Here is the text we could read:
LAW ENFORCEMENT NOTICE ON SEALING OF RECORDS
(Welf. & Inst. Code, § 827.95)
Law Enforcement Agency:
JV-581
YOUTH'S NAME:
1. Name of subject youth:
2. RECORDS ARE SEALED
Date of birth:
The subject youth has satisfactorily completed a program of diversion from arrest, citation, or referral to probation or the
prosecutor.
The law enforcement agency hereby notifies the following public or private agencies operating the diversion program to
which the youth was referred that it must promptly seal any records in its custody relating to the youth's arrest or referral or
participation in the program, and release them only to the subject youth and the youth's parent or guardian as provided in
Welfare and Institutions Code section 827.95(c):
(Specify agency):
(Specify agency report or reference number(s)):
The subject youth was counseled and released by police officers without an arrest, citation, detention, or referral to probation
or the prosecutor, and the department has verified that no referral has been made for this youth within 60 days of the
release.
The subject youth does not fall within the jurisdiction of the juvenile delinquency court under current state law.
All police records relating to the arrest or referral and participation in the program related to the following law enforcement agency
report or reference number(s):
date of report(s):
in the department's custody have been sealed, and the arrest is deemed never to have occurred. Upon request, a copy of the
police records must be released to the youth and the youth's parent or guardian if identifying information pertaining to any other
juvenile has been removed.
The subject youth is a dependent of the juvenile court and the youth's social worker:
is hereby notified that any records in the social worker's custody pertaining to the law enforcement contact or referral must
be sealed.
3. RECORDS ARE NOT SEALED
The law enforcement agency has determined that sealing is inappropriate because the diversion program was not
satisfactorily completed for the reasons stated below and has not sealed the youth's records.
The subject youth was referred to probation or the prosecutor on (date):
which is less than 60 days from when the youth was released.
A copy of form JV-582, Petition to Seal Juvenile Police Records, or comparable local form has been provided to the youth to
allow the youth to request reconsideration of this determination.
4. The law enforcement agency must send a copy of this notice to the youth and the agencies and officials listed in item 2 within the
time frames set forth in Welfare and Institutions Code section 827.95.
Date:
Form Approved for Optional Use
Judicial Council of California
JV-581 [New January 1, 2022]
LAW ENFORCEMENT NOTICE ON SEALING OF RECORDS
(Welf. & Inst. Code, § 827.95)
PRINTED NAME OF LAW ENFORCEMENT OFFICER
SIGNATURE OF LAW ENFORCEMENT OFFICER
Page 1 of 1
Welfare and Institutions Code, § 827.95
JV-581 LAW ENFORCEMENT NOTICE ON SEALING OF RECORDS
(Welf. & Inst. Code, § 827.95)
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): 1
- Fields(s): 19
- Average fields per page: 19
- Reading Level: Grade 10
- LIST Grouping(s):
CR-00-00-00-00.
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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.
topmost_subform_page_p_caption_case_number_ft
was topmostSubform[0].Page1[0].P1Caption[0].CaseNumber[0].CaseNumber_ft[0] (0.61 conf)topmost_subform_page_p_caption_form_party_ft
was topmostSubform[0].Page1[0].P1Caption[0].FormParty[0].Party1_ft[0] (0.38 conf)topmost_page_list_nameofyouth
was topmostSubform[0].Page1[0].List1[0].Li1[0].nameofyouth[0] (0.41 conf)topmost_subform_page_list_li_dob
was topmostSubform[0].Page1[0].List1[0].Li1[0].dob[0] (0.41 conf)topmost_subform_page_list_li_texto_n
was topmostSubform[0].Page1[0].List2[0].Li1[0].TEXTON2[0] (0.39 conf)topmost_list_specify_agency
was topmostSubform[0].Page1[0].List2[0].Li1[0].SpecifyAgency[0] (0.41 conf)topmost_page_list_agencreport
was topmostSubform[0].Page1[0].List2[0].Li1[0].Agencreport[0] (0.39 conf)topmost_page_list_check_boxon
was topmostSubform[0].Page1[0].List2[0].Li1[0].Check2Boxon2[0] (0.39 conf)topmost_page_list_check_box__1
was topmostSubform[0].Page1[0].List2[0].Li1[0].CheckBox3[0] (0.41 conf)topmost_subform_page_list_refno
was topmostSubform[0].Page1[0].List2[0].Li1[0].refno[0] (0.41 conf)topmost_subform_page_list_li_dae
was topmostSubform[0].Page1[0].List2[0].Li1[0].dae[0] (0.41 conf)topmost_page_list_check_box__2
was topmostSubform[0].Page1[0].List2[0].Li1[0].CheckBox3ofno2[0] (0.41 conf)topmost_subform_page_list_wname
was topmostSubform[0].Page1[0].List2[0].Li1[0].SWname[0] (0.39 conf)topmost_page_list_check_box__3
was topmostSubform[0].Page1[0].List3[0].Li1[0].CheckBox1on3[0] (0.41 conf)topmost_page_list_text_field
was topmostSubform[0].Page1[0].List3[0].Li1[0].TextField6[0] (0.41 conf)topmost_page_list_check_box__4
was topmostSubform[0].Page1[0].List3[0].Li1[0].CheckBox2on3[0] (0.41 conf)topmost_subform_page_list_li
was topmostSubform[0].Page1[0].List3[0].Li1[0].T77[0] (0.39 conf)topmost_page_sign_text_field
was topmostSubform[0].Page1[0].SignSub[0].TextField6[0] (0.41 conf)topmost_page_sign_sig_date
was topmostSubform[0].Page1[0].SignSub[0].SigDate[0] (0.34 conf)
We've done our best to group similar variables togther to avoid overwhelming the user.
Suggested Screen 0:
topmost_subform_page_p_caption_case_number_ft
topmost_subform_page_p_caption_form_party_ft
Suggested Screen 1:
topmost_page_list_nameofyouth
topmost_list_specify_agency
topmost_page_list_agencreport
topmost_page_list_check_boxon
topmost_page_list_check_box__1
topmost_page_list_check_box__2
topmost_page_list_check_box__3
topmost_page_list_check_box__4
topmost_page_sign_sig_date
Suggested Screen 2:
topmost_page_list_text_field
topmost_page_sign_text_field
Suggested Screen 3:
topmost_subform_page_list_li_dob
topmost_subform_page_list_li_texto_n
topmost_subform_page_list_refno
topmost_subform_page_list_li_dae
topmost_subform_page_list_wname
topmost_subform_page_list_li
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