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Illinois Standardized Forms - Approved - Request to ...

This form is Approved by the Illinois Supreme Court and is required to be accepted in all Illinois Circuit Courts. STATE OF Illinois , CIRCUIT COURT COUNTY Request TO EXPUNGE & IMPOUND AND/OR SEALCRIMINAL RECORDS For Court Use Only Instructions Request of: Your name (First, middle, last name) Directly above, enter the name of county where you will file the case . Enter your name, birth 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.

case. listed on this form. (if the Clerk (If no, NOT FILL OUT (Charge S or P) Released RWC For RV Certificate of Eligibility Qualified Probation Successfully This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois Circuit Courts. STATE OF ILLINOIS, ... CRIMINAL RECORDS . For Court Use Only .

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