Request To Shield Consented To Protective Order Records {CC-DC-DV-21B}

CIRCUIT COURT DISTRICT COURT OF MARYLAND FOR Court Address City/County Located at Case No. vs. Petitioner Respondent REQUEST TO SHIELD CONSENTED TO PROTECTIVE ORDER RECORDS (Family Law § 4-512(b)(2)) 1. On , a Petition for Protection from Domestic Violence was Date consented to by the Respondent and at least three (3) years have passed since the date of the expiration of the consent or a General Waiver and Release of all related tort claims is attached. 2. The Respondent did not violate the Protective Order during its term. 3. A Final Protective Order or Peace Order has not been previously issued against the Respondent in any proceeding between this Petitioner and Respondent. 4. The Respondent has not been found guilty of a crime arising from abuse against the Petitioner. 5. There are no protective orders or peace orders pending against the Respondent. 6. There are no criminal charges pending against the Respondent arising from alleged abuse against an individual. OR The Respondent has refiled this request for shielding after one (1) year from the date of the prior hearing to shield and all of the above are true. 7. I request that the Court schedule a hearing and after the hearing order the shielding of all court records relating to the proceeding. Date Petitioner / Respondent Signature Address City, State, Zip Telephone CERTIFICATE OF SERVICE I certify that I served a copy of this Petition upon the following party or parties by class mail, postage prepaid hand delivery, on to: Date Name Name Date Address Address Signature of Party Serving mailing first OR I have filed the attached Motion for Service by Clerk. Date Signature American LegalNet, Inc. www.FormsWorkFlow.com CC-DC-DV-021B (Rev. 10/2014)