Form CC-DC-CR-078 (4-503.2) "General Waiver and Release" - Maryland

What Is Form CC-DC-CR-078 (4-503.2)?

This is a legal form that was released by the Maryland Courts - a government authority operating within Maryland. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2020;
  • The latest edition provided by the Maryland Courts;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CC-DC-CR-078 (4-503.2) by clicking the link below or browse more documents and templates provided by the Maryland Courts.

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☐ Mark this box if this form contains Restricted Information.
CIRCUIT COURT
DISTRICT COURT OF MARYLAND FOR
City/County
Located at
Case No.
Court Address
STATE OF MARYLAND
vs.
Defendant
Address
City, State, Zip
Home Telephone No.
Work Telephone No.
Form 4-503.2 GENERAL WAIVER AND RELEASE
(Criminal Procedure §10-105)
MDEC counties only: If this submission contains Restricted Information (confidential by statute, rule
or court order) you must file a Notice Regarding Restricted Information Pursuant to Rule 20-201.1
(form MDJ-008) with this submission, and check the Restricted Information box on this form .
I,
, hereby release and
forever discharge
, and
,
Complainant
Law Enforcement Agency
all of its officers, agents, and employees, and any and all other persons from any and all claims which I
may have for wrongful conduct by reason of my arrest, detention, or confinement on or about
.
Date
This General Waiver and Release is conditioned on the expungement of the record of my arrest,
detention, or confinement and compliance with Code*, Criminal Procedure Article, § 10-105, as
applicable, and shall be void if these conditions are not met.
WITNESS my hand and seal this
day of
,
.
Month
Year
TESTE:
(Seal)
Signature
Witness
* The reference to "Code" in this General Waiver and Release is to the Annotated Code of Maryland.
Reset
GWREX
CC-DC-CR-078 (Rev. 12/2020)
☐ Mark this box if this form contains Restricted Information.
CIRCUIT COURT
DISTRICT COURT OF MARYLAND FOR
City/County
Located at
Case No.
Court Address
STATE OF MARYLAND
vs.
Defendant
Address
City, State, Zip
Home Telephone No.
Work Telephone No.
Form 4-503.2 GENERAL WAIVER AND RELEASE
(Criminal Procedure §10-105)
MDEC counties only: If this submission contains Restricted Information (confidential by statute, rule
or court order) you must file a Notice Regarding Restricted Information Pursuant to Rule 20-201.1
(form MDJ-008) with this submission, and check the Restricted Information box on this form .
I,
, hereby release and
forever discharge
, and
,
Complainant
Law Enforcement Agency
all of its officers, agents, and employees, and any and all other persons from any and all claims which I
may have for wrongful conduct by reason of my arrest, detention, or confinement on or about
.
Date
This General Waiver and Release is conditioned on the expungement of the record of my arrest,
detention, or confinement and compliance with Code*, Criminal Procedure Article, § 10-105, as
applicable, and shall be void if these conditions are not met.
WITNESS my hand and seal this
day of
,
.
Month
Year
TESTE:
(Seal)
Signature
Witness
* The reference to "Code" in this General Waiver and Release is to the Annotated Code of Maryland.
Reset
GWREX
CC-DC-CR-078 (Rev. 12/2020)