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Here is the text we could read:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PEOPLE OF THE STATE OF CALIFORNIA 
v.

DEFENDANT:

FOR COURT USE ONLY

CR-151

PETITION FOR CERTIFICATE OF IDENTITY THEFT 
(PEN. CODE, § 530.6)

CASE NUMBER:

1.  a. Your name (person asking for the certificate):

Your address (if you want your address to be private, give a mailing address instead):

City:

State:

Zip Code:

Your telephone number (optional):

b. Your lawyer, if you have one (specify name, address, telephone number, and State Bar number below):

Name:

Address:

Telephone number:

State Bar number:

2.

I have been the victim of the crime of identity theft. (If available, attach a copy of the report of the suspected crime of identity 
theft, issued by the local law enforcement agency that has jurisdiction over your actual residence. Mark the report as 
Attachment 2.)

3. 

I need a Certificate of Identity Theft: Judicial Finding of Factual Innocence, because (check applicable boxes and fill in applicable 
blanks):

a.

An identity thief was cited in my name. (Attach a copy of the citation, if available. Mark it as Attachment 3a.)

(1)

Date of citation:

(3)

Citation number:

(2)

Violation of law stated in citation:

(4)

Agency that issued the citation:

Form Approved for Optional Use 
Judicial Council of California 
CR-151 [New January 1, 2005]

PETITION FOR CERTIFICATE OF IDENTITY THEFT 
(PEN. CODE, § 530.6)

Page 1 of 3

Penal Code, § 530.6 

This is not a Court Order.

PEOPLE OF THE STATE OF CALIFORNIA v.
DEFENDANT:

CASE NUMBER:

b.

An identity thief was arrested in my name. (Attach a copy of the warrant, if available. Mark it as Attachment 3b.)

(1) Date of arrest:

(2)

Arrest warrant number:

Arresting agency:

(3)

(4)

Agency that issued the warrant:

c.

d.

e.

f.

An identity thief was convicted of a crime in my name. (Attach a copy of the judgment of conviction, if available. Mark it 
as Attachment 3c.)

(1) Date of conviction:

(2) Crime:

(3)

(4)

Name of court:

Case number:

A criminal complaint has been filed against an identity thief in my name. (Attach a copy of the criminal complaint, if 
available. Mark it as Attachment 3d.)

(1) Name of court:

(2) Case number:

My identity has been mistakenly associated with a record of criminal conviction.

(1) Date of conviction:

(2) Case involved (describe subject matter of case):

I was arrested for a crime committed by an identity thief using my name. (Attach a copy of the arrest warrant, if 
available. Mark it as Attachment 3f.)

(1) Date of arrest:

(2) Arrest warrant number:

(3) Agency that issued the warrant:

(4) Arresting agency:

(5) Date I submitted my petition to the arresting agency under Penal Code section 851.8:

(6) Date the arresting agency denied that petition:

(Attach copy of the petition, if available. Mark it as Attachment 3f).

4. 

There is no reasonable cause to believe that I committed the offense for which the identity thief was arrested, cited, 
convicted, or was the actual subject of a criminal complaint in my name; or there is reasonable cause to believe 
that my identity has been mistakenly associated with a record of criminal conviction.

CR-151 [New January 1, 2005]

Page 2 of 3

PETITION FOR CERTIFICATE OF IDENTITY THEFT  
(PEN. CODE, § 530.6)

This is not a Court Order.

PEOPLE OF THE STATE OF CALIFORNIA v.
DEFENDANT:

CASE NUMBER:

5. 

I will provide to the judge my basic personal identification information, such as my full name, date of birth, gender, 
weight, height, natural hair color, natural eye color, race, age, driver's license or identification number, and fingerprints (if 
required by the court); however, such information is not included in this petition in order to avoid further publishing the 
information.

6.  The following additional facts and/or designated exhibits support this petition:

Continued on Attachment 6.

7. 

I understand that the court may vacate the certificate of identity theft at any time if this petition, or any part of the 
information submitted in support of this petition, is found to contain any material misrepresentations or fraud.

8.  Number of pages attached:

Date:

I declare under penalty of perjury under the laws of the state of California that the foregoing is true and correct.

Sign your name

Print your name

This is not a Court Order.

CR-151 [New January 1, 2005]

Page 3 of 3

PETITION FOR CERTIFICATE OF IDENTITY THEFT 
(PEN. CODE, § 530.6)

Petition for Certificate of Identity Theft (Pen. Code, § 530.6)

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the California state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from selfhelp.courts.ca.gov (2023-03)
Page(s): 3
Fields(s): 54
Average fields per page: 18
Reading Level: Grade 7
LIST Grouping(s): CR-00-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

c_r_page_p_case_number was CR-151[0].Page1[0].P1Caption[0].CaseNumber[0].CaseNumber[0] (0.58 conf)
c_r_page_p_info_county was CR-151[0].Page1[0].P1Caption[0].CourtInfo[0].CrtCounty[0] (0.31 conf)
c_r_page_p_caption_street was CR-151[0].Page1[0].P1Caption[0].CourtInfo[0].CrtStreet[0] (0.31 conf)
c_r_page_p_caption_info__1 was CR-151[0].Page1[0].P1Caption[0].CourtInfo[0].CrtMailingAdd[0] (0.40 conf)
c_r_page_p_caption_court_info_crt_city_zip was CR-151[0].Page1[0].P1Caption[0].CourtInfo[0].CrtCityZip[0] (0.33 conf)
c_r_page_p_caption_info__2 was CR-151[0].Page1[0].P1Caption[0].CourtInfo[0].CrtBranch[0] (0.31 conf)
c_r_page_p_caption_info__3 was CR-151[0].Page1[0].P1Caption[0].CourtInfo1[0].defname[0] (0.39 conf)
c_r_page_list_lia_text_field__1 was CR-151[0].Page1[0].List1[0].Lia[0].TextField2[0] (0.39 conf)
c_r_page_list_lia_text_field__2 was CR-151[0].Page1[0].List1[0].Lia[0].TextField3[0] (0.39 conf)
c_r_page_list_lia_text_field__3 was CR-151[0].Page1[0].List1[0].Lia[0].TextField4[0] (0.39 conf)
c_r_page_list_lia_text_field__4 was CR-151[0].Page1[0].List1[0].Lia[0].TextField5[0] (0.39 conf)
c_r_page_list_lia_text_field__5 was CR-151[0].Page1[0].List1[0].Lia[0].TextField6[0] (0.39 conf)
c_r_page_list_lia_text_field__6 was CR-151[0].Page1[0].List1[0].Lia[0].TextField7[0] (0.39 conf)
c_r_page_list_lib_text_field__1 was CR-151[0].Page1[0].List1[0].Lib[0].TextField8[0] (0.39 conf)
c_r_page_list_lib_text_field__2 was CR-151[0].Page1[0].List1[0].Lib[0].TextField9[0] (0.39 conf)
c_r_page_list_lib_text_field__3 was CR-151[0].Page1[0].List1[0].Lib[0].TextField10[0] (0.39 conf)
c_r_page_list_lib_text_field__4 was CR-151[0].Page1[0].List1[0].Lib[0].TextField11[0] (0.39 conf)
r_page_list_check_box_caption was CR-151[0].Page1[0].List3[0].Lia[0].CheckBoxCaption[0] (0.41 conf)
c_r_page_list_lia_sub_date was CR-151[0].Page1[0].List3[0].Lia[0].SubLia[0].Li1[0].DateField1[0] (0.42 conf)
c_r_page_list_lia_sub_text__1 was CR-151[0].Page1[0].List3[0].Lia[0].SubLia[0].Li2[0].TextField10[0] (0.41 conf)
c_r_page_list_lia_sub_text__2 was CR-151[0].Page1[0].List3[0].Lia[0].SubLia[0].Li3[0].TextField11[0] (0.41 conf)
c_r_page_list_lia_sub_text__3 was CR-151[0].Page1[0].List3[0].Lia[0].SubLia[0].Li4[0].TextField12[0] (0.41 conf)
r_page_caption_title_party_name__1 was CR-151[0].Page2[0].PxCaption[0].TitlePartyName[0].defname[0] (0.34 conf)
c_r_page_caption_case_number__1 was CR-151[0].Page2[0].PxCaption[0].CaseNumber[0].CaseNumber[0] (0.40 conf)
r_page_list_lib_check_box was CR-151[0].Page2[0].List3[0].Lib[0].CheckBoxCaption[0] (0.41 conf)
c_r_page_list_lib_sub_date was CR-151[0].Page2[0].List3[0].Lib[0].SubLib[0].Li1[0].DateField14[0] (0.42 conf)
c_r_page_list_lib_sub_text__1 was CR-151[0].Page2[0].List3[0].Lib[0].SubLib[0].Li2[0].TextField15[0] (0.41 conf)
c_r_page_list_lib_sub_text__2 was CR-151[0].Page2[0].List3[0].Lib[0].SubLib[0].Li3[0].TextField16[0] (0.41 conf)
c_r_page_list_lib_sub_text__3 was CR-151[0].Page2[0].List3[0].Lib[0].SubLib[0].Li4[0].TextField17[0] (0.41 conf)
c_r_page_list_lic_check_box was CR-151[0].Page2[0].List3[0].Lic[0].CheckBox20[0] (0.42 conf)
c_r_page_list_lic_sub_li_date_field was CR-151[0].Page2[0].List3[0].Lic[0].SubLic[0].Li1[0].DateField18[0] (0.42 conf)
c_r_list_lic_sub_li_text__1 was CR-151[0].Page2[0].List3[0].Lic[0].SubLic[0].Li2[0].TextField19[0] (0.41 conf)
c_r_list_lic_sub_li_text__2 was CR-151[0].Page2[0].List3[0].Lic[0].SubLic[0].Li3[0].TextField20[0] (0.41 conf)
c_r_list_lic_sub_li_text__3 was CR-151[0].Page2[0].List3[0].Lic[0].SubLic[0].Li4[0].TextField21[0] (0.41 conf)
c_r_page_list_lid_check_box was CR-151[0].Page2[0].List3[0].Lid[0].CheckBox23[0] (0.42 conf)
c_r_page_list_lid_sub_text__1 was CR-151[0].Page2[0].List3[0].Lid[0].SubLid[0].Li1[0].TextField26[0] (0.41 conf)
c_r_page_list_lid_sub_text__2 was CR-151[0].Page2[0].List3[0].Lid[0].SubLid[0].Li2[0].TextField27[0] (0.41 conf)
r_page_list_lie_check_box was CR-151[0].Page2[0].List3[0].Lie[0].CheckBoxCaption15[0] (0.41 conf)
c_r_page_list_lie_sub_date was CR-151[0].Page2[0].List3[0].Lie[0].SubLie[0].Li1[0].DateField45[0] (0.42 conf)
c_r_page_list_lie_sub_text was CR-151[0].Page2[0].List3[0].Lie[0].SubLie[0].Li2[0].TextField32[0] (0.41 conf)
c_r_page_list_lif_check_box was CR-151[0].Page2[0].List3[0].Lif[0].CheckBox23[0] (0.42 conf)
c_r_page_list_lif_subl_li_date_field__1 was CR-151[0].Page2[0].List3[0].Lif[0].SublIf[0].Li1[0].DateField29[0] (0.37 conf)
c_r_page_list_lif_subl_li_text_field__1 was CR-151[0].Page2[0].List3[0].Lif[0].SublIf[0].Li2[0].TextField40[0] (0.41 conf)
c_r_page_list_lif_subl_li_text_field__2 was CR-151[0].Page2[0].List3[0].Lif[0].SublIf[0].Li3[0].TextField41[0] (0.41 conf)
c_r_page_list_lif_subl_li_text_field__3 was CR-151[0].Page2[0].List3[0].Lif[0].SublIf[0].Li4[0].TextField42[0] (0.41 conf)
c_r_page_list_lif_subl_li_date_field__2 was CR-151[0].Page2[0].List3[0].Lif[0].SublIf[0].Li5[0].DateField26[0] (0.37 conf)
c_r_page_list_lif_subl_li_date_field__3 was CR-151[0].Page2[0].List3[0].Lif[0].SublIf[0].Li6[0].DateField77[0] (0.37 conf)
r_page_caption_title_party_name__2 was CR-151[0].Page3[0].PxCaption[0].TitlePartyName[0].defname[0] (0.34 conf)
c_r_page_caption_case_number__2 was CR-151[0].Page3[0].PxCaption[0].CaseNumber[0].CaseNumber[0] (0.40 conf)
c_r_page_list_item_field was CR-151[0].Page3[0].List6[0].item6[0].Field22[0] (0.34 conf)
c_r_page_list_item_ch was CR-151[0].Page3[0].List6[0].item6[0].Ch32[0] (0.34 conf)
c_page_list_item_text_field was CR-151[0].Page3[0].List8[0].item8[0].TextField41[0] (0.39 conf)
c_r_page_sign_sig_date was CR-151[0].Page3[0].Sign[0].SigDate[0] (0.31 conf)
c_r_page_sign_sig_name was CR-151[0].Page3[0].Sign[0].SigName[0] (0.31 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Petition for Certificate of Identity Theft (Pen. Code, § 530.6)

About This Form:

Identified Data Fields:

Create an Interactive Version of this Form:

The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02