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EXP-AD Request

This document is an official form approved by the Illinois Supreme Court for requesting the expungement, impounding, and/or sealing of criminal records in Illinois Circuit Courts. It provides detailed instructions for applicants to fill out their personal information, case details, and eligibility criteria for expungement or sealing. The form includes sections for listing arrests, charges, outcomes, and necessary certifications, along with legal disclaimers regarding the truthfulness of the information provided.

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0% found this document useful (0 votes)
17 views4 pages

EXP-AD Request

This document is an official form approved by the Illinois Supreme Court for requesting the expungement, impounding, and/or sealing of criminal records in Illinois Circuit Courts. It provides detailed instructions for applicants to fill out their personal information, case details, and eligibility criteria for expungement or sealing. The form includes sections for listing arrests, charges, outcomes, and necessary certifications, along with legal disclaimers regarding the truthfulness of the information provided.

Uploaded by

Saphire Charm
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 4

This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois Circuit Courts.

Forms are free at ilcourts.info/forms.


STATE OF ILLINOIS, For Court Use Only
CIRCUIT COURT REQUEST TO EXPUNGE &
IMPOUND AND/OR SEAL
COUNTY CRIMINAL RECORDS
Instructions
Directly above, enter Request of:
the 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
arrested on the cases Other names used in these cases
listed on this form.

If the Clerk gave you a


Date of birth Race Gender Case Number (if the Clerk
new case number, assigns a new number)
enter it to the right. Arrest or Case Numbers of all Eligible Criminal Offenses on your Record in this County:
Enter the number for
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.

If you are only 1. I am requesting to expunge and impound records.


requesting to seal
 Yes  No (If no, go to Section 12)
cases, do not fill out
sections 2 - 11. Go to 2. I ask the Court to EXPUNGE AND IMPOUND the following arrests or charges from the
section 12. records of the Arresting Agency, the Circuit Clerk, and the Illinois State Police. I was arrested,
or charged without being arrested, and not convicted on the dates and for the offenses listed below:

See How to Expunge


Arrest or Arresting Date of Outcome (for
and/or Seal a Criminal Charge
example, RV,
Record to make sure all Case Number Agency (list all charges for each case number) Arrest S or P)
of your cases can be
erased by expunging
your record. For help
filling out this table,
see pages 13 – 16. Do
not list any
convictions in this
section.
In 2, enter all eligible
arrests or charges on
your record. Enter all
charges for each case
number.
For Outcome, enter an
outcome that matches
the outcome of your
case. Use the Outcome Abbreviations
shortened version of
RV Conviction Reversed or Vacated P Pardon from the Governor
the outcome from the
Outcome CE Certificate of Eligibility for Expungement from PRB FI Found Factually Innocent
Abbreviations box. RWC Released Without Charge DA Dismissal or Acquittal
If you need more room, S Supervision Successfully Completed QP Qualified Probation Successfully Completed
use the Additional
Arrests or Cases for
Expungement form and  I have listed additional arrests or cases on the attached Additional Arrests or Cases for
check the box. Expungement form.
EX-R 2903.8 Page 1 of 4 (10/24)
Enter the Case Number given by the Circuit Clerk: _________________________________

In 3-11, check ALL 3. I was not convicted of any offenses I want to expunge, unless (Check the box that applies):
boxes that apply.
a.  I was convicted, but the conviction was reversed or vacated; OR
In 3, you cannot
b.  I received a pardon from the Governor of the State of Illinois allowing
expunge a criminal
conviction unless one expungement. (Attach a copy of the pardon.); OR
of the special c.  I received a Certificate of Eligibility for Expungement by the Prisoner Review
situations listed under
Board. (Attach a copy of the Certificate.); OR
checkboxes a, b, c, or
d describes your case. d.  I was found factually innocent in the case I am asking to expunge.
In 6, select whether
you have participated 4.  For at least one case, I was arrested and released, and no charges were filed against me.
in a problem-solving
court, pre-plea
diversion, or post-plea 5.  For at least one case, I was arrested for a minor traffic offense and released from
diversion program. custody without being charged.
In 8, your record must
specifically state that 
6. For at least one case, I participated in a problem-solving court, pre-plea diversion, or
you had Qualified
Probation. It might post-plea diversion program; AND
also be called Second a.  I have successfully completed this program; OR
Chance, 410, 710,
1410, or TASC b.  I am anticipating the successful completion of this program within 61 days of
probation. filing this request to expunge.

In 9, if you got 7.  For at least one case, I was charged, but was later acquitted or the case was dismissed.
supervision for any
case, 5 years must
have passed since the 8.  For at least one case, I received a sentence of Qualified Probation; AND
end of the sentence
for: a. At least 5 years have passed since my Qualified Probation ended successfully;
• Domestic Battery; AND
• Criminal Sexual b. I have attached the results of a drug test that I passed within the last 30 days.
Abuse;
• Driving without
Insurance; 9.  For at least one case, I received a sentence of supervision; AND
• Driving with a.  For certain offenses listed in the law, at least 5 years have passed since
registration suspended
for Non-Insurance; I completed my supervision successfully; OR
• Display of False b.  At least 2 years have passed since I completed my supervision successfully.
Insurance Card;
• Scrap Processors to
Keep Records; OR 10.  I am NOT seeking to expunge any arrests or charges that resulted in supervision for:
• 2 years must pass a. Driving Under the Influence; OR
since the end of the
b. Any sexual offense against a person under the age of 18; OR
sentence for all other
supervisions (except c. Reckless Driving when I was 25 years of age or older.
those listed in 10,
which can never be
expunged). 11.  For at least one case, I received a sentence of supervision for Reckless Driving; AND
If you are only a. I was under the age of 25 when the offense was committed; AND
requesting to
expunge cases, do b. I have no other convictions for DUI or Reckless Driving; AND
not fill out sections c. I have reached the age of 25.
13 - 23. Skip to the
bottom and sign. See
How to Expunge 12. I am requesting to seal records.
and/or Seal a  Yes  No (If no, skip Sections 13 - 23)
Criminal Record to
make sure your cases
can be hidden by
sealing your record.
For help filling out
the table on the next
page, see pages 13 -
16.
EX-R 2903.8 Page 2 of 4 (10/24)
Enter the Case Number given by the Circuit Clerk: _________________________________

In 13, enter all eligible 13. I ask the Court to SEAL the following arrests, charges, or convictions from the records of the
arrests, charges, and
Arresting Agency, the Circuit Clerk, and the Illinois State Police:
convictions you want
sealed. Enter all Arrest or Case Arresting Charge Date of Outcome (for
charges for each case Number Agency (list all charges for each case Arrest example, MC,
number. For Outcome, number) FC, or CE)
enter an outcome that
reflects the outcome of
your case. Use the
shortened version of
the outcome from the
Outcome
Abbreviations box.
If you need more room
to list additional
eligible arrests or
charges use the
Additional Arrests or
Cases for Sealing form
and check the box.
14– 15 must be true for
you to use this form. Outcome Abbreviations
For 14, traffic offenses MC I Misdemeanor Conviction I FC I Felony Conviction
cannot be sealed unless
CE I Certificate of Eligibility for Sealing from PRB I QP I Qualified Probation Successfully Completed
they were an eligible
Class A or B  I have listed additional arrests or cases on the attached Additional Arrests or Cases for
misdemeanor. Sealing form.
In 16 - 23, check ALL
boxes that apply. 14. I am not asking to seal arrests or charges for minor traffic offenses, unless I was released
In 17 and 18a –c, some without being charged.
misdemeanor
supervisions and
convictions cannot be 15. I am not asking to seal a felony conviction that happened after the sealing of a prior felony
sealed, like DUI, some conviction.
Reckless Driving
Offenses, Domestic
Battery, some Sexual 16.  I am asking to seal a successfully completed sentence of Second Chance Probation
Offenses, and Dog (under Section 5-6-3.4 of the Unified Code of Corrections), for which there is no waiting
Fighting. period.
In 18b, some Class 3
and Class 4 felony 17.  At least 2 years have passed since I successfully completed my supervision for eligible
offenses can be sealed, offenses.
like Theft, Possession
of Cannabis,
Possession of a 18. At least 3 years have passed since the end of my last sentence (Unless #21 or 22 applies);
Controlled Substance, AND (Check all that apply):
and a few others.
a.  I received a misdemeanor conviction for an offense subject to sealing;
b.  I received a felony conviction for an offense subject to sealing. If it was a drug case,
For a complete list of I have attached the results of a drug test that I passed within the last 30 days.
crimes that can and
cannot be sealed, see c.  I successfully completed a sentence under Section 10 of the Cannabis Control Act,
the How to Expunge Section 410 of the Illinois Controlled Substances Act, Section 70 of the
and/or Seal a Criminal Methamphetamine Control and Community Protection Act, or Offender Initiative
Record.
Program (under Section 5-6-3.3 of the Unified Code of Corrections), AND I have
attached the results of a drug test that I passed within the last 30 days.

19.  I am not asking to seal a felony conviction for which I currently have to register on a
public registry, including the Arsonist Registration Act, the Sex Offender Registration Act,
or the Murder and Violent Offender Against Youth Registration Act.

EX-R 2903.8 Page 3 of 4 (10/24)


Enter the Case Number given by the Circuit Clerk: _________________________________

20.  For at least one case, I received a Certificate of Eligibility for Sealing by the Prisoner
Review Board. (Attach a copy of the Certificate.)

In 21, check the box if 21.  I am eligible to seal all eligible cases upon completion of my LAST sentence because
you have completed one I received a high school diploma, associate's degree, career certificate, vocational or
of the listed educational
goals during your last technical certification, or bachelor's degree, or passed the high school GED Test; AND
sentence. If 21 applies to a. I did so during the period of my LAST sentence, aftercare release, or mandatory
you, all eligible cases
can be sealed supervised release; AND
immediately after the b. I did not complete the same educational goal before.
completion of your last
c. I have attached to this Request proof of the program I completed.
sentence.

22.  I am eligible to seal all eligible cases upon completion of my LAST sentence because
I am a trafficking victim as defined under Section 10-9 of the Criminal Code of 2012, and
as such:
a. I was a victim of human trafficking when my last offense was committed; AND
b. My participation in the offense was a direct result of human trafficking under Section
10-9 of the Criminal Code of 2012 OR a severe form of trafficking under the federal
Trafficking Victims Protection Act.

23.  For at least one case, I received a conviction for Reckless Driving; AND
a. I was under the age of 25 when the offense was committed; AND
b. I have no other convictions for DUI or reckless driving; AND
c. I have reached the age of 25.

Under the Code of Under 735 ILCS 5/1-109 your signature means:
Civil Procedure, -735
1) everything in this document is true and correct, or I have been informed or I believe it to be
ILCS 5/1-109, making
a statement on this true and correct, and 2) I understand that making a false statement on this form is perjury
form that you know to and has penalties provided by law.
be false is perjury, a
Class 3 Felony.

If you are completing Your Signature Street Address


this form on a
computer, sign your
name by typing it. If
you are completing it Print Your Name City, State, ZIP
by hand, sign by hand
and print your name.

Enter your complete Telephone Email


address, telephone
number, and email
address, if you have
one. Firm Name (if any) Attorney # (if any)

Be sure to check your email every day so you do not miss important information, court dates, or documents from other parties.
I
DO NOT fill in the
box to the right. For official use only

State’s Attorney/Prosecutor/ISP/Arresting
Agency/Chief Local Legal Officer:

Received on:

EX-R 2903.8 Page 4 of 4 (10/24)


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