Illinois > Local County > Cook > Juvenile
Notice CCJ 0042 - Illinois
| Notice Form. This is a Illinois form and can be used in Juvenile Cook Local County . |
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Notice for Petition to Expunge Juvenile Records Print Form Clear Form (Rev. 12/04/08) CCJ 0042 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS DEPARTMENT OF JUVENILE JUSTICE AND CHILD PROTECTION JUVENILE JUSTICE DIVISION IN THE INTEREST OF ___________________________________________________ Petitioner } No. ________________________________________ NOTICE To: State's Attorney: __________________________________ Address: ________________________________________ City/State/Zip Code: _______________________________ Telephone: _______________________________________ To: Arresting Agency: _________________________________ Address: ________________________________________ City/State/Zip Code: _______________________________ Telephone: _______________________________________ To: Illinois State Police: ________________________________ Address: ________________________________________ City/State/Zip Code: _______________________________ Telephone: _______________________________________ ATTENTION: Expungement You are hereby notified that on ___________________________, _________ at ____________________, a.m./p.m. in courtroom ___________, located at _____________________________________________________, before the Honorable __________________________________, Judge, or any judge sitting in his/her stead, I shall then and there present a Petition to Expunge Juvenile records in the above-entitled matter, at which time and place you may appear. Petitioner's Address: __________________________________ City/State/Zip Code: __________________________________ Telephone: __________________________________________ PROOF OF SERVICE On the __________ day of ___________________________, _________ I on oath state that I served this notice and true and correct copies of the above-checked documents by: (check one) ___________________________________________ Petitioner Signature or delivering copies personally to each entity to whom they are directed; by mailing copies to each entity to whom they are directed by depositing the same in the U.S. Mail, proper postage fully prepaid, before the hour of 5:00 p.m., at the United States Postal Depository located at _____________________________________. ___________________________________________________ Clerk of the Circuit Court ____________________________________________ Print Name of Delinquent Minor/Petitioner Address: ____________________________________ Telephone: __________________________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
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