charge)
number. When the
Outcome for this case
:
(check only one)
Circuit Clerk assigns
the number enter it
here.
Arrest without court case filed/station or probation adjustment/ pre-petition diversion
I was given supervision and successfully completed it
Guilty of felony or class A misdemeanor
Case dismissed
(thrown out)
Guilty of class B or C misdemeanor
Found not guilty or not delinquent
See How to Expunge
Juvenile Records to
c.
make sure all of your
Case Number
Arresting Agency
Arrest Charges (if you were
Date of Arrest
cases can be erased by
found guilty of a different
expunging your
charge, list that charge)
record.
EXJ-R 3203.1
Page 1 of 3
(01/18)
Outcome for this case
:
(check only one)
Arrest without court case filed/station or probation adjustment/ pre-petition diversion
I was given supervision and successfully completed it
Guilty of felony or class A misdemeanor
Case dismissed
(thrown out)
Guilty of class B or C misdemeanor
Found not guilty or not delinquent
d.
Case Number
Arresting Agency
Arrest Charges (if you were
Date of Arrest
found guilty of a different
charge, list that charge)
Outcome for this case
:
(check only one)
Arrest without court case filed/station or probation adjustment/ pre-petition diversion
I was given supervision and successfully completed it
Guilty of felony or class A misdemeanor
Case dismissed
(thrown out)
Guilty of class B or C misdemeanor
Found not guilty or not delinquent
e.
Case Number
Arresting Agency
Arrest Charges (if you were
Date of Arrest
found guilty of a different
charge, list that charge)
Outcome for this case
:
(check only one)
Arrest without court case filed/station or probation adjustment/ pre-petition diversion
I was given supervision and successfully completed it
Guilty of felony or class A misdemeanor
Case dismissed
(thrown out)
Guilty of class B or C misdemeanor
Found not guilty or not delinquent
f.
Case Number
Arresting Agency
Arrest Charges (if you were
Date of Arrest
found guilty of a different
charge, list that charge)
Outcome for this case
:
(check only one)
Arrest without court case filed/station or probation adjustment/ pre-petition diversion
I was given supervision and successfully completed it
If all of your eligible
Guilty of felony or class A misdemeanor
Case dismissed
(thrown out)
offenses will not fit on
Guilty of class B or C misdemeanor
Found not guilty or not delinquent
this page, list the rest on
one or more Additional
Juvenile Records forms
 I have listed additional eligible juvenile arrests, charges, or guilty findings on the
and file it with this
Additional Juvenile Records form which I will file with this Request.
Request.
In 2, enter your current
2. My mailing address is:
address. This is the
Street, Apt #
address where the
court or law
City
State
ZIP
enforcement agency
will send you
documents.
If I move or change my email address I will file a Change of Address form
.
EXJ-R 3203.1
Page 2 of 3
(01/18)
In order to fill out
***Fill out subsection 1 or subsection 2 or both depending on your juvenile record***
Subsection 1 and 2, see
the How to Expunge
3.  SUBSECTION 1
Juvenile Records.
All juvenile court proceedings related to the arrests and cases I am seeking to expunge are
In 3, check Subsection 1
closed.
if the statement applies
to you.
4.  SUBSECTION 2
In 4, check Subsection
2 if a and b apply to
a. At least 2 years have passed since all my juvenile cases ended. This includes juvenile
you.
probation, serving time in the Department of Juvenile Justice, and parole (IDJJ Aftercare).
In 4a, enter the date
The date my last juvenile case sentence ended was:
your last juvenile case
Date
ended.
b. None of the cases I am trying to expunge are cases where I was found guilty of first degree
murder or an offense that requires me to register under the Sex Offender Registration Act.
Under the Code of Civil
I certify that everything in the Request to Expunge Juvenile Records is true and correct. I
Procedure,
735 ILCS
understand that making a false statement on this form is perjury and has penalties provided
5/1-109, making a
by law under
735 ILCS
5/1-109.
statement on this form
that you know to be
false is perjury, a Class
/s/
3 Felony.
Your signature
Date
If you are completing
this form on a computer,
sign your name by
For official use only
typing it. If you are
completing it by hand,
Prepared by:
sign and print your
Street Address:
State’s Attorney/Prosecutor/ISP/Arresting
name.
City, State, ZIP:
Agency/Chief Local Legal Officer:
DO NOT fill in the box
Phone Number:
to the right.
Received on:
GETTING COURT DOCUMENTS BY EMAIL: If you agree to receive court documents by email, check the box below and enter your email
address. You should use an email account that you do not share with anyone else and that you check every day. If you do not check your email
every day, you may miss important information or notice of court dates. Other parties may still send you court documents by mail.
I agree to receive court documents at this email address during my entire case.
Email
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EXJ-R 3203.1
Page 3 of 3
(01/18)

Download Form EXJ-R 3203.1 Request to Expunge Juvenile Records - Illinois

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