W elfare and Institutions Code 247 786(g)(1)(F) LASC JUV 047 NEW 12/18 For Mandatory Use SUPERIOR COURT OF CALIFORNIA COUNTY OF LOS ANGELES Re s erve d f o r C l e r k 222s F i le St a mp COURTHOUSE ADDRESS: PEOPLE OF THE STATE OF CALIFORNIA PETITIONER/MINOR: DISCLOSURE OF SEALED RECORDS CASE NUMBER: I am the Petitioner/Minor involved in the above-entitled case. I am requesting copies of my juvenile record, which was ordered sealed by the Court, pursuant to Welfare & Institutions Code Section: 781 782 786 or 793. 1.I am requesting copies of my sealed juvenile records for my own use. a. I would like a copy of my entire record in the above-entitled case. b. I would like a portion of my record in the above-entitled case as follows: 2. I understand and agree that once the Juvenile Court provides me with the the Juvenile Court not responsible . I declare under penalty of perjury that the foregoing istrue andcorrect. Date: Signature of Petitioner/Minor American LegalNet, Inc. www.FormsWorkFlow.com