NOTICE TO CHILD AND PARENT/GUARDIAN
TO (names):
1. Please take notice that a copy of your juvenile police records is being sought by
(name):
2. The requested records are described in the attached Petition to Obtain Report of Law Enforcement Agency (Juvenile) (form JV-575).
3. If you object to the disclosure of these records, you must do one of the following before the date specified in item a or b below:
a. If this notice was served on you by mail or confirmed fax, you must submit your objection to the law enforcement agency in
possession of the records within 20 days of the date you receive this notice.
b. If this notice was served on you by personal service, you must submit your objection to the law enforcement agency in
possession of the records within 15 days of the date you receive this notice.
WARNING: If your objection is not received by the law enforcement agency in possession of the records before the date specified
in item 3, your records may be produced or otherwise be made available to the person or entity listed in item 1.
Date:
(SIGNATURE OF REQUESTING PERSON)
OBJECTION TO RELEASE OF RECORDS
Objections to the release of the records described in the attached Petition to Obtain Report of Law Enforcement Agency (Juvenile)
(form JV-575) must be sent to the originating law enforcement agency.
1. I object to the production of my juvenile police records to the person or entity specified above.
2.
Page 1 of 1
NOTICE TO CHILD AND PARENT/GUARDIAN
RE: RELEASE OF JUVENILE POLICE RECORDS AND OBJECTION
Welfare and Institutions Code, § 827.9
www.courtinfo.ca.gov
Form Adopted for Mandatory Use
Judicial Council of California
JV-580 [Rev. January 1, 2006]
I object only to the production of the following specified records:
JV-580
NOTICE TO CHILD AND PARENT/GUARDIAN
RE: RELEASE OF JUVENILE POLICE RECORDS AND OBJECTION
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
CASE NAME:
CASE NUMBER:
TELEPHONE NO.:
FAX NO. (Optional):
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
(TYPE OR PRINT NAME)
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
`
(SIGNATURE OF OBJECTING PERSON(TYPE OR PRINT NAME)
Date:
`
To keep other people from 
seeing what you entered on 
your form, please press the 
Clear This Form button at the 
end of the form when finished.
For your protection and privacy, please press the Clear This Form
button after you have printed the form.
Save This Form
Print This Form
Clear This Form