Santa Cruz — SUPCR-1124

Source: https://www.santacruz.courts.ca.gov/sites/default/files/pdfs/%28WEB%29%20SUPCR%201124%20Petition%20to%20Seal%20Arrest%20Records.pdf

SUPCR 1124 ATTORNEY OR PARTY WITHOUT AN ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY NAME: ADDRESS: CITY, STATE, ZIP:

TELEPHONE NO: FAX NO. (Optional): EMAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA COUNTY OF SANTA CRUZ 701 Ocean Street, Room 120 Santa Cruz, CA 95060 THE PEOPLE OF THE STATE OF CALIFORNIA: vs. DEFENDANT: CASE NUMBER: PETITION TO SEAL ARREST RECORDS HEARING DATE: Penal Code §§ 851.8 (FACTUAL INNOCENCE) TIME: DEPT:

Petitioner requests the Court order the sealing and destruction of the record of arrest under Penal Code §851.8 (Factual Innocence)

1. Fill in the information relating to the arrest. Do not leave blank boxes. If the information is unknown, please

   indicate in the appropriate box.

   Last First Middle

Name: Date of Birth: Driver’s License No:

Date of Arrest: Arresting Agency:

Booking No: Charges:

Disposition:

2. No complaint was filed. Petitioner has previously petitioned the arresting agency by filing the Department of Justice form BCIA 8270: A. The petition was denied on: . A copy is attached. B. It has been over 60 days and I have not received a response to my petition dated: . A copy is attached. i. The copy is stamped received by both agencies to show date of delivery. ii. A completed Proof of Service is attached.
3. A complaint was filed on . The case was dismissed on .
4. Petitioner requests relief from the two-year time restriction (Penal Code 851.8(I)) because:

Form Adopted for OPTIONAL USE PETITION TO SEAL ARREST RECORDS Page 1 of 2 Superior Court of Santa Cruz County Penal Code §§851.8 SUPCR 1124 12/17/20

PEOPLE OF THE STATE OF CALIFORNIA vs. CASE NUMBER: DEFENDANT:

5. No reasonable cause exists to believe that the Petitioner committed the offense for which the arrest was made. A statement of facts is below on attachment, and supporting documentation attached showing factual innocence. (Attach additional pages as necessary)

   I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

   Date: ________________________________________ _______________________________________SIGN Print Name of Petitioner or Attorney for Petitioner Signature

   Form Adopted for OPTIONAL USE PETITION TO SEAL ARREST Page 2 of 2 Superior Court of Santa Cruz County RECORDS Penal Code §§851.8 SUPCR 1124 12/17/20