CR-416 - Proof of Service—Sex Offender Registration Termination (Pen. Code, § 290.5)

Summary

Proof of Service—Sex Offender Registration Termination (Pen. Code, § 290.5)

Text

Form ID: CR-416
Title: Proof of Service—Sex Offender Registration Termination (Pen. Code, § 290.5)
Effective Date: 2021-07-01
Mandatory Form: no
Languages: español
Info Page: https://selfhelp.courts.ca.gov/jcc-form/CR-416
Primary Download URL: https://www.courts.ca.gov/documents/cr416.pdf
Alternate Download URLs: https://www.courts.ca.gov/documents/cr416s.pdf
Form Detail Page:
Proof of Service—Sex Offender Registration Termination (Pen. Code, § 290.5)
(CR-416)
Tells the court that you have served a copy of the petition to terminate sex offender registration and proof of current registration to the required district attorney’s offices and law enforcement agencies.
Get form CR-416
español
Get form CR-416 in Spanish
(Spanish)
Effective: July 1, 2021
Go to
How-to instructions for Criminal
Go to
Information about Sex Offender Registry Termination
PDF Text:
Judicial Council of California, 
New July 1, 2021, Optional Form 
Pen. Code, § 290.5
Proof of Service—Sex Offender  
Registration Termination (Pen. Code, § 290.5)
CR-416, Page 1 of 2
CR-416 Proof of Service—Sex Offender  
Registration Termination  
(Pen. Code, § 290.5)
Clerk stamps date here when form is filed.
Fill in court name and street address:
Superior Court of California, County of
Fill in case number:
Case Number:
Instructions
• This form is for providing proof that a copy of a filed Petition to 
Terminate Sex Offender Registration (form CR-415) and proof of current 
registration was served (delivered) to the required law enforcement 
agencies and district attorney’s offices. Read Information on Filing a 
Petition to Terminate Sex Offender Registration (form CR-415-INFO
) for 
more information. 
• 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 for proof of service by mail or personal delivery. For proof of 
electronic service, read and follow rule 2.251 of the California Rules of 
Court, and use Proof of Electronic Service (form POS-050/EFS-050
).
• File a completed form with the court. Keep a copy of this form for your 
records.
1 At the time I served the Petition to Terminate Sex Offender Registration 
(form CR-415) and proof of current registration, I was at least 18 years 
old.
2
My name is:
My mailing address is:
Street City State Zip
3 I served copies of the Petition to Terminate Sex Offender Registration and proof of current registration filed (check 
one): 
for myself on behalf of (name of petitioner): 
4 I mailed or personally delivered a filed-stamped copy of Petition to Terminate Sex Offender Registration (form 
CR-415) and proof of current registration to the agencies listed below: 
a. Registering law enforcement agency
Name of agency:
Address:
Street City State Zip
Date of service:
Method of service (check one): 
Mailed the documents to the agency at the address above in a sealed envelope from 
(city, state): by depositing the envelope with the U.S. Postal Service 
Delivered in person to (name): at (time):
at the address above.
b. District attorney (county of registration):
County of:
Address:
Street City State Zip
Date of service:
Method of service (check one): 
Mailed the documents to the district attorney’s office at the address above in a sealed envelope from 
(city, state): by depositing the envelope with the U.S. Postal Service or 
Delivered in person to (name): at (time):
at the address above.

New July 1, 2021 Proof of Service—Sex Offender  
Registration Termination (Pen. Code, § 290.5) 
CR-416, Page 2 of 2
Case Number:
Law enforcement agency (county of conviction, if different than county of registration)c.
Name of agency:
Address:
Street City State Zip
Date of service:
Method of service (check one): 
Mailed the documents to the agency at the address above in a sealed envelope from 
(city, state): by depositing the envelope with the U.S. Postal Service 
Delivered in person to (name): at (time):
at the address above.
d. District attorney (county of conviction, if different than county of registration)
County of:
Address:
Street City State Zip
Date of service:
Method of service (check one): 
Check here if you served copies of the petition and proof of current registration to additional law 
enforcement agencies and district attorney's offices. Attach a separate page listing the names, 
addresses, date of service, and method of service of each additional copy you served. Write 
“CR-416, Item 4” on the top of the page.
Mailed the documents to the district attorney's office at the address above in a sealed envelope from 
(city, state): by depositing the envelope with the U.S. Postal Service 
Delivered in person to (name): at (time):
at the address above.
5 I declare under penalty of perjury under California state law that the information above is true and correct.
Date:
Type or print server’s name
 Server signs here after serving

Retrieval chunks

• #1

  Form ID: CR-416 Title: Proof of Service—Sex Offender Registration Termination (Pen. Code, § 290.5) Effective Date: 2021-07-01 Mandatory Form: no Languages: español Info Page: https://selfhelp.courts.ca.gov/jcc-form/CR-416 Primary Download URL: https://www.courts.ca.gov/documents/cr416.pdf Alternate Download URL…

• #2

  for myself on behalf of (name of petitioner): 4 I mailed or personally delivered a filed-stamped copy of Petition to Terminate Sex Offender Registration (form CR-415) and proof of current registration to the agencies listed below: a. Registering law enforcement agency Name of agency: Address: Street City State Z…