Md. R. Juv. Causes , Form 11-506.1
(Caption)
PETITION FOR EXPUNGEMENT OF JUVENILE RECORDS
(Code, Courts Article, § 3-8A-27.1)
1. (Check one of the following boxes) On or about
_____________________________, I was [ ] arrested or [ ] served (Date) with a citation by an officer of the ___________________________
(Law Enforcement Agency)
at _____________________________________________, Maryland, as a result of the following incident _______________________________.
2. I was charged with the offense of ___________________ .
3. On or about ___________________________, the charge was
(Date)
disposed of as follows (check one of the following boxes):
a. [ ] The State's Attorney entered a nolle prosequi.
b. [ ] The delinquency or Child in Need of Supervision petition or the citation was dismissed.
c. [ ] The court, in an adjudicatory hearing, did not find that the allegations in the delinquency or Child in Need of Supervision petition or citation were true.
d. [ ] The adjudicatory hearing was not held within two years after the delinquency or Child in Need of Supervision petition or citation was filed.
e. [ ] The court, in a disposition hearing, found that I did not require guidance, treatment, or rehabilitation.
f. [ ] The court, in a disposition hearing, found that I did require guidance, treatment, or rehabilitation.
4. Each of the following statements are true (check each true statement):
a. [ ] I am at least 18 years old.
b. [ ] At least two years have elapsed since the last official action in my juvenile record.
c. [ ] I have never been adjudicated delinquent, or, I was only adjudicated delinquent one time.
d. [ ] I have not subsequently been convicted of any offense.
e. [ ] No delinquency petition or criminal charge is pending against me.
f. [ ] I have not been adjudicated delinquent for an offense that, if committed by an adult, would constitute: a crime of violence (as defined in Code, Criminal Law Article, § 14-101) ; a violation of Code, Criminal Law Article, § 3-308; or a felony.
g. [ ] I have not been required to register as a sex offender under Code, Criminal Procedure Article, § 11-704.
h. [ ] I have not been adjudicated delinquent for an offense involving the use of a firearm, (as defined in Code, Public Safety Article, § 5-101) in the commission of a crime of violence (as defined in Code, Criminal Law Article, § 14-101) .
i. [ ] I have fully paid any monetary restitution ordered by the court in the delinquency proceeding.
j. [ ] I understand that the court shall consider my best interests, my stability in the community, and the safety of the public in its consideration of this petition.
WHEREFORE, I request the court to enter an Order for Expungement of my juvenile record pertaining to the above action.
I solemnly affirm under the penalties of perjury that the contents of this petition are true to the best of my knowledge, information, and belief.
___________________________ _______________________________
(Date) (Signature)
___________________________
(Address)
___________________________
___________________________
(Telephone No.)
Md. R. Juv. Causes , Form 11-506.1