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

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Here is the text we could read:

JV-595

Request to Seal Juvenile Records

Probation stamps date here when form is received.

Fill in court name and street address:

Superior Court of California, County of

Fill in your name:

Name:

Fill in case number, if known:

Case Number:

This form can be used to petition the juvenile court to seal your juvenile
records. More information about sealing is available on form JV-595-INFO,
How to Ask the Court to Seal Your Records.

ubmit this form to the probation department in the last county where you
were on juvenile probation or, if you were not on probation, in any county
where you had contact with law enforcement or probation that did not result
in a court case. Once the probation department receives the completed form,
it will have 90 days to file a record-sealing petition with the court for you, or
180 days if you include agencies outside of this county.

1 My information:
a. Name:
b. AKA (nickname or other family name):

c. Address:
d. City, state, zip:
e. Area code and telephone number:
f. Date of birth:

g. Email address:

I had a case(s) that went to court.

Case file number(s) (if known):

The date probation was terminated (if known):

I don’t remember my case number and/or date.
See attached. (If you need more space, you may attach a separate page.)

I had contact with law enforcement but did not go to court.

Date(s) I had contact with law enforcement:

Name(s) of law enforcement or other agency(ies):

See attached. (If you need more space, you may attach a separate page.)

I understand that the probation department is responsible for requesting the juvenile court to seal the records of
only those agencies in its records and those listed on page 2 of this form. I understand that after I file this document
the probation department will have 90 days to conduct an investigation and file a record-sealing petition for me
with the juvenile court. I also understand that some records may not be eligible for sealing. I am aware that form
JV-595-INFO, How to Ask the Court to Seal Your Records, provides more information on this process.

Judicial Council of California,
Rev. January 1, 2021, Optional Form
Welfare and Institutions Code, § 781
Cal. Rules of Court, rule 5.830

Request to Seal Juvenile Records

JV-595, Page 1 of 2

Your name:

Case Number:

Note: When you file this form with the probation department, it will research your case history and attach a list of
contacts and addresses of all agencies that it knows have records of the case(s) and contacts(s) you listed on page
1. If you have had contacts with law enforcement or another agency with a record of your offense and that entity
may not have been reported to the probation department, please list it below, or that record may not be sealed. If
your case was transferred from one county to another, your records in both counties will be sealed. If you have a
probation record in more than one county and that record was not transferred, you may ask the court to seal that
record as well. If the court does not seal that record, it will inform you that you need to file this form in that
county. Contacts not included on this form may not be sealed. The court may seal only those records listed on the
petition.

5 Include all contacts (with addresses) you had, before your 18th birthday, with the agencies below that might not be

part of your probation records:

Court:

Probation Department:

Sheriff’s Department:

Police Department:

California Highway Patrol:

Department of Motor Vehicles:

Law Enforcement:

School(s):

Homeland Security:

Other:

See attached. (If you need more space, you may attach a separate page or pages listing the contacts.)

I declare that the information on this form is true and correct to the best of my knowledge.

Date:

Type or print your name

Sign your name

Rev. January 1, 2021

Request to Seal Juvenile Records

JV-595, Page 2 of 2

Request to Seal Juvenile Records

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): 2
Fields(s): 46
Average fields per page: 23
Reading Level: Grade 7
LIST Grouping(s): CO-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.

j_page_stamp_court_case_ft was JV-595[0].Page1[0].StampSub[0].Stamp_court_case[0].CourtInfo_ft[0] (0.55 conf)
j_v_stamp_court_name_ft was JV-595[0].Page1[0].StampSub[0].Stamp_court_case[0].Name_ft[0] (0.39 conf)
j_stamp_court_case_number_ft was JV-595[0].Page1[0].StampSub[0].Stamp_court_case[0].CaseNumber_ft[0] (0.39 conf)
j_v_page_list_item_text_box was JV-595[0].Page1[0].List1[0].Item[0].TextBox1[0] (0.30 conf)
j_v_page_list_item_field__1 was JV-595[0].Page1[0].List1[0].Item[0].TextField2[0] (0.30 conf)
j_v_page_list_item_field__2 was JV-595[0].Page1[0].List1[0].Item[0].TextField3[0] (0.30 conf)
j_v_page_list_item_field__3 was JV-595[0].Page1[0].List1[0].Item[0].TextField4[0] (0.30 conf)
j_v_page_list_item_field__4 was JV-595[0].Page1[0].List1[0].Item[0].TextField5[0] (0.30 conf)
j_v_page_list_item_field__5 was JV-595[0].Page1[0].List1[0].Item[0].TextField6[0] (0.30 conf)
j_v_page_list_item_field__6 was JV-595[0].Page1[0].List1[0].Item[0].TextField7[0] (0.30 conf)
j_v_list_item_hague_cert_cb__1 was JV-595[0].Page1[0].List2[0].Item[0].AGHagueCert_cb1[0] (0.36 conf)
j_v_page_list_item_field__7 was JV-595[0].Page1[0].List2[0].Item[0].TextField[0] (0.30 conf)
j_v_page_list_item_field__8 was JV-595[0].Page1[0].List2[0].Item[0].TextField2[0] (0.30 conf)
j_v_list_item_hague_cert_cb__2 was JV-595[0].Page1[0].List2[0].Item[0].AGHagueCert_cb2[0] (0.36 conf)
j_v_list_item_hague_cert_cb__3 was JV-595[0].Page1[0].List2[0].Item[0].AGHagueCert_cb3[0] (0.36 conf)
j_v_page_list_item_hague_cert was JV-595[0].Page1[0].List3[0].Item[0].AGHagueCert1[0] (0.33 conf)
j_v_page_list_item_field_name__1 was JV-595[0].Page1[0].List3[0].Item[0].FieldName_cb1[0] (0.41 conf)
j_v_page_list_item_field__9 was JV-595[0].Page1[0].List3[0].Item[0].TextField2[0] (0.30 conf)
j_v_page_list_item_field_name__2 was JV-595[0].Page1[0].List3[0].Item[0].FieldName_cb2[0] (0.41 conf)
j_v_page_list_item_field__10 was JV-595[0].Page1[0].List3[0].Item[0].TextField3[0] (0.30 conf)
j_v_list_item_hague_cert_cb__4 was JV-595[0].Page1[0].List3[0].Item[0].AGHagueCert_cb[0] (0.36 conf)
j_v_p_e_gp_name_ft was JV-595[0].Page2[0].PE_P2Header_gp[0].Name_ft[0] (0.31 conf)
j_v_page_p_e_gp_number was JV-595[0].Page2[0].PE_P2Header_gp[0].CaseNumber_ft[0] (0.35 conf)
j_v_page_list_item_field_name__3 was JV-595[0].Page2[0].List5[0].Item[0].FieldName_cb1[0] (0.41 conf)
j_v_page_list_item_textbox__1 was JV-595[0].Page2[0].List5[0].Item[0].Textbox1[0] (0.32 conf)
j_v_page_list_item_field_name__4 was JV-595[0].Page2[0].List5[0].Item[0].FieldName_cb2[0] (0.41 conf)
j_v_page_list_item_textbox__2 was JV-595[0].Page2[0].List5[0].Item[0].Textbox2[0] (0.32 conf)
j_v_page_list_item_field_name__5 was JV-595[0].Page2[0].List5[0].Item[0].FieldName_cb3[0] (0.41 conf)
j_v_page_list_item_textbox__3 was JV-595[0].Page2[0].List5[0].Item[0].Textbox3[0] (0.32 conf)
j_v_page_list_item_field_name__6 was JV-595[0].Page2[0].List5[0].Item[0].FieldName_cb4[0] (0.41 conf)
j_v_page_list_item_textbox__4 was JV-595[0].Page2[0].List5[0].Item[0].Textbox4[0] (0.32 conf)
j_v_page_list_item_field_name__7 was JV-595[0].Page2[0].List5[0].Item[0].FieldName_cb5[0] (0.41 conf)
j_v_page_list_item_textbox__5 was JV-595[0].Page2[0].List5[0].Item[0].Textbox5[0] (0.32 conf)
j_v_page_list_item_field_name__8 was JV-595[0].Page2[0].List5[0].Item[0].FieldName_cb6[0] (0.41 conf)
j_v_page_list_item_textbox__6 was JV-595[0].Page2[0].List5[0].Item[0].Textbox6[0] (0.32 conf)
j_v_page_list_item_field_name__9 was JV-595[0].Page2[0].List5[0].Item[0].FieldName_cb7[0] (0.41 conf)
j_v_page_list_item_textbox__7 was JV-595[0].Page2[0].List5[0].Item[0].Textbox7[0] (0.32 conf)
j_v_page_list_item_field_name__10 was JV-595[0].Page2[0].List5[0].Item[0].FieldName_cb8[0] (0.41 conf)
j_v_page_list_item_textbox__8 was JV-595[0].Page2[0].List5[0].Item[0].Textbox8[0] (0.32 conf)
j_v_page_list_item_field_name__11 was JV-595[0].Page2[0].List5[0].Item[0].FieldName_cb9[0] (0.41 conf)
j_v_page_list_item_textbox__9 was JV-595[0].Page2[0].List5[0].Item[0].Textbox9[0] (0.32 conf)
j_v_page_list_item_field_name__12 was JV-595[0].Page2[0].List5[0].Item[0].FieldName_cb10[0] (0.41 conf)
j_v_page_list_item_textbox__10 was JV-595[0].Page2[0].List5[0].Item[0].Textbox10[0] (0.32 conf)
j_v_list_item_hague_cert_cb__5 was JV-595[0].Page2[0].List5[0].Item[0].AGHagueCert_cb[0] (0.36 conf)
j_v_page_area_sig_date was JV-595[0].Page2[0].Signature[0].#area[0].SigDate[0] (0.31 conf)
j_page_signature_area_text_field was JV-595[0].Page2[0].Signature[0].#area[0].TextField[0] (0.33 conf)

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

Request to Seal Juvenile Records

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