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2
3
4
Probation stamps date here when form is received.
This form can be used to petition the juvenile court to seal your juvenile
records. More information about sealing is available on form JV-595-INFO,
How to Ask the Court to Seal Your Records.
Submit this form to the probation department in the last county where you
were on juvenile probation or, if you were not on probation, in any county
where you had contact with law enforcement or probation that did not result
in a court case. Once the probation department receives the completed form,
it will have 90 days to file a record-sealing petition with the court for you, or
180 days if you include agencies outside of this county.
My information:
c.
Address:
b.
a.
Name:
d.
City, state, zip:
e.
Area code and telephone number:
f.
Date of birth:
I understand that the probation department is responsible for requesting the juvenile court to seal the records of
only those agencies in its records and those listed on page 2 of this form. I understand that after I file this document
and pay any fees that are required (fees are required only for petitioners 26 years of age and older and may be
waived), the probation department will have 90 days to conduct an investigation and file a record-sealing petition
for me with the juvenile court. I also understand that some records may not be eligible for sealing. I am aware that
form JV-595-INFO, How to Ask the Court to Seal Your Records, provides more information on this process.
Judicial Council of California, www.courts.ca.gov
New July 1, 2016, Optional Form
Welfare and Institutions Code, § 781;
Cal. Rules of Court, rule 5.830
Request to Seal Juvenile Records
JV-595, Page 1 of 2
JV-595
Request to Seal Juvenile Records
Fill in court name and street address:
Superior Court of California, County of
Fill in your name:
Name:
Fill in case number, if known:
Case Number:
I had a case(s) that went to court.
Case file number(s) (if known):
The date probation was terminated (if known):
I don’t remember my case number and/or date.
Date(s) I had contact with law enforcement:
Name(s) of law enforcement or other agency(ies):
g.
E-mail address:
See attached. (If you need more space, you may attach a separate page.)
See attached. (If you need more space, you may attach a separate page.)
AKA (nickname or other family name):
I had contact with law enforcement but did not go to court.
