Orange — Petition to Obtain Report of Law Enforcement Agency

Source: https://www.courts.ca.gov/documents/jv575.pdf

JV-575 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY To keep other people from seeing what you entered on your form, please press the TELEPHONE NO.: FAX NO. (Optional): Clear This Form button at the E-MAIL ADDRESS (Optional): end of the form when finished.

ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:
CHILD’S NAME: CASE NUMBER:

CHILD’S DATE OF BIRTH:

RELATED CASES (if any):

PETITION TO OBTAIN REPORT OF LAW ENFORCEMENT AGENCY

1. Petitioner's name and address (if representing another person, organization, or agency, provide names and addresses):

2. Petitioner's relationship to child (if any):

3. Police department or law enforcement agency possessing records:

Report number:

4. The reasons for this request are: (Describe in detail. Attach additional pages if necessary.)

   Continued in Attachment 4.

5. The Notice to Child and Parent/Guardian Re: Release of Juvenile Police Records and Objections (form JV-580) was served
   on the child or parent on (date):

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

Date: ` (TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER)

Number of pages attached:

PETITION GRANTED PETITION DENIED
ADDITIONAL ORDERS:

Date:

JUDICIAL OFFICER

Form Adopted for Mandatory and Institutions Code, §§ 827.9, 828; Use PETITION TO OBTAIN REPORT OF LAW ENFORCEMENT AGENCY Welfare Judicial Council of California Cal. Rules of Court, rules 5.504, 5.552 JV-575 [Rev. January 1, 2007] www.courtinfo.ca.gov

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