JV-575 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: CHILD'S NAME: CHILD'S DATE OF BIRTH: CASE NUMBER: 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 ADDITIONAL ORDERS: Date: JUDICIAL OFFICER Page 1 of 1 Form Adopted for Mandatory Use Judicial Council of California JV-575 [Rev. January 1, 2007] PETITION DENIED PETITION TO OBTAIN REPORT OF LAW ENFORCEMENT AGENCY Welfare and Institutions Code, §§ 827.9, 828; Cal. Rules of Court, rules 5.504, 5.552 www.courtinfo.ca.gov American LegalNet, Inc. www.FormsWorkflow.com