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Fill and Sign the Motion Ampamp Decl for Ord to Correct or Destroy Improperly Retained Records Form

Fill and Sign the Motion Ampamp Decl for Ord to Correct or Destroy Improperly Retained Records Form

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MTN/DECL FOR ORD TO CORRECT/DESTROY RECORDS (MTAF) - Page 1 of 2WPF JU 10.0200 (9/2000) - RCW 13.50.010(6)(7) SUPERIOR COURT OF WASHINGTONCOUNTY OF _______________________ JUVENILE COURT STATE OF WASHINGTON v. Respondent(s). D.O.B.: NO: MOTION AND DECLARATION FOR ORDER TO CORRECT OR DESTROY IMPROPERLY RETAINED RECORDS(MTAF) I. MOTION I, _____________________________________________, request that the court issue an order directing (Name) ___________________________________________ to correct  to destroy records pertaining to me. (Juvenile Justice or Care Agency)  I request the court to set a date for a hearing on this motion. _____________________________________________Signature_____________________________________________Title/Relationship II. DECLARATION I, _________________________________________, hereby declare as follows:2.1 I am the respondent in the above-captioned case. I make this declaration of personal knowledge and could and would competently testify to its contents. MTN/DECL FOR ORD TO CORRECT/DESTROY RECORDS (MTAF) - Page 2 of 2WPF JU 10.0200 (9/2000) - RCW 13.50.010(6)(7) 2.2 I have reasonable cause to believe information concerning me is included in the records of the above-referenced agency because:2.3 The information should: no longer be in the possession of the agency and should be destroyed because: be corrected, because the following inaccuracies exist therein: 2.4 I have given reasonable notice of this motion to all parties to the original action and to any agency whose records will be affected by this motion including (list persons, agencies, methods of notice):I declare under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct.Signed at ___________________________________, Washington on ___________________________. (Place) (Date) _____________________________________________Declarant_____________________________________________Type or Print Name Copy Received; Approved For Entry; Notice of Presentation Waived:________________________________ _____________________________________________Signature Signature_____________________________________________________________________________Title/Agency Title/Agency

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