PETITION TO SEAL JUVENILE POLICE RECORDS 
(Welf. & Inst. Code, § 827.95) 

Law Enforcement Agency:

JV-582

YOUTH'S NAME:

INSTRUCTIONS

Use this form if you received a notice from law enforcement saying that your juvenile police records were not sealed because you did 
not satisfactorily complete your diversion program, or because you were referred to probation or the prosecutor within 60 days of being 
released from law enforcement custody. 

How to fill out the form:

a. Put your name in the box at the top of the form, and your contact information in item 1 below.

b.

In item 2, put the reasons why you think that your records should be sealed; these may include reasons why you think you did 
satisfactorily complete your diversion program or that you were not referred to probation or the prosecutor. You may also attach 
any documents that you think show that your records should be sealed.

c. Attach a copy of the notice from law enforcement telling you that your juvenile police records were not sealed.

d. Return the completed form to the law enforcement agency listed above. Do not file with the court.

For information about juvenile record sealing, go to 

1.  MY INFORMATION

My name is:
I was born on (date):
My address is:
Phone number:
E-mail address:

2.  WHY MY JUVENILE POLICE RECORDS ARE ELIGIBLE TO BE SEALED

For the reasons stated below, I believe that I satisfactorily complied with the reasonable terms of program participation
that were within my capacity to perform.

For the reasons stated below, I think the determination that I was referred to probation or the prosecutor is not accurate. 

Form Approved for Optional Use 
Judicial Council of California 
JV-582 [New January 1, 2022]

PETITION TO SEAL JUVENILE POLICE RECORDS

Welfare and Institutions Code, § 827.95 

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YOUTH'S NAME:

Law Enforcement Agency:

JV-582

3. ATTACHMENT OF LAW ENFORCEMENT NOTICE

I have attached a copy of the notice from the law enforcement agency stating that my records were not sealed (form JV-581 or 
similar local form) to this form.

4. ATTACHMENT OF OTHER DOCUMENTATION

I have attached other documentation in support of my petition.

Date:

(SIGNATURE OF PETITIONER)

Give this form, the attached copy of the notice from law enforcement, and any supporting documentation to the law 
enforcement agency that gave you the notice. 

INSTRUCTIONS—AFTER YOU COMPLETE THIS FORM

JV-582 [New January 1, 2022]

PETITION TO SEAL JUVENILE POLICE RECORDS

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