☐ CIRCUIT COURT ☐ DISTRICT COURT OF MARYLAND FOR
Located at Case No.
STATE OF MARYLAND
vs.
Form 4-503.2 GENERAL WAIVER AND RELEASE
(Criminal Procedure §10-105)
I, , release and forever discharge
, and , all of its officers,
agents, and employees, and any and all other persons from any and all claims that I may have for
wrongful conduct by reason of my arrest, detention, or confinement on or about .
This General Waiver and Release is conditioned on the expungement of the record of my arrest,
detention, or confinement and compliance with Code*, Criminal Procedure Article, § 10-105, as
applicable, and shall be void if these conditions are not met.
WITNESS my hand and seal this day of , .
(Seal)
* The reference to "Code" in this General Waiver and Release is to the Annotated Code of Maryland.
CC-DC-CR-078 (Rev. 08/2021)
GWREX
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