(specify):
(specify county):
District Attorney
Other
School:
Department of Motor Vehicles:
The court has read and considered the report of the probation officer and any other evidence presented or information provided.
THE COURT MAKES THE FOLLOWING FINDINGS AND ORDERS:
is/are dismissed.
regarding an alleged violation of (specify offense(s)):
in the custody of this court and of the courts, agencies, and officials listed below are ordered sealed:
Page 1 of 2
Form Approved for Optional Use
Judicial Council of California
JV-596 [Rev. September 1, 2018]
Welfare and Institutions Code, § 786
www.courts.ca.gov
DISMISSAL AND SEALING OF RECORDS—
WELFARE AND INSTITUTIONS CODE SECTION 786
Name of subject child: Date of birth:
Date of hearing: Dept.: Room:
Judicial officer (name):
The petition(s) filed on (date(s)):
The child's juvenile records related to the arrest(s) on (date(s)):
1.
2.
3.
4.
5.
6.
(specify county):
Probation Dept.
California Dept. of Justice
(specify all):
Law enforcement agency
Law enforcement case number(s):
JV-596
CASE NAME:
FOR COURT USE ONLY
CASE NUMBER:
DISMISSAL AND SEALING OF RECORDS—
WELFARE AND INSTITUTIONS CODE SECTION 786
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
ATTORNEY OR PARTY WITHOUT ATTORNEY
STATE BAR NUMBER:
NAME:
FIRM NAME:
STREET ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE NO.: FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
The court finds that sealing the following additional public agency records will promote the successful reentry and
rehabilitation of the child and orders sealed the records in their custody relating to petitions and arrests listed in items 5 and 6
sealed:
7.
a.
b.
attached:
Attachment. Number of pages
The child has satisfactorily completed a program of informal supervision, probation under section 725, or a term of probation,
or
the petition was dismissed before wardship.
Page 2 of 2JV-596 [Rev. September 1, 2018]
DISMISSAL AND SEALING OF RECORDS—
WELFARE AND INSTITUTIONS CODE SECTION 786
All records pertaining to the dismissed petition are to be destroyed on the dates stated in this item, and the arrest is deemed never
to have occurred except that the prosecuting attorney, probation officer, child welfare agency, court, and the subject of the order
may access these records for the specific purposes stated in Welfare and Institutions Code section 786.
8.
Date court records must be destroyed:
Date all other records must be destroyed:
JV-596
CASE NUMBER:
CASE NAME:
The clerk shall send a certified copy of this order to the clerk in each county in which a record is ordered sealed and one copy
each to the child, the child's attorney, and the agencies and officials listed in items 6 and 7.
9.
JUDICIAL OFFICER OF THE SUPERIOR COURT
CLERK'S CERTIFICATE
[SEAL]
I certify that the foregoing is a true and correct copy of the original on file in my office.
Date:
Clerk, by
, Deputy
Date:
a.
b.
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