MELROSE DR., VISTA, CA SOUTH COUNTY DIVISION, 500 3RD AVE., CHULA VISTA, CA FOR COURT USE ONLY PLAINTIFF PEOPLE OF THE STATE OF CALIFORNIA DEFENDANT VICTIM OF IDENTITY THEFT - PERSONAL INFORMATION (CONFIDENTIAL) SUPERIOR COURT CASE NUMBER Use this form only if a Petition for Certificate of Identity Theft (Pen. Code § 530.6) (JC Form #CR -151) is filed. This form is not required if a Petition for Expedited Judicial Finding of Factual Innocence: Identity Theft (SDSC Form #CRM-187) is filed instead.

Petitioner’s personal information: Name: DOB: Gender: Height: Weight: Hair Color: Eye Color: Race: Driver License/ID Card No.