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Criminal History Assessment B520 - California
| Criminal History Assessment Form. This is a California form and can be used in Civil Los Angeles Local County . |
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LOS ANGELES COUNTY PROBATION DEPARTMENT Pretrial Services Division 1. and 2. To be completed by Petitioner FOR COURT USE ONLY Criminal History Assessment 1. Name of Petitioner Court District (e.g. Central, East, West) Case Filing BS Court Date (LAST, FIRST) 2. Sex Race Birthdate Age Social Security Number Driver's License Number To be completed by County Probation Department (CCP 1279.5): PTD Application No. An automated search of the criminal history information data systems reveals the following: 3. q Petitioner is a registered sex offender. q Petitioner is not a registered sex offender. and q Petitioner is under the Jurisdiction of the Department of Corrections. q Petitioner is not under the Jurisdiction of the Department of Corrections. 4. q Petitioner unable to be identified. q Comments: Date: By: , INVESTIGATOR (213) 974-5844 (see reverse for instructions) FORM B520 CRIMINAL HISTORY ASSESSMENT 2000 © American LegalNet, Inc. CRIMINAL HISTORY ASSESSMENT FORM Parts 1 and 2 should be completed by all Petitioners (excluding minors) and mailed with a transmittal letter to: Burdette Harris Pretrial Services 433 Bauchet Street Room 100 Los Angeles, CA 90012 FORM B520 CRIMINAL HISTORY ASSESSMENT 2000 © American LegalNet, Inc.
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