SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE BANNING 311 E. Ramsey St., Banning CA 92220 BLYTHE 265 N. Broadway, Blythe, CA 92225 INDIO 46-200 Oasis St., Indio, CA 92201 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address) MURRIETA 30755-D Auld Rd., Ste. 1226, Murrieta, CA 92563 RIVERSIDE 4100 Main St., Riverside CA 92501 RI-OTS48 FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS(Optional): ATTORNEY FOR (Name): FAX NO. (Optional): PEOPLE OF THE STATE OF CALIFORNIA vs. CASE NUMBER: DEFENDANT: PETITION TO SEAL AND DESTROY ARREST RECORDS (Penal Code §851.8) Read the general information packet before completing this petition. The petition must be completed in its entirety and be served upon the prosecuting attorney at least ten days prior to the hearing. 1. Information relating to the arrest Name: Date of Birth: Date of Arrest: Booking No.: Disposition of Arrest: 2. 3. The offense was a (LAST) Driver's License No.: Arresting Agency: Charges: misdemeanor has Felony (FIRST) (MIDDLE) A finding of factual innocence has not* been made on the above case or record of arrest. *If a finding has not been made, this petition serves as a request for ruling that the petitioner is factually innocent of the charges for which the arrest was made. At the hearing, it will be the petitioner's responsibility to prove that no reasonable cause exists to believe that he or she committed the offense. 4. No complaint was filed. The law enforcement agency denied my petition on (date) It has been over 60 days and law enforcement A copy of the denied petition is attached (Form BCII 8270). has not responded to my petition dated ; a copy of the submitted petition (Form BCII 8270 is attached). A complaint was filed on . The case was dismissed on . 5. The petitioner requests relief from the two year time restriction** because: **From the date of the arrest of filing of the accusatory pleading, whichever is later (Penal Code §851.8(I)). I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. (DATE) ATTORNEY (TYPE OR PRINT NAME OF PARTY MAKING DECLARATION) (SIGNATURE) This completed petition must be served with the District Attorney at least ten (10) days before the hearing date and a completed proof of service must be filed with the court. Page 1 of 1 Adopted for Mandatory Use Riverside Superior Court RI-OTS48 [Rev. 5/3/11] PETITION TO SEAL AND DESTROY ARREST RECORD Penal Code § 851.8 riverside.courts.ca.gov/localfrms/localfrms.shtml American LegalNet, Inc. www.FormsWorkFlow.com