ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):

FOR COURT USE ONLY

JV-755

FAX NO. (Optional):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF

TELEPHONE NO.:

E-MAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

CASE NAME:

DEFERRED ENTRY OF JUDGMENT—
DISMISSAL AND SEALING OF JUVENILE RECORDS

CASE NUMBER:

1.  Name of subject child:

Date of birth:

2.  a.  Date of hearing: 

b.  Judicial officer (name):

Dept.:

Room:

3.  The court has read and considered the report of the probation officer and any other evidence presented or information provided.

THE COURT MAKES THE FOLLOWING FINDINGS AND ORDERS: 

4.  The child has complied satisfactorily with the conditions imposed.

5.  The petition filed on (date):

is dismissed.

6.  The child’s juvenile records related to the arrest on (date):                                               regarding an alleged violation of (specify
     offense):                                                                            in the custody of this court and of the courts, agencies, and officials listed 
     below are ordered sealed:

District Attorney (specify county):

Child's Attorney (name):

Probation Dept. (specify county):

California Dept. of Justice

Other (specify):

Attachment

7.  All Deferred Entry of Judgment records are to be destroyed according to Welfare and Institutions Code section 793(c), and the arrest 
     is deemed never to have occurred except that the prosecuting attorney and the probation officer of any county can access these
     records for the limited purpose of determining eligibility for deferred entry of judgment.

Date:

Form Approved for Optional Use
Judicial Council of California 
JV-755 [Rev. January 1, 2012]

DEFERRED ENTRY OF JUDGMENT—
DISMISSAL AND SEALING OF JUVENILE RECORDS

JUDICIAL OFFICER

Welfare and Institutions Code, §§ 781(d), 793
www.courts.ca.gov

Page 1 of 1