"IL" SEWELL POINT FREE EXPUNGEMENT INTAKE FORM

HEAL THE CITY OF CHICAGO

"IL" FREE EXPUNGEMENT INTAKE FORM
DECEMBER 21, 2024 | 11AM-3PM

4655 S. Martin Luther King Dr., Chicago, IL 60653
Please enter the name in your arrest record or conviction if known.*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County of Residence*
County of your Cannabis Arrest/Conviction*
Do you have a cannabis arrest/conviction in more than one Illinois County?*
County of your Non-Cannabis Arrest/Conviction*
Do you have a Non-cannabis Arrest/Conviction in more than one Illinois County?*
Do you have any other charges that aren't Cannabis related on your record?*
Do you have your Record (RAP SHEET) in hand?*
Will you be participating in the Free Record Expungement on December 21, 2024? 4655 S. Martin Luther King Dr., Chicago, IL 60653*
How did you hear about this Free Expungement Event?
ONCE YOU COMPLETE THIS FORM YOU WILL RECIEVE A CALL FROM OUR STAFF TO SCHEDULE YOUR APPOINTMENT FOR DECEMBER 21, 2024

FOR MORE INFORMATION: 773-951-6200
Should be Empty:

HEAL THE CITY OF CHICAGO