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  • FRESH START: SEALING & EXPUNGEMENT CLINIC PARTICIPANT INFORMATION AND REGISTRATION FORM  

    An Initiative of the Kankakee County State's Attorney's Office

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      {form_title}
     
    Name {input5}
    Address {address3}
    Birth Date {birthDate65}
    Gender {gender66}
    Ethnicity {ethnicity}
    Cell Number {cellNumber}
    E-mail {email16}
    Conviction(s) (If known) {convictionsif}
    Do you have any open cases pending in any OTHER counties? If "Yes", you are not eligible for relief. DO NOT SUBMIT THIS FORM. {doYou}
    Has the last day of your sentence of Court Supervision been AT LEAST 2 YEARS? If "No", you are not eligible for relief. DO NOT SUBMIT THIS FORM. {hasThe}
    Has the last day of your sentence of Probation, Conditional Discharge, Judgement of Conviction, Served Jail Time or Parole been AT LEAST 3 YEARS? If "No", you are not eligible for relief. DO NOT SUBMIT THIS FORM. {hasThe120}
    Has the last day of your sentence of 710, 410, TASC or Second Chance Probation been AT LEAST 5 YEARS? If "No", you are not eligible for relief. DO NOT SUBMIT THIS FORM. {hasThe121}
    Illinois law requires you to take a drug test within 30 days of your scheduled court date IF you are sealing a conviction for a drug-related offense. You will need to bring the results to your court date. Do you understand this Illinois law is a requirement? If "No", DO NOT SUBMIT THIS FORM. {illinoisLaw}
       
    Initial {initial}
    		 
         
       
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  • Participant's Information

  • Gender*
  • Ethnicity*
  •  -

  • Please use the link below to recall your conviction history.

    https://portal.k3county.net/Portal/Home/Dashboard/29 

  • Conviction(s) (If known)
  • Do you have any open cases pending in any OTHER counties? If "Yes", you are not eligible for relief. DO NOT SUBMIT THIS FORM.*
  • Has the last day of your sentence of Court Supervision been AT LEAST 2 YEARS? If "No", you are not eligible for relief. DO NOT SUBMIT THIS FORM.*
  • Has the last day of your sentence of Probation, Conditional Discharge, Judgement of Conviction, Served Jail Time or Parole been AT LEAST 3 YEARS? If "No", you are not eligible for relief. DO NOT SUBMIT THIS FORM.*
  • Has the last day of your sentence of 710, 410, TASC or Second Chance Probation been AT LEAST 5 YEARS? If "No", you are not eligible for relief. DO NOT SUBMIT THIS FORM.*
  • Illinois law requires you to take a drug test within 30 days of your scheduled court date IF you are sealing a conviction for a drug-related offense. You will need to bring the results to your court date. Do you understand this Illinois law is a requirement? If "No", DO NOT SUBMIT THIS FORM.*
  • Once your request has been reviewed, you will be contacted by email whether you qualify or do not qualify to seal and/or expunge your case(s). Please understand, your request may take up to 21 days to review.*

  • Confirmation

    BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

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