Free General Waiver and Release - Maryland


File Size: 107.5 kB
Pages: 1
File Format: PDF
State: Maryland
Category: Court Forms - State
Word Count: 160 Words, 987 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.courts.state.md.us/courtforms/joint/ccdccr078.pdf

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Preview General Waiver and Release
CIRCUIT COURT

DISTRICT COURT OF MARYLAND FOR

City/County

Located at STATE OF MARYLAND

Court Address

Case No.

vs.

Defendant Address City, State, Zip Telephone No. - Home Telephone No. - Work

GENERAL WAIVER AND RELEASE

I, discharge
Complainant

, hereby release and forever , and the
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 Article, § 10-103(c) or § 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)
Witness Signature

* References to "Code" in this Petition are to the Annotated Code of Maryland.

CC-DC/CR 78 (Rev. 6/2007)

RESET