Fill and Sign the Ca Seal Records Form

ATTORNEY OR CREDITOR WITHOUT ATTORNEY (Name and Address) : TELEPHONE NO.: ––––– ––––– ––––– ––––– ––––– ATTORNEY FOR (Name) : ––––– FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF ––––– STREET ADDRESS: ––––– MAILING ADDRESS: ––––– CITY AND ZIP CODE: ––––– BRANCH NAME: ––––– CASE NAME: ––––– ––––– ––––– ORDER TO SEAL JUVENILE RECORDS CASE NUMBER: ––––– 1. Name of petitioner ( specify aliases ): ––––– Date of birth: ––––– 2. a. Date of Hearing: ––––– Dept.: ––––– Room: ––––– b. Judicial officer ( name ): ––––– 3. The court has read and considered the petition and the report of the probation officer. 4. The petition is a. Granted b. Denied. THE COURT ORDERS 5. The sealing of petitioner's juvenile records in the custody of this court and the courts, agencies, and officials named below ( designate county ): ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– See attachment (A) for additional names. All records sealed shall be destroyed according to Welfare and Institutions Code sections 389(c) and 781(d). 6. Petitioner is relieved from the registration requirements under Penal Code section 290 and the registration information in the custody of the Department of Justice and other agencies and officials listed above shall be destroyed. 7. The clerk shall send a certified copy of this order to the clerk in each county in which a record is ordered sealed, and a copy to each agency and official listed above. Date: ––––– JUDICIAL OFFICER OF THE SUPERIOR COURT [[SEAL] CLERK'S CERTIFICATE I certify that the foregoing is a true and correct copy of the original on file in my office. Date: ––––– Clerk, by , Deputy Form Adopted by the Judicial Council of California JV-590 [Rev. January 1, 2007] ORDER TO SEAL JUVENILE RECORDS Calif. Rules of Court, rules 5.504, 5.650 Welfare and Institutions Code, §§ 389(c), 781(d Penal Code, § 290)electronic form ã 1997- 2007 WWW.LawCA.com Law Publishers JV-590