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Here is the text we could read:

PETITION TO SEAL RECORD(S)
UNDER G. L. c. 276, § 100C

TRIAL COURT OF MASSACHUSETTS

PETITIONER'S NAME (please print)

PETITIONER'S ADDRESS (please print)

TELEPHONE #

DOCKET NUMBER

OFFENSE/CHARGE
(please list each one on a separate line)

DISPOSITION
DATE

DISPOSITION

PCF #

COURT
USE ONLY
seal

seal

seal

seal

seal

seal

Please see the attached continuation sheet listing additional case(s).

I request this Court to order that the record(s) of the criminal charge(s) listed above be sealed for the

following specific reasons: (Please print and attach documents as necessary)

DATE:

SIGNED UNDER THE PENALTIES OF PERJURY
PETITIONER'S SIGNATURE:

ORDER OF COURT

A hearing on the merits of petition to seal is scheduled on                                   , at
(no sooner than 7 days).  The clerk-magistrate shall ensure that notice of the hearing is given to the
probation department and the prosecutor's office, and shall post a copy of the petition on a public
bulletin board until the scheduled hearing.  The prosecutor's office is advised to give notice to the
victim(s), if any, and to inform the victim(s) she/he/they may appear and be heard.

AM
PM

After review of the petition and any attachments and/or the preliminary hearing, the Court finds that no
prima facie case in favor of sealing has been shown, and the petition to seal is DENIED.

DATE:

Rev.  1/15

JUDGE'S SIGNATURE:

PETITION TO SEAL RECORD(S)
UNDER G. L. c. 276, § 100C

TRIAL COURT OF MASSACHUSETTS

PETITIONER'S NAME (please print)

PETITIONER'S ADDRESS (please print)

TELEPHONE #

PCF #

DOCKET NUMBER

OFFENSE/CHARGE
(please list each one on a separate line)

DISPOSITION
DATE

DISPOSITION

COURT
USE ONLY
seal

seal

seal

seal

seal

seal

seal

seal

seal

seal

seal

seal

seal

seal

seal

seal

seal

seal

seal

seal

seal
seal

seal

seal

seal

seal

seal

seal

seal
seal
seal
seal
seal

seal

Rev.  1/15

Petition to Seal Record under G.L. c. 276

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Massachusetts 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 www.mass.gov (2023-03)
Page(s): 2
Fields(s): 191
Average fields per page: 95
Reading Level: Grade 9
LIST Grouping(s): Unknown

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.

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We've done our best to group similar variables togther to avoid overwhelming the user.

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

Petition to Seal Record under G.L. c. 276

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