I, .................................................., hereby release and |
forever discharge (complainant) |
and the ................., (law enforcement agency) |
all of its officers, agents and employees, and any and all other persons from any and all tort claims which I may have for wrongful conduct by reason of my arrest, detention, or confinement on or about _____________________________. |
This General Waiver and Release is conditioned on the expungement of the record of my arrest, detention, or confinement and compliance with Code, Criminal Procedure Article, § 10-105, as applicable, and shall be void if these conditions are not met.
The reference to "Code in this General Waiver and Release is to the Annotated Code of Maryland.
WITNESS my hand and seal this................................. (Date) |
TESTE:
................................... |
Witness Signature |
...........................(Seal) |
Petitioner Signature |
_________________________
Printed Name of Witness
Md. Crim. Causes., Form 4-503.2
HISTORICAL NOTES
2002 Orders
The January 8, 2002, order, in the second paragraph of the form, substituted "Criminal Procedure Article, § 10-103(c) or § 10-105 for "Article 27, § 736(c), or § 737.
2007 Orders
The December 4, 2007, order, in the second paragraph of the form, deleted a reference to Criminal Procedure Article, § 10-103(c).