SUPERIOR COURT OF CALIFORNIA COUNTY OF ORANGE SELF-HELP CENTER PETITION FOR DISMISSAL UNDER PENAL CODE 1210.

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SUPERIOR COURT OF CALIFORNIA COUNTY OF ORANGE SELF-HELP CENTER www.occourts.org/self-help PETITION FOR DISMISSAL UNDER PENAL CODE 1210.1(e)(1) All documents must be typed or printed neatly. Please use black ink. Self Help Center Locaons: Lamoreaux Jusce Center 1 st Floor 341 The City Drive Orange, CA Central Jusce Center Room G 100 700 Civic Center Drive West Santa Ana, CA North Jusce Center Room 355 1275 N. Berkeley Avenue Fullerton, CA Harbor Jusce Center Room 109, Window #18 4601 Jamboree Road Newport Beach, CA Please visit our Self-Help Portal at: https://selfhelp.occourts.org SHC-CRIM-02 (Rev. 05/29/2018)

SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE Petition for Relief under Penal Code 1210.1(e)(1)) & Notice of Hearing Information and Instructions INFORMATION: After successful completion of the drug treatment program, a defendant may petition the court to dismiss the charges. The court shall conduct a hearing in order to determine whether the defendant has successfully completed the drug treatment and has substantially complied with the terms of probation, including refraining from the use of drugs. Successful completion of treatment means a defendant has completed the required drug treatment program and there is reasonable cause to believe the defendant will not abuse controlled substances in the future. GRANTING OF THIS PETITION Does Release the defendant from all penalties and disabilities resulting from the convicted offense. Allow the defendant to indicate that he or she was not arrested or convicted for the offense except in response to any direct question contained in any questionnaire of application for public office, for licensure by any state or local agency, for contracting with the California State Lottery, or for purposes of serving on a jury. Does Not Restrict the Department of Justice from disclosing the arrest and conviction in response to any peace officer application request or law enforcement inquiry. Permit the defendant to own, possess or have in his or her custody or control any concealable firearm. Common reasons for denial include: Failure to successfully complete treatment Failure to comply with the terms of probation Failure to pay all court costs, fees and fines A new law violation after being placed on probation This information is for general use and not intended as full and comprehensive instruction governing the laws and rules relating to Penal Code section 1210.1. Clerks cannot give legal advice. For further information regarding a dismissal refer to Penal code section 1210.1 or seek legal assistance from an attorney. Form Approved for Optional Use Form # L-113 Revised [June 14,2 011] Petition for Relief under Penal Code 1210.1(e)(1) and Notice of Hearing Information and Instructions Page 1 of 2 Penal Code 1210.1(e)(1)

INSTRUCTIONS- Petition for Dismissal & Notice of Hearing form Follow the instructions below to file the petition and have your case placed on calendar for a dismissal hearing. Incomplete forms will not be filed and will be returned for correction. Read the entire instructions before you complete the form. 1 Complete a Petition for Dismissal Under Penal Code 1210.1(e)(1) and Notice of Hearing form (L-118). Note: read the service requirements before selecting a hearing date. 2 Make 3 copies and distribute as follows: Court (original) Probation Department (copy) Prosecutor (copy) Defendant (copy) 3 Serve a copy of the petition on the prosecutor and the Probation Department. If personal service then a. Select a hearing date* no sooner than 30 days. b. Deliver a completed copy of the petition to the prosecutor and Probation Department. c. Have the original and one copy stamped with an acknowledgment to indicate the document has been received. *See below for hearing schedule. If mailing notice then a. Select a hearing date* no sooner than 35 days (to allow for mailing time). b. Complete a Proof of Service. c. Mail a copy of the petition and Proof of Service to the prosecutor and Probation Department. Note: A copy of the proof of service must be attached to all copies including the original. 4 File the completed petition with the Criminal Department at the appropriate justice center. Note: On the hearing date, appear in court with any and all documents which will support your request. The court may continue the hearing if additional information is necessary. Hearing Schedule Misdemeanors Central Justice Center Harbor Justice Center North Justice Center West Justice Center Dept. C60 at 8:30 Monday through Friday Dept. H4 at 8:30 Monday through Friday Department N7 at 8:30 Thursdays only Department W3 at 8:30 Fridays only Felonies All felony PC 1210.1 dismissal hearings are to be heard at the Central Justice Center in Department C60 at 8:30 Monday through Friday. Form Approved for Optional Use Form # L-113 Revised [June 14,2 011] Petition for Relief under Penal Code 1210.1(e)(1) and Notice of Hearing Information and Instructions Page 2 of 2 Penal Code 1210.1(e)(1)

Form #L-118 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name & Address): FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): BAR NO.: SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE JUSTICE CENTER: Central - 700 Civic Center Dr. West, Santa Ana, CA 92701-4045 Harbor-Newport Beach Facility - 4601 Jamboree Rd., Newport Beach, CA 92660-2595 North - 1275 N. Berkeley Ave., P. O. Box 5000, Fullerton, CA 92838-0500 West - 8141 13 th Street, Westminster, CA 92683-4593 PEOPLE OF THE STATE OF CALIFORNIA vs. PETITION FOR DISMISSAL UNDER PENAL CODE 1210.1(e)(1) & NOTICE OF HEARING CASE NUMBER: The defendant in the above-entitled criminal action was convicted of the felony/misdemeanor violation of section(s) of the on. [SECTION(S)] [CODE(S)] (DATE) I am the attorney for the petitioner and state the following on information and belief: The defendant has successfully completed treatment as defined in Penal Code section 1210(c) and substantially complied with the conditions of probation. Defendant requests that the conviction on which the probation was based be set aside and the court dismiss this action pursuant to Penal Code section 1210.1(e)(1). A hearing on the Petition for Dismissal is scheduled for at AM/PM in Department. (DATE) (TIME) (DEPT.) I, the undersigned, say: I am the (attorney/defendant) in this action. I declare under penalty of perjury under the laws of the State of California that the foregoing statements are true and correct, except as to those matters that are stated on my information and belief, and as to those matters, I believe them to be true. Date: (TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER/ATTORNEY) Approved for Optional Use Form # L-118 [Revised May 3, 2013] PETITION FOR DISMISSAL UNDER PENAL CODE 1210.1(e)(1) & NOTICE OF HEARING Penal Code 1210.1(e)(1)

Form #L-136 SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE JUSTICE CENTER: Central - 700 Civic Center Dr. West, Santa Ana, CA 92701-4045 Harbor-Newport Beach Facility - 4601 Jamboree Rd., Newport Beach, CA 92660-2595 North - 1275 N. Berkeley Ave., P. O. Box 5000, Fullerton, CA 92838-0500 West - 8141 13 th Street, Westminster, CA 92683-4593 FOR COURT USE ONLY PEOPLE OF THE STATE OF CALIFORNIA vs. ORDER UNDER PENAL CODE 1210.1(e)(1) CASE NUMBER: ORDER The court denies the Petition for Dismissal under Penal Code 1210.1(e)(1). It appearing to the court from the records on file in this case and from the Petition that the defendant is eligible for the relief requested, IT IS ORDERED that the conviction be set aside, and the applicable count(s) on the accusatory pleading be dismissed. Further, the defendant is released from all penalties and disabilities resulting from the offense(s) of which he or she has been convicted, and both the arrest and conviction are deemed never to have occurred, except that: 1) The dismissal does not permit a person to own, possess, or have in his or her custody or control any firearm capable of being concealed upon the person or prevent his or her conviction under PC 12021; 2) The arrest and conviction on which probation was based may be recorded by the Department of Justice and disclosed in response to any peace officer application request or any law enforcement inquiry; 3) The defendant must disclose the arrest and conviction in response to any direct question contained in any questionnaire or application for public office, for a position as a peace officer, for licensure by any state or local agency, for contracting with the California State Lottery, or for purposes of serving on a jury. Dated: JUDGE OF THE SUPERIOR COURT Approved for Optional Use Form # L-136 [Revised May 3, 2013] ORDER UNDER PENAL CODE 1210.1(e)(1) Penal Code 1210.1(e)(1)