Cc Dc Po 16 Form PDF Details

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QuestionAnswer
Form NameCc Dc Po 16 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesccdcpo016 request to shield peace order records form

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CIRCUIT COURT DISTRICT COURT OF MARYLAND FOR

City/County

Located at

Court Address

Case No.

 

 

Petitioner

vs.

Respondent

 

REQUEST TO SHIELD PEACE ORDER RECORDS

 

(CJ § 3-1510)

 

1. On

, a Petition for Peace Order was Denied or Dismissed at the

Date

 

 

Interim Temporary

Final stage of a proceeding and at least three (3) years have passed since

the date of the denial or dismissal or a General Waiver and Release is attached.

2.A Final Peace Order or Protective Order has not been previously issued against the Respondent in any proceeding between this Petitioner and Respondent.

3.There are no peace orders or protective orders pending against the Respondent in a proceeding between this Petitioner and Respondent.

4.There are no criminal charges pending against this Respondent arising from alleged abuse against this Petitioner, described in the Annotated Code of Maryland, Courts and Judicial Proceedings Article,

§ 3-1503(a).

5.I request that the Court schedule a hearing and after the hearing order the shielding of all court records relating to the proceeding.

I solemnly affirm under the penalties of perjury that the contents of this Request are true to the best of my knowledge, information and belief.

Date

Respondent Signature

 

Address

 

City, State, Zip

 

Telephone Number

CERTIFICATE OF SERVICE

I hereby certify that on the

day of

,

, I mailed a copy of this Petition to:

 

Month

 

Year

 

Name and Address

 

 

 

Name and Address

 

 

Date

 

 

Signature

OR

 

 

 

I have filed the attached Motion for Appropriate Relief.

Date

Signature

CC-DC/PO 16 (Rev. 10/2011)

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1. First, once filling out the Cc Dc Po 16 Form, start out with the area that contains the following blank fields:

Filling in section 1 of Cc Dc Po 16 Form

2. The next step is usually to submit these blank fields: I solemnly affirm under the, Date, Respondent Signature, Address, City State Zip, Telephone Number, CERTIFICATE OF SERVICE, I hereby certify that on the day, Month, Year, Name and Address, Name and Address, Date, Signature, and I have filed the attached Motion.

Tips to fill out Cc Dc Po 16 Form part 2

When it comes to I hereby certify that on the day and Signature, be sure that you review things in this section. Those two are the most significant ones in this page.

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