Form CC-DC-CR-151 "Request for Access to Shielded Second Chance Act Record(S)" - Maryland

What Is Form CC-DC-CR-151?

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 July 1, 2021;
  • 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-151 by clicking the link below or browse more documents and templates provided by the Maryland Courts.

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Download Form CC-DC-CR-151 "Request for Access to Shielded Second Chance Act Record(S)" - Maryland

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CIRCUIT COURT
DISTRICT COURT OF MARYLAND FOR
City/County
Located at
Case No.
Court Address
REQUEST FOR ACCESS TO SHIELDED SECOND CHANCE ACT RECORD(S)
(Criminal Procedure §§ 10-302(b) and 10-303)
I, the undersigned, request access to records shielded pursuant to Criminal Procedure Article §§ 10-302(b) and
10-303. In support of this request, I state that I am:
1) a representative of a criminal justice unit and access is for legitimate criminal justice purposes
Name and Address of Criminal Justice Unit
;
Telephone and E-mail of Criminal Justice Unit
2) a prospective or current employer or government licensing agency subject to a statutory or regulatory
requirement or authorization to inquire into the criminal background of an applicant or employee for purposes of
carrying out that requirement or authorization
Name and Address of Employer or Government Licensing Agency
;
Telephone and E-mail of Employer or Government Licensing Agency
3) a person that is authorized or required to inquire into an individual's criminal background under § 5-561(b),
(c), (d), (e), (f), or (g) of the Family Law Article;
4) the person who is the subject of the shielded record or that person’s attorney;
5) an employee or representative of a Health Occupations Board established under the Health Occupations
Article;
6) a member or agent of the Natalie M. LaPrade Medical Cannabis Commission established under Title 13,
Subtitle 33 of the Health-General Article;
7) a person who uses volunteers who care for or supervise children;
8) a person who hereby attests under the penalty of perjury that the person employs or seeks to employ an
individual to care for or supervise a minor or vulnerable adult, as defined in § 3-604 of the Criminal Law Article;
I hereby affirm under the penalties of perjury that I employ or seek to employ an individual to care for or
supervise a minor or vulnerable adult, as defined in § 3-604 of the Criminal Law Article.
Date
Signature
9) a person who is accessing a shielded record on behalf of and with written authorization from a person or
governmental entity described in Items (1) through (8).
Attorney Number
Signature
Date
Printed Name
Telephone Number
Cell Phone Number
Address
Fax
City, State, Zip
E-mail
CERTIFICATE OF SERVICE
I HEREBY CERTIFY that on
, a copy of this Request for Access to Shielded Second Chance
Date
Act Record(s) was served by
hand delivery
mailing first class mail, postage prepaid, to the following parties:
Name
Address
Name
Address
Date
Signature
RULING FOR ACCESS TO SHIELDED SECOND CHANCE ACT RECORD(S)
Upon consideration of the aforegoing, access by the moving party (only) is hereby:
Granted.
Denied.
Set for Hearing.
Date
Judge
ID Number
CC-DC-CR-151 (Rev. 07/2021)
Reset
CIRCUIT COURT
DISTRICT COURT OF MARYLAND FOR
City/County
Located at
Case No.
Court Address
REQUEST FOR ACCESS TO SHIELDED SECOND CHANCE ACT RECORD(S)
(Criminal Procedure §§ 10-302(b) and 10-303)
I, the undersigned, request access to records shielded pursuant to Criminal Procedure Article §§ 10-302(b) and
10-303. In support of this request, I state that I am:
1) a representative of a criminal justice unit and access is for legitimate criminal justice purposes
Name and Address of Criminal Justice Unit
;
Telephone and E-mail of Criminal Justice Unit
2) a prospective or current employer or government licensing agency subject to a statutory or regulatory
requirement or authorization to inquire into the criminal background of an applicant or employee for purposes of
carrying out that requirement or authorization
Name and Address of Employer or Government Licensing Agency
;
Telephone and E-mail of Employer or Government Licensing Agency
3) a person that is authorized or required to inquire into an individual's criminal background under § 5-561(b),
(c), (d), (e), (f), or (g) of the Family Law Article;
4) the person who is the subject of the shielded record or that person’s attorney;
5) an employee or representative of a Health Occupations Board established under the Health Occupations
Article;
6) a member or agent of the Natalie M. LaPrade Medical Cannabis Commission established under Title 13,
Subtitle 33 of the Health-General Article;
7) a person who uses volunteers who care for or supervise children;
8) a person who hereby attests under the penalty of perjury that the person employs or seeks to employ an
individual to care for or supervise a minor or vulnerable adult, as defined in § 3-604 of the Criminal Law Article;
I hereby affirm under the penalties of perjury that I employ or seek to employ an individual to care for or
supervise a minor or vulnerable adult, as defined in § 3-604 of the Criminal Law Article.
Date
Signature
9) a person who is accessing a shielded record on behalf of and with written authorization from a person or
governmental entity described in Items (1) through (8).
Attorney Number
Signature
Date
Printed Name
Telephone Number
Cell Phone Number
Address
Fax
City, State, Zip
E-mail
CERTIFICATE OF SERVICE
I HEREBY CERTIFY that on
, a copy of this Request for Access to Shielded Second Chance
Date
Act Record(s) was served by
hand delivery
mailing first class mail, postage prepaid, to the following parties:
Name
Address
Name
Address
Date
Signature
RULING FOR ACCESS TO SHIELDED SECOND CHANCE ACT RECORD(S)
Upon consideration of the aforegoing, access by the moving party (only) is hereby:
Granted.
Denied.
Set for Hearing.
Date
Judge
ID Number
CC-DC-CR-151 (Rev. 07/2021)
Reset