Form 4 504 1 PDF Details

Form 4 504 is a form that gives students with disabilities specific accommodations and services that they need in order to participate in school. This form is filled out by the student's parent or guardian, teacher, and school psychologist. The accommodations listed on this form should be provided to the student in order to ensure their success in school. There are many different types of disabilities that can be accommodated for on this form, so it is important to understand what each one means. Additionally, there are also specific laws that must be followed when awarding accommodations on Form 4 504. By understanding all of this information, parents and educators can work together to help students achieve success in spite of any challenges they may face.

QuestionAnswer
Form NameForm 4 504 1
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesccdccr072 md expungement application form 4 5041

Form Preview Example

CIRCUIT COURT

DISTRICT COURT OF MARYLAND FOR

 

 

 

City/County

Located at

Case No.

 

 

Court Address

 

 

Tracking #

 

STATE OF MARYLAND

vs.

 

Defendant

DOB

 

 

PETITION FOR EXPUNGEMENT OF RECORDS

 

(In this Petition, references to "Code" are to the Annotated Code of Maryland, and references to "crime" and to "criminal action" refer to any criminal offense other than a violation of the vehicle or traffic laws, ordinances, or regulations that does not carry a possible sentence of imprisonment.)

1.

(Check one of the following boxes) On or about

, I was

arrested,

served with a summons, or

 

served with a citation by an officer of the

Date

 

 

 

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 disposed of as follows (check one of the following boxes, making

Date

sure that each statement after that box is true and correct):

I was acquitted of the charge. Either three years have passed since the acquittal, or a General Waiver and Release is attached.

The charge was otherwise dismissed or quashed. Either three years have passed since that disposition, or a General Waiver and Release is attached.

I was convicted of the charge, but the conduct on which the charge was based is no longer a crime.

A probation before judgment was entered on the charge, but the conduct on which the charge was based is no longer

a crime.

A probation before judgment was entered on the charge, and the conduct on which the charge was based still is a

crime. The charge did not allege a violation of Code, Transportation Article, §21-902; Code, Criminal Law Article, §§2-503, 2-504, 2-505, or 2-506; Code, Criminal Law Article, §3-211; or former Code, Article 27, §388A or §388B. Either (a) at least three years have passed since that disposition, or (b) I have been discharged from probation, whichever is later. Except for any conviction of a charge where the conduct on which the charge was based is no longer a crime, I was not convicted of any crime during the three-year period immediately following entry of the probation before judgment.

I am not now a defendant in any pending criminal action.

A Nolle Prosequi was entered. Either three years have passed since that disposition, or a General Waiver and Release is attached. I am not now a defendant in any pending criminal action.

The proceeding was stetted. Three years have passed since that disposition. I am not now a defendant in any pending criminal action.

I was convicted of a crime specified in Code, Criminal Procedure Article, §10-105 (a)(9). Three years have passed

since the later of the conviction or satisfactory completion of the sentence, including probation. I am not now a defendant in any pending criminal action.

I was found not criminally responsible for a crime specified in Code, Criminal Procedure Article, §10-105 (a)(9) or (a)(10). Three years have passed since the finding of not criminally responsible. I am not now a defendant in any pending criminal action.

The case was transferred to the juvenile court pursuant to Code, Criminal Procedure Article, §§4-202 or 4-202.2.

(Note: This Petition shall be filed in the court that issued the order of transfer. The expungement is only of the records in the criminal case, not the records in the juvenile court. See Code, Criminal Procedure Article, §10-106.)

The case was compromised or dismissed pursuant to Code, Criminal Law Article, §3-207, former Code, Article 27, §12A-5, or former Code, Article 10, §37. Three years have passed since that disposition.

I was convicted of one criminal act, which is not a crime of violence as defined in Code, Criminal Law Article,

§14-101(a), and on or about

, I was granted a full and unconditional pardon by the Governor, with

 

Date

respect to that conviction. Not more then ten years have passed since the Governor signed the pardon. I am not now a defendant in any pending criminal action.

WHEREFORE, I request the Court to enter an Order for Expungement of all police and court records pertaining to the above arrest, detention, confinement, and charges.

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, and that the charge to which this Petition relates was not made for any nonincarcerable violation of the Vehicle Laws of the State of Maryland, or any traffic law, ordinance, or regulation, nor is it part of a unit the expungement of which is precluded under Code, Criminal Procedure Article, §10-107.

Date

Signature

 

Address

CC-DC-CR-072 (Rev. 11/2015)

Telephone No.

How to Edit Form 4 504 1 Online for Free

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1. It's essential to complete the Form 4 504 1 accurately, hence be careful while working with the areas containing all these fields:

Form 4 504 1 conclusion process outlined (portion 1)

2. The next part is to complete the next few blanks: I was charged with the offense of, I was granted a full and, and Date.

Form 4 504 1 conclusion process outlined (part 2)

Regarding Date and I was granted a full and, make sure you don't make any errors in this current part. Both of these are the most significant fields in the document.

3. The next segment should be fairly straightforward, I was charged with the offense of, Date, CCDCCR Rev, Signature, Address, and Telephone No - all of these blanks has to be filled in here.

Writing part 3 of Form 4 504 1

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