Orange — Identity Theft

Source: https://www.occourts.org/system/files/shc-crim-09.pdf

SUPERIOR COURT OF CALIFORNIA Self-Help Services COUNTY OF ORANGE www.occourts.org/self-help

IDENTITY THEFT

SELF-HELP FORM PACKET

SHC-CRIM-09 (Rev. 08/06/2021)

Self-Help Services can review your completed forms before you file them with the Court. To request review of your completed forms:

1. Complete the attached forms in black ink.
2. Scan your completed forms and save as a single PDF file.
3. Go to www.occourts.org/self-help (click the blue button labeled Click Here to Contact Self-Help Services), attach the PDF, and complete the online request form. Make sure to select CRIMINAL/TRAFFIC as the case type on the form.

www.occourts.org/self-help

CR-151

FOR COURT USE ONLY

SUPERIOR COURT OF CALIFORNIA, COUNTY OF

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PEOPLE OF THE STATE OF CALIFORNIA v.

DEFENDANT:

CASE NUMBER:

PETITION FOR CERTIFICATE OF IDENTITY THEFT (PEN. CODE, § 530.6)

1. a. Your name (person asking for the certificate):

   Your address (if you want your address to be private, give a mailing address instead):

   City: State: Zip Code:

   Your telephone number (optional):

   b. Your lawyer, if you have one (specify name, address, telephone number, and State Bar number below):

   Name:

   Address:

   Telephone number:

   State Bar number:

2. I have been the victim of the crime of identity theft. (If available, attach a copy of the report of the suspected crime of identity

theft, issued by the local law enforcement agency that has jurisdiction over your actual residence. Mark the report as Attachment 2.)

3. I need a Certificate of Identity Theft: Judicial Finding of Factual Innocence, because (check applicable boxes and fill in applicable

   blanks):

   a. An identity thief was cited in my name. (Attach a copy of the citation, if available. Mark it as Attachment 3a.)

   (1) Date of citation: (3) Citation number:

   (2) Violation of law stated in citation: (4) Agency that issued the citation:

   This is not a Court Order.

Form Approved for Optional Judicial Council of California Use PETITION FOR CERTIFICATE OF IDENTITY THEFT www.courtinfo.ca.govPenal Code, § 530.6 CR-151 [New January 1, 2005] (PEN. CODE, § 530.6)

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

b. An identity thief was arrested in my name. (Attach a copy of the warrant, if available. Mark it as Attachment 3b.)

(1) Date of arrest: (3) Arresting agency:

(2) Arrest warrant number: (4) Agency that issued the warrant:

c. An identity thief was convicted of a crime in my name. (Attach a copy of the judgment of conviction, if available. Mark it
as Attachment 3c.)

(1) Date of conviction: (3) Name of court:

(2) Crime: (4) Case number:

d. A criminal complaint has been filed against an identity thief in my name. (Attach a copy of the criminal complaint, if
available. Mark it as Attachment 3d.)

(1) Name of court:

(2) Case number:

e. My identity has been mistakenly associated with a record of criminal conviction.

(1) Date of conviction:

(2) Case involved (describe subject matter of case):

f. I was arrested for a crime committed by an identity thief using my name. (Attach a copy of the arrest warrant, if
available. Mark it as Attachment 3f.)

(1) Date of arrest:

(2) Arrest warrant number:

(3) Agency that issued the warrant:

(4) Arresting agency:

(5) Date I submitted my petition to the arresting agency under Penal Code section 851.8:

(6) Date the arresting agency denied that petition:

(Attach copy of the petition, if available. Mark it as Attachment 3f).

There is no reasonable cause to believe that I committed the offense for which the identity thief was arrested, cited,

4. convicted, or was the actual subject of a criminal complaint in my name; or there is reasonable cause to believe that my identity has been mistakenly associated with a record of criminal conviction.

   This is not a Court Order.

CR-151 [New January 1, 2005] PETITION FOR CERTIFICATE OF IDENTITY THEFT Page 2 of 3 (PEN. CODE, § 530.6)

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

5. I will provide to the judge my basic personal identification information, such as my full name, date of birth, gender,

   weight, height, natural hair color, natural eye color, race, age, driver's license or identification number, and fingerprints (if required by the court); however, such information is not included in this petition in order to avoid further publishing the information.

6. The following additional facts and/or designated exhibits support this petition:

   Continued on Attachment 6.

7. I understand that the court may vacate the certificate of identity theft at any time if this petition, or any part of the

   information submitted in support of this petition, is found to contain any material misrepresentations or fraud.

8. Number of pages attached:

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

   Date: Sign your name Print your name This is not a Court Order.

CR-151 [New January 1, 2005] PETITION FOR CERTIFICATE OF IDENTITY THEFT Page 3 of 3 (PEN. CODE, § 530.6)

CONFIDENTIAL (SEE RULE 4.601) CR-150 ATTORNEY OR PARTY WITHOUT ATTORNEY STATE BAR NUMBER:

NAME:

FIRM NAME:

STREET ADDRESS:

CITY: STATE: ZIP CODE:

TELEPHONE NO.: FAX NO.:

EMAIL ADDRESS:

ATTORNEY FOR (name):

PEOPLE OF THE STATE OF CALIFORNIA

vs.

DEFENDANT:

CASE NUMBERS:
CERTIFICATE OF IDENTITY THEFT: JUDICIAL
FINDING OF FACTUAL INNOCENCE
(Penal Code, § 530.6)

Warrant No. (if any): Violation Date:

1. Petitioner Information: Name: Date of Birth:

Gender: M F Nonbinary Ht: Wt: Hair Color: Eye Color: Race: Age: Booking No.: Driver's License or Identification No.:

Other Identifying Information:

2. The court finds that: Another person was arrested for, cited for, or convicted of a crime under the identity of the petitioner in this case. A criminal complaint has been filed against another person under the name of the petitioner in this case. The petitioner is not the person for whom the warrant in this case was issued. The petitioner's identity has been mistakenly associated with a record of the criminal conviction in this case.

   Accordingly, the court finds that the petition is meritorious and that there is no reasonable cause to believe that the petitioner committed the offense in this case, and that the petitioner is factually innocent of that offense.

Date: JUDICIAL OFFICER CERTIFICATION I certify that the foregoing is a true and 1. The box to the right contains the petitioner's correct copy of the original on file in my right thumbprint (SEAL) office. other print (specify):

Date:

2. The print was taken on (date):
Clerk, by

3. The print was taken by
a. Name:
(DEPUTY)
b. Position:
c. Badge or serial No.:

ANY ALTERATION RENDERS THIS FORM VOID.

CONFIDENTIAL (SEE RULE 4.601) Page 1 of 1

Form Adopted for Mandatory Use CERTIFICATE OF IDENTITY THEFT: JUDICIAL Penal Code, § 530.6Judicial Council of California CR-150 [Rev. January 1, 2021] FINDING OF FACTUAL INNOCENCE