Stanislaus — Petition to Obtain Report of Law Enforcement Agency

Source: https://www.stanislaus.courts.ca.gov/system/files/forms-and-filings/petition-obtain-report-law-enforcement-agency.pdf

Petition to Obtain Report of Law Enforcement Agency

Forms Included in this packet: JV-575 Petition to Obtain Report of Law Enforcement Agency

Instructions: Complete JV-575 Petition to Obtain Report of Law Enforcement Agency

Things to remember when preparing the document:

1. Prepare one (1) original and one (1) copy.
2. Complete the following: a. Top of form – Please include your name, address, and phone number. b. Child’s name and date of birth – if more than one child, list their names in the box along with their date of birth below their name. c. Section #1 – Fill in your name and address. d. Section #2 – Fill in your relationship to minor. e. Section #3 – The report number will be provided by the law enforcement agency. f. Section #4 – Fill in the reason for your request. Please keep in mind that this is what the Judge reads and considers for your order. g. Section #5 – To be completed at the direction of the law enforcement agency.
3. Under “I declare under penalty of perjury under the laws of the State of California that the foregoing and all attachments are true and correct”, complete the following: a. Date signed. b. Type or print name. c. Sign the petition. d. Number of pages to be completed by the law enforcement agency.
4. Submit the petition directly to the law enforcement agency that took the report. The agency will contact you directly when the petition has been processed.

Please note that if the Law Enforcement Agency are still investigating an incident, the record may not be available until they have completed their investigation. This may take some time, and the Court is not able to expedite the process.

For additional information on Juvenile records, please see the Judicial Branch of California website at: https://selfhelp.courts.ca.gov/families-and-children.

For information on the law regarding release of record information please see Welfare and Institutions Code, Section 827, and California Rules of Court, Sections 5.552 and 5.553.

Revised 02/2024

JV-575 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY

TELEPHONE NO.: FAX NO. (Optional):

E-MAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF STANISLAUS STREET ADDRESS: 2215 BLUE GUM AVENUE, ROOM 15 MAILING ADDRESS: 2215 BLUE GUM AVENUE, ROOM 15 CITY AND ZIP CODE: MODESTO, CA 95358 BRANCH NAME: JUVENILE DIVISION 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