Request To Shield Denied Or Dismissed Protective Order Records {CC-DC-DV-21A}

CIRCUIT COURT DISTRICT COURT OF MARYLAND FOR Court Address City/County Located at Case No. vs. Petitioner Respondent REQUEST TO SHIELD DENIED OR DISMISSED PROTECTIVE ORDER RECORDS (Family Law § 4-512(b)(1)) 1. On , a Petition for Protection from Domestic Violence was Date denied or dismissed at the Interim Temporary Final Protective Order stage of a proceeding and at least three (3) years have passed since the date of the denial or dismissal or a General Waiver and Release is attached. 2. A Final Protective Order or Peace Order has not been previously issued against the Respondent in any proceeding between this Petitioner and Respondent. 3. The Respondent has not been found guilty of a crime arising from abuse against the Petitioner. 4. There are no protective orders or peace orders pending against the Respondent in a proceeding between this Petitioner and Respondent. 5. There are no criminal charges pending against the Respondent arising from alleged abuse against the Petitioner. 6. 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 CC-DC-DV-021A (Rev. 10/2014) American LegalNet, Inc. www.FormsWorkFlow.com