CR-106 - Proof of Service - Criminal Record Clearing

Summary

Proof of Service - Criminal Record Clearing

Text

Form ID: CR-106
Title: Proof of Service - Criminal Record Clearing
Effective Date: 2020-01-01
Mandatory Form: no
Info Page: https://selfhelp.courts.ca.gov/jcc-form/CR-106
Primary Download URL: https://www.courts.ca.gov/documents/cr106.pdf
Form Detail Page:
Proof of Service - Criminal Record Clearing
(CR-106)
Tell the court you had the prosecuting agency and other parties served with the papers you filed to clean your criminal record.
Get form CR-106
Effective: January 1, 2020
Go to
How-to instructions for Criminal
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How-to instructions for Proof of Service
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How-to instructions for Cleaning Criminal Record
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Cleaning Criminal Record Form Packets
PDF Text:
Proof of Service — 
Criminal Record Clearing
CR-106, Page 1 of 2Judicial Council of California, www.courts.ca.gov 
New January 1, 2020, Optional Form
CR-106 Proof of Service — 
Criminal Record Clearing Clerk stamps date here when form is filed.
Fill in court name and street address:
Superior Court of California, County of
Fill in criminal case number and case name:
Case Number:
Case Name: 
People of the State of California
v.
Service by mail
(a)
(b)
4
Before using this form, read Information on How to File a Proof of Service   
in Criminal Record Clearing Requests (form CR-106-INFO).  
1
The person who serves (delivers) a document or form in this case and  
who fills out this form must be at least 18 years old.
This form is only for providing proof that a document or form was served  
(delivered) in a case requesting that a court review a criminal record for  
dismissal, vacatur, resentencing, reduction, sealing, or other record clearing  
remedy. 
l
l
l
At the time I served the document or form listed below, I was at least 18  
years old.
Instructions
My 
Street City State Zip
2
I mailed or personally delivered the following document or form (fill in the name of the document you are  
serving and complete       or       ): 
3
5
I put one copy of the document or form in an envelope addressed to each agency (and person, if applicable) 
listed below, sealed the envelope, and put first-class postage on the envelope.
The envelope or envelopes were addressed as follows:
(1) Name of agency served (and person, if applicable):
Address on envelope:
Street City State Zip
(2) Name of agency served (and person, if applicable):
Address on envelope:
Street City State Zip
4
Check here if you mailed copies of the document or form to more people or agencies. Attach a 
separate page listing the names and addresses on each additional envelope you mailed. Write 
“CR-106, Item 4” on the top of the page.
business address     is:home
A completed form should be filed with the court. Keep a copy of this form  
for your records. 
l
l
(c) I mailed the envelope or envelopes on  
With the U.S. Postal Service.
At an office or business mail drop where I know the mail is picked up every day and deposited 
(1)
(2)
by depositing the envelope or envelopes (check one):
(date): from (city): (state):
This form is for proof of service by mail or personal delivery. For proof of 
electronic service, use Proof of Electronic Service (form POS-050/EFS-050).
with the U.S. Postal Service.

Case Number:
5
New January 1, 2020 Proof of Service — 
Criminal Record Clearing
CR-106, Page 2 of 2
Server signs here after serving
Date:
Type or print server’s name
I personally gave one copy of the document or form to each of the following:
(a)
Address where you gave the document or form to this person:
Name of person and agency served:
Date when you gave the document or form to this person:
Time when you gave the document or form to this person:
Street City State Zip
(1)
(3)
(2)
(b)
Address where you gave the document or form to this person:
Name of person and agency served:
Date when you gave the document or form to this person:
Time when you gave the document or form to this person:
Street City State Zip
(1)
(3)
(2)
Check here if you gave copies of the document or form to more people. Attach a separate page 
listing the names of each of these people, the address where you gave each of them the document 
or form, and the date and time you gave them the document or form. Write “CR-106, Item 5” on 
the top of the page.
I declare under penalty of perjury under California state law that the information above is true and correct.6
Service by Personal Delivery

Retrieval chunks

• #1

  Form ID: CR-106 Title: Proof of Service - Criminal Record Clearing Effective Date: 2020-01-01 Mandatory Form: no Info Page: https://selfhelp.courts.ca.gov/jcc-form/CR-106 Primary Download URL: https://www.courts.ca.gov/documents/cr106.pdf Form Detail Page: Proof of Service - Criminal Record Clearing (CR-106) …

• #2

  Check here if you mailed copies of the document or form to more people or agencies. Attach a separate page listing the names and addresses on each additional envelope you mailed. Write “CR-106, Item 4” on the top of the page. business address is:home A completed form should be filed with the court. Keep a copy…