ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address) Telephone Number FOR COURT USE ONLY ATTORNEY FOR (Name): BAR# SUPERIOR COURT OF CALIFORNIA, COUNTY OF VENTURA Street Address: 4353 E. Vineyard Ave., Room 122, Oxnard Ca., 93036 Mailing Address: P.O. Box 6489, Ventura, Ca., 93006 CASE NAME: PETITION TO SEAL JUVENILE RECORDS The following is my identifying information: CASE NUMBER: Full Name _______________________________________________________________________ Birth date ________________________________ Other Names ______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ Address __________________________________________________________________________________________________________________ City ________________________________________________ State _______________________________ Zip Code ________________________ Driver's License No. _________________________ State __________________ Place of Birth ______________________________________________________ Sex _______________ Race ______________________________ Hair ____________________________ Eyes _________________________ Height ________________ Weight ____________________________ Attorney ________________________________________________ Address _________________________________________________________ Are there any pending actions relating to this criminal case: I was cited and/or arrested as listed: DATE AGENCY (Who arrested/cited you) No Yes Civil Case No. _____________________ VIOLATION (What was the offense) DISPOSITION (What was the outcome) It has been five years since I completed probation or I am now eighteen years old or older and I am no longer on probation. I have not committed any new felony offense or any misdemeanor offense involving moral issues. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Signature of Petitioner __________________________________________________________ Date _____________________________________ Optional Form VN077 (Revised 07/09) Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com The Petitioner respectfully requests that an order be made sealing all records, papers and exhibits of this case in the custody of the Juvenile Court, and any other records relating to this case in the custody of the agencies named hereafter: AGENCY ADDRESS NOTIFY California State Bureau of Criminal Investigation and Identification P. O. Box 13417 Sacramento, Ca., 95813 Probation Department Juvenile Investigation Unit 800 S. Victoria Avenue Ventura, Ca., 93009 District Attorney Ventura County 4353 E. Vineyard Ave., #291 Oxnard Ca., 93036 Public Defender Ventura County 4353 Vineyard Ave., #296 Oxnard, Ca., 93036 Sheriff's Department / Records Bureau Ventura County 800 South Victoria Ave. Ventura, Ca., 93009 Department of Motor Vehicles Records Correction Area P. O. Box 942890 Sacramento, Ca., 94290-0001 Police Department City of Minor (DO NOT WRITE BELOW THIS LINE) Probation recommendation: Comments: Grant Deny Deputy Probation Officer Date If, after 10 days from receipt of the PETITION TO SEAL JUVENILE RECORDS, the District Attorney and / or Counsel for the minor file no REQUEST FOR HEARING on the matter, it is agreed that the clerk will give the PETITION TO SEAL JUVENILE RECORDS to the Court for a ruling. NOTICE of this request sent to the District Attorney and Counsel for the minor on ____________________. ______________________________________________________ Deputy Clerk Optional Form VN077 (Rev. 07/09) Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com