Form sealed acknowledgment sample 2026

1. Click ‘Get Form’ to open the Acknowledgment of Juvenile Record Sealed in the editor.
2. Begin by filling in the 'AGENCY' section with the name of your agency, followed by the contact details including street address, city, state, telephone number, fax number, and email address.
3. Next, provide the court's information by entering the Superior Court of California's details such as street address, mailing address, city and zip code, and branch name.
4. In the 'CASE NAME' field, enter the relevant case name associated with this acknowledgment.
5. For clerk's use only, leave space for the case number which will be filled in later by court personnel.
6. In section 1, certify that records have been sealed and indicate that a copy has been sent to the court. Fill in the date of court order and child's name in sections 2 and 3 respectively.
7. Finally, type or print your name in the designated area and provide your signature along with the date at the bottom of the form.

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