Fill and Sign the Co Expungement Dui Form

County Court _______________________County, Colorado Court Address: State of Colorado v. Defendant: ____________________________________ COURT USE ONLY Case Number: Division: Courtroom: ORDER TO EXPUNGE PURSUANT TO §42-4-1715(1)(b)(I), C.R.S. The Court having read the Petition for Expungement Pursuant to §42-4-1715(1)(b)(I), C.R.S., and examining the record, finds that the record is eligible for expungement. Information about the Defendant: Date of Birth: ________________________________ Current Mailing Address: ___________________________________________________________ City, State, and Zip Code: __________________________________________________________ The Court orders the following pursuant to §42-4-1715(b)(I), C.R.S.: 1. The following information shall be expunged: Date of Offense Name Law Enforcement Agency Arrest Number 2. The Court directs the Clerk of Court to expunge this county court case. 3. The Defendant or his/her attorney shall mail a copy of this Order to the following agencies to expunge their records associated with this case:  District Attorney  Law Enforcement Agency (Identify name of agency): ______________________________________  Department of Motor Vehicle (DMV)  Colorado Bureau of Investigation (CBI)  Other: _______________________________________________________________________ Date: ________________________________ ______________________________________  Judge  Magistrate I certify that on ___________________________ (date), I mailed this Order to the following:  Defendant  Defendant’s Attorney ______________________________________ Clerk JDF 306 3/06 ORDER TO EXPUNGE PURSUANT TO 42-4-1715(1)(b)(I), C.R.S.