Fill and Sign the Petition for Expungement of Dui Conviction While under the Age of 21 Colorado Form

County Court _________________________ County, Colorado Court Address: State of Colorado v. Defendant: _______________________________________ COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E-mail: FAX Number: Atty. Reg.#: Case Number: Division Courtroom PETITION FOR EXPUNGEMENT PURSUANT TO § 42-4-1715(1)(b)(I), C.R.S. I, _______________________________________, (Defendant), petition the court for an expungement of my conviction under § 42-4-1301(2)(d), C.R.S. (Underage Drinking and Driving with a blood alcohol level of at least . 02 but no more than .05) 1. Information about the Defendant: Date of Birth: _______________________ Current Mailing Address: ___________________________________________________________ City, State and Zip Code: __________________________________________________________ Home Phone #: ________________ Work Phone #: _______________ Cell #: ________________ 2. I am over the age of 21 and have not been convicted of any other offense under § 42-4-1301, C.R.S. while under the age of 21. 3. I have paid all fines, costs, restitution, and surcharges assessed and have completed all other requirements ordered in the case. The court action regarding the offense has been concluded. 4. I have never held a commercial driver’s license and was not operating a commercial motor vehicle. 5. I request that the following information be expunged: Date of Offense Name of Law Enforcement Agency Arrest Number  By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form.  By checking this box, I am acknowledging that I have made a change to the original content of this form. __________________________________________________________________________________________ SIGNATURE ___________________________________ ______________________________________ (Printed name of Defendant) Signature of Defendant Date ________________________________ Signature of Attorney, if applicable JDF 305 R3-18 PETITION FOR EXPUNGEMENT PURSUANT TO § 42-4-1715(1)(b)(I), C.R.S.