General Waiver And Release
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General Waiver And Release Form. This is a Maryland form and can be use in Circuit-District Court Statewide.
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Tags: General Waiver And Release, CC-DC-CR 78, Maryland Statewide, Circuit-District Court
CIRCUIT COURT
DISTRICT COURT OF MARYLAND FOR
City/County
Located at
Case No.
Court Address
vs.
STATE OF MARYLAND
Defendant
Address
City, State, Zip
Telephone No. - Home
Telephone No. - Work
GENERAL WAIVER AND RELEASE
I,
, hereby release and forever
discharge
Complainant
, and
,
Law Enforcement Agency
all of its officers, agents, and employees, and any and all other persons from any and all claims which I may
have for wrongful conduct by reason of my arrest, detention, or confinement on or about
.
Date
This General Waiver and Release is conditioned on the expungement of the record of my arrest,
detention, or confinement and compliance with Code*, Criminal Procedure Article, § 10-103(c) or § 10-105,
as applicable, and shall be void if these conditions are not met.
WITNESS my hand and seal this
day of
Month
,
.
Year
TESTE:
(Seal)
Witness
Signature
* References to "Code" in this Petition are to the Annotated Code of Maryland.
CC-DC/CR 78 (Rev. 1/2010)
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