Fill and Sign the Seal Records Juvenile Form

SUPERIOR COURT OF WASHINGTON COUNTY OF _______________________ JUVENILE COURT STATE OF WASHINGTON v. Respondent. D.O.B.: No : MOTION AND DECLARATION TO SEAL RECORDS OF JUVENILE OFFENDER (MTAF) I. MOTION RESPONDENT moves the court for an order sealing his or her juvenile court records. This motion is based on RCW 13.50.050(11) and (12) or RCW 13.40.127(10), GR 15(c) and the declaration of respondent. Dated: Attorney for Respondent/WSBA No. II. DECLARATION OF RESPONDENT I, , state as follows: 2.1. Finding of guilt: On _____________________ [date] I was found guilty of __________________________________________________________________________ ____________________________________________________________ [name of offense] . 2.2 Sealing records - factors pursuant to RCW 13.50.050: Class A Felony Conviction : Since my last date of release from confinement, including full-time residential treatment, or from the entry of disposition (including deferred disposition), I have spent five consecutive years in the community without committing any offense or crime that has resulted in conviction or adjudication. Class B and C Felony, and Gross Misdemeanor and Misdemeanor Conviction : Since my last date of release from confinement, including full-time residential treatment, or from the entry of disposition (including deferred disposition), I have spent two consecutive years in the community without committing any offense or crime that has resulted in conviction. Diversion : Since completion of the Diversion Agreement, I have spent two consecutive years in the community without committing any offense or crime that subsequently resulted in conviction or diversion. MT AND DECL TO SEAL RECORDS (MTAF) – Page 1 of 2 WPF JU 10.0300 (6/2010) – RCW 13.50.050(11) (12), RCW 13.40.127(10), GR 15 And, I meet the following requirements: There are no proceedings pending against me seeking the conviction of a juvenile or criminal offense. There are no proceedings pending against me seeking the formation of a diversion agreement. I have not been convicted of a sex offense. Full restitution has been paid. I am eligible to have my records sealed under RCW 13.50.050(11) and (12) in that I have satisfied all the requirements of those statutes. 2.3 Sealing records of vacated deferred disposition – factors pursuant to RCW 13.40.127(10): I meet the following requirements: The court vacated my deferred disposition and dismissed the case with prejudice pursuant to RCW 13.40.127(9). I am over 18 years of age. There are no charges pending against me. 2.4 Other circumstances that I believe require sealing of my juvenile court records (GR 15): I declare under penalty of perjury under the laws of the state of Washington that the foregoing is, to the best of my knowledge, true and correct. Signed on ______________________, at ______________________________, Washington. ______________________________________ Respondent ______________________________________ Address ______________________________________ MT AND DECL TO SEAL RECORDS (MTAF) – Page 2 of 2 WPF JU 10.0300 (6/2010) – RCW 13.50.050(11) (12), RCW 13.40.127(10), GR 15