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CR-415

Petition to Terminate Sex Offender 
Registration (Pen. Code, § 290.5)

Clerk stamps date here when form is filed.

•  Before using this form, read Information on Filing a Petition to Terminate 

Sex Offender Registration (form CR-415-INFO).

•  Petitioner must continue to register as a sex offender until a court terminates 

the registration requirement. 

•  A copy of the filed petition and proof of current registration (available at the 

registering law enforcement agency) must be served on the proper law 
enforcement agencies and district attorney offices. Proof of service must be 
filed with the court (you may use Proof of Service (form CR-416), available 
at www.courts.ca.gov/forms). The petition may be denied if service is not 
complete. 

1 Petitioner’s Information

a. Name:

First

Middle

Last

b.

Date of birth:
Attorney representing petitioner (if any)
Attorney Name:

(mm/dd/yyyy)

Fill in court name and street address:

Superior Court of California, County of

Court fills in case number when form is filed. 

Case Number:

Firm:

State Bar No.:

c. Contact information (IMPORTANT: You may be contacted about this 
matter at the address, phone, or e-mail listed below. Contact the 
court immediately if your contact information changes):

For Court use only:

Date:
Time:
Department:

Check if attorney’s contact information

Street

City

State

Zip

Phone: 

E-mail (if available):

Petitioner or attorney agrees to email communication.

d.

If there is a hearing, petitioner requests an interpreter in (language):

2 Registration Status and Information

a. Petitioner is currently registered as a sex offender in California in the County of:

b. Identify the court in which petitioner was convicted of an offense requiring sex offender registration in  

California (e.g., specific California superior court, federal district court, military court, other state court). If  
known, include the case number for the conviction: 

c. This petition is being filed on or after petitioner’s next birthday after July 1, 2021, following the expiration of 

petitioner’s mandated minimum registration period.

d. Proof of current registration is attached (available at the registering law enforcement agency).

3 Termination Request

Petitioner requests termination of the requirement to register as a sex offender in California.

Judicial Council of California,  
New July 1, 2021, Mandatory Form  
Pen. Code, § 290.5

Petition to Terminate Sex Offender Registration  
(Pen. Code, § 290.5)

CR-415, Page 1 of 3

4 Pending Charges

To my knowledge, there are no pending charges against petitioner that could extend the time to complete the 
registration requirements of petitioner’s tier or change petitioner’s tier status. 

Case Number:

5 Custody Status

Petitioner is not in custody (in jail or prison). 

6 Supervision Status

Petitioner is not on parole, probation, postconviction supervised release, or any other form of supervised release.

7

Tier Designation and Eligibility
Petitioner was designated by the Department of Justice in the following tier and has registered for the following 
number of years: 

(1)

Petitioner has registered for at least 10 years.

Tier 1 (Adult)

Tier 2 (Adult)

a.

b.

(1)

(2)

Petitioner has registered for at least 20 years; or 

Petitioner has registered for at least 10 years and all of the following apply:  

(a)

(b)

(c)

Petitioner has not been convicted of a new offense requiring sex offender registration since 
petitioner was released from custody on the offense requiring sex offender registration;

Petitioner has not been convicted of a new offense listed in Penal Code section 667.5(c) (violent 
felonies) since petitioner was released from custody on the offense requiring sex offender registration; 
and

The offense for which petitioner is required to register as a sex offender in California 
(1) involved no more than one victim 14 through 17 years of age, (2) occurred when petitioner was  
under 21 years of age, (3) is not one listed in Penal Code section 667.5(c) (except Penal Code  
section 288(a)), and (4) is not one listed in Penal Code section 236.1. 

(1)

(2)

(3)

(4)

(5)

c.

Tier 3 (All of the following apply.)

Petitioner’s designation is based only on a risk-level assessment; 

Petitioner has registered for at least 20 years; 

Petitioner has not been convicted of a new offense requiring sex offender registration since petitioner 
was released from custody on the offense requiring sex offender registration;
Petitioner has not been convicted of a new offense listed in Penal Code section 667.5(c) (violent felonies) 
since petitioner was released from custody on the offense requiring sex offender registration; and
Petitioner is not required to register for a conviction pursuant to Penal Code section 288 or an offense 
listed in Penal Code section 1192.7(c) (serious felonies).  

8 Previous Petition 

a. Petitioner (check one)

in California for termination of a sex offender registration requirement that was denied by the court.

has

has not

 previously filed a Penal Code section 290.5 petition 

b. The previous petition was denied in (case number):

, in the Superior Court of California,

County of 

, on (date):

c. The court set

(years)

 (months) as the time period after which petitioner may request termination again.

New July 1, 2021

Petition to Terminate Sex Offender Registration  
(Pen. Code, § 290.5)

CR-415, Page 2 of 3

Case Number:

9 Registration Period

Petitioner believes that they have met the requirements to register for the time period required by petitioner’s 
tier designation as determined by the Department of Justice.

I declare that the information provided is true and correct, except as to matters that are stated on my information and 
belief, and as to those matters, I believe them to be true.

Date:

Printed name of petitioner or attorney

 Signature of petitioner or attorney

New July 1, 2021

Petition to Terminate Sex Offender Registration  
(Pen. Code, § 290.5)

CR-415, Page 3 of 3

Petition to Terminate Sex Offender Registration (Pen. Code, § 290.5)

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): 53
Average fields per page: 17
Reading Level: Grade 11
LIST Grouping(s): CR-00-00-00-00, CO-07-00-00-00, 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.

r_page_right_caption_county_info was CR-415[0].Page1[0].RightCaption_sf[0].County[0].CourtInfo_ft[0] (0.53 conf)
r_page_right_caption_n_number was CR-415[0].Page1[0].RightCaption_sf[0].CN[0].CaseNumber_ft[0] (0.39 conf)
c_r_page_right_caption_field was CR-415[0].Page1[0].RightCaption_sf[0].DateField1[0] (0.37 conf)
r_page_right_caption_text_field__1 was CR-415[0].Page1[0].RightCaption_sf[0].TextField2[0] (0.40 conf)
r_page_right_caption_text_field__2 was CR-415[0].Page1[0].RightCaption_sf[0].TextField3[0] (0.40 conf)
c_r_page_list_lia was CR-415[0].Page1[0].List1[0].Lia[0].T186[0] (0.37 conf)
c_r_page_list_lia_date was CR-415[0].Page1[0].List1[0].Lia[0].Date1[0] (0.37 conf)
c_r_page_list_lib_field__1 was CR-415[0].Page1[0].List1[0].Lib[0].Field3[0] (0.37 conf)
c_r_page_list_lib_field__2 was CR-415[0].Page1[0].List1[0].Lib[0].Field4[0] (0.37 conf)
c_r_page_list_lib_field__3 was CR-415[0].Page1[0].List1[0].Lib[0].Field5[0] (0.37 conf)
c_r_page_list_lic_check_box__1 was CR-415[0].Page1[0].List1[0].Lic[0].CheckBox8[0] (0.42 conf)
c_r_page_list_lic_fill_text__1 was CR-415[0].Page1[0].List1[0].Lic[0].FillText10[0] (0.39 conf)
c_r_page_list_lic_fill_text__2 was CR-415[0].Page1[0].List1[0].Lic[0].FillText11[0] (0.39 conf)
c_r_page_list_lic_fill_text__3 was CR-415[0].Page1[0].List1[0].Lic[0].FillText12[0] (0.39 conf)
c_r_page_list_lic_fill_text__4 was CR-415[0].Page1[0].List1[0].Lic[0].FillText13[0] (0.39 conf)
c_r_page_list_lic_field__1 was CR-415[0].Page1[0].List1[0].Lic[0].Field4[0] (0.37 conf)
c_r_page_list_lic_field__2 was CR-415[0].Page1[0].List1[0].Lic[0].Field5[0] (0.37 conf)
c_r_page_list_lic_check_box__2 was CR-415[0].Page1[0].List1[0].Lic[0].CheckBox7[0] (0.42 conf)
c_r_page_list_lid_check_box was CR-415[0].Page1[0].List1[0].Lid[0].CheckBox2[0] (0.42 conf)
c_r_page_list_lid_field was CR-415[0].Page1[0].List1[0].Lid[0].Field7[0] (0.37 conf)
c_r_page_list_lia_field was CR-415[0].Page1[0].List2[0].Lia[0].Field9[0] (0.37 conf)
c_r_page_list_lib_text_field__1 was CR-415[0].Page1[0].List2[0].Lib[0].TextField2[0] (0.39 conf)
c_r_page_list_lib_text_field__2 was CR-415[0].Page1[0].List2[0].Lib[0].TextField5[0] (0.39 conf)
c_r_page_list_item_check_box__1 was CR-415[0].Page1[0].List3[0].item3[0].CheckBox22[0] (0.42 conf)
c_r_page_sf_case_number_ft was CR-415[0].Page2[0].PxCapton_sf[0].CaseNumber_ft[0] (0.37 conf)
c_r_page_list_item_check_box__2 was CR-415[0].Page2[0].List4[0].item4[0].CheckBox13[0] (0.42 conf)
c_r_page_list_item_check_box__3 was CR-415[0].Page2[0].List5[0].item5[0].CheckBox2[0] (0.42 conf)
c_r_page_list_item_check_box__4 was CR-415[0].Page2[0].List6[0].item6[0].CheckBox12[0] (0.42 conf)
c_r_page_list_lia_check_box__1 was CR-415[0].Page2[0].List7[0].Lia[0].CheckBox2[0] (0.42 conf)
c_r_page_list_lia_check_box__2 was CR-415[0].Page2[0].List7[0].Lia[0].CheckBox21[0] (0.42 conf)
c_r_page_list_lib_check_box__1 was CR-415[0].Page2[0].List7[0].Lib[0].CheckBox23[0] (0.42 conf)
c_r_page_list_lib_check_box__2 was CR-415[0].Page2[0].List7[0].Lib[0].SubLib[0].Li1[0].CheckBox40[0] (0.42 conf)
c_r_page_list_lib_check_box__3 was CR-415[0].Page2[0].List7[0].Lib[0].SubLib[0].Li2[0].CheckBox40[0] (0.42 conf)
c_r_page_list_lib_check_box__4 was CR-415[0].Page2[0].List7[0].Lib[0].SubLib[0].Li2[0].SubLi2[0].Liia[0].CheckBox25[0] (0.42 conf)
c_r_page_list_lib_check_box__5 was CR-415[0].Page2[0].List7[0].Lib[0].SubLib[0].Li2[0].SubLi2[0].Liib[0].CheckBox26[0] (0.42 conf)
c_r_page_list_lib_check_box__6 was CR-415[0].Page2[0].List7[0].Lib[0].SubLib[0].Li2[0].SubLi2[0].Liic[0].CheckBox27[0] (0.42 conf)
c_r_page_list_lic_check_box__3 was CR-415[0].Page2[0].List7[0].Lic[0].CheckBox28[0] (0.42 conf)
c_r_list_sub_lii_check_box__1 was CR-415[0].Page2[0].List7[0].Lic[0].SubLic[0].Lii1[0].CheckBox29[0] (0.42 conf)
c_r_list_sub_lii_check_box__2 was CR-415[0].Page2[0].List7[0].Lic[0].SubLic[0].Lii2[0].CheckBox30[0] (0.42 conf)
c_r_list_sub_lii_check_box__3 was CR-415[0].Page2[0].List7[0].Lic[0].SubLic[0].Lii3[0].CheckBox31[0] (0.42 conf)
c_r_list_sub_lii_check_box__4 was CR-415[0].Page2[0].List7[0].Lic[0].SubLic[0].Lii4[0].CheckBox32[0] (0.42 conf)
c_r_list_sub_lii_check_box__5 was CR-415[0].Page2[0].List7[0].Lic[0].SubLic[0].Lii5[0].CheckBox33[0] (0.42 conf)
c_r_page_list_lia_check_box__3 was CR-415[0].Page2[0].List8[0].Lia[0].CheckBox51[0] (0.42 conf)
c_r_page_list_lia_check_box__4 was CR-415[0].Page2[0].List8[0].Lia[0].CheckBox51[1] (0.42 conf)
c_r_page_list_lib_text_field__3 was CR-415[0].Page2[0].List8[0].Lib[0].TextField10[0] (0.39 conf)
c_r_page_list_lib_text_field__4 was CR-415[0].Page2[0].List8[0].Lib[0].TextField11[0] (0.39 conf)
c_r_page_list_lib_date_field was CR-415[0].Page2[0].List8[0].Lib[0].DateField2[0] (0.41 conf)
c_r_page_list_lic_field__3 was CR-415[0].Page2[0].List8[0].Lic[0].Field1[0] (0.37 conf)
c_r_page_list_lic_field__4 was CR-415[0].Page2[0].List8[0].Lic[0].Field2[0] (0.37 conf)
c_r_page_n_case_number_ft was CR-415[0].Page3[0].CN[0].CaseNumber_ft[0] (0.36 conf)
page_list_item_check_box_right was CR-415[0].Page3[0].List9[0].item9[0].CheckBoxRightCaption36[0] (0.43 conf)
c_r_page_sign_date was CR-415[0].Page3[0].Sign[0].Date4[0] (0.34 conf)
c_r_page_sign_print_name was CR-415[0].Page3[0].Sign[0].PrintName[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

Petition to Terminate Sex Offender Registration (Pen. Code, § 290.5)

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