The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02

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Here is the text we could read:

ATTORNEY OR PARTY WITHOUT ATTORNEY:

STATE BAR NUMBER:

FOR COURT USE ONLY

JV-474

NAME:

FIRM NAME:

STREET ADDRESS:

CITY:

TELEPHONE NO.:

E-MAIL ADDRESS:

ATTORNEY FOR (name):

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:

NONMINOR DEPENDENT'S NAME:

STATE:

FAX NO.:

ZIP CODE:

NONMINOR DEPENDENT—CONSENT TO COPY AND INSPECT
NONMINOR DEPENDENT COURT FILE

CASE NUMBER:

To the nonminor dependent: Review this form with your attorney. This form is used to authorize the release of your court records to
your assigned CASA volunteer.

1. I am the nonminor dependent in this case. My date of birth is

For items 2 through 6, initial the box for each item that applies. If you have a question about an item, ask your attorney or the
judge before you initial that item.

Initial

2. I understand that I am not required to give my CASA volunteer consent to inspect and copy my nonminor

dependent court file.

I understand that my consent includes the inspection and copying of records in my nonminor dependent
court file, which may include records from any agency, hospital, school, organization, division or
department of the state, physician and surgeon, nurse, other health care provider, psychologist,
psychiatrist, police department, or mental health clinic.

I hereby give my permission for my assigned CASA volunteer to inspect my nonminor dependent court
file.

I hereby give my permission for my assigned CASA volunteer to copy my nonminor dependent court file.

I understand that I may revoke or modify my consent for the CASA to copy and inspect my nonminor
dependent court file at any time after signing this consent form. My revocation may be given orally to my
CASA or in writing.

(TYPE OR PRINT NAME)

(SIGNATURE)

I am the attorney for the nonminor dependent, and I have explained to the nonminor dependent his/her rights and the potential
consequences of signing this consent form.

Date:

(TYPE OR PRINT NAME)

(SIGNATURE)

Form Approved for Optional Use
Judicial Council of California
JV-474 [New January 1, 2019]

NONMINOR DEPENDENT—CONSENT TO COPY AND
INSPECT NONMINOR DEPENDENT COURT FILE

Page 1 of 1

Welfare and Institutions Code, §§ 101, 102
Cal. Rules of Court, rule 5.655
www.courts.ca.gov

Nonminor Dependent—Consent to Copy and Inspect Nonminor Dependent Court File

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the California state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from selfhelp.courts.ca.gov (2023-03)
Page(s): 1
Fields(s): 28
Average fields per page: 28
Reading Level: Grade 8
LIST Grouping(s): Unknown

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

topmost_subform_page was topmostSubform[0].Page1[0].T73[0] (0.60 conf)
page_std_p_header_county was topmostSubform[0].Page1[0].StdP1Header_sf[0].CourtInfo[0].CrtCounty_ft[0] (0.40 conf)
page_std_p_header_info__1 was topmostSubform[0].Page1[0].StdP1Header_sf[0].CourtInfo[0].Branch_ft[0] (0.42 conf)
page_std_p_header_info_city__1 was topmostSubform[0].Page1[0].StdP1Header_sf[0].CourtInfo[0].CityZip_ft[0] (0.42 conf)
page_std_p_header_info__2 was topmostSubform[0].Page1[0].StdP1Header_sf[0].CourtInfo[0].Street_ft[0] (0.42 conf)
page_std_p_header_info__3 was topmostSubform[0].Page1[0].StdP1Header_sf[0].CourtInfo[0].MailingAdd_ft[0] (0.42 conf)
topmost_subform_page_std_p_header_sf_title_party_name_ft was topmostSubform[0].Page1[0].StdP1Header_sf[0].TitlePartyName[0].Party1_ft[0] (0.42 conf)
page_std_p_header_number was topmostSubform[0].Page1[0].StdP1Header_sf[0].CaseNumber[0].CaseNumber_ft[0] (0.39 conf)
page_std_p_header_sf_info__1 was topmostSubform[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].AttyState_ft[0] (0.43 conf)
page_std_p_header_info_zip was topmostSubform[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].AttyZip_ft[0] (0.39 conf)
page_std_p_header_info_city__2 was topmostSubform[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].AttyCity_ft[0] (0.44 conf)
page_std_p_header_info__4 was topmostSubform[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].AttyStreet_ft[0] (0.45 conf)
page_std_p_header_sf_info__2 was topmostSubform[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].AttyFirm_ft[0] (0.42 conf)
page_std_p_header_info_name was topmostSubform[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].AttyName_ft[0] (0.42 conf)
page_std_p_header_info_phone was topmostSubform[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].Phone_ft[0] (0.41 conf)
page_std_p_header_sf_info__3 was topmostSubform[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].Fax_ft[0] (0.41 conf)
page_std_p_header_info_email was topmostSubform[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].Email_ft[0] (0.41 conf)
page_std_p_header_sf_info__4 was topmostSubform[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].AttyFor_ft[0] (0.43 conf)
page_std_p_header_sf_info__5 was topmostSubform[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].BarNo_ft[0] (0.43 conf)
topmost_subform_page_date was topmostSubform[0].Page1[0].date[0] (0.40 conf)
topmost_page_signature_date was topmostSubform[0].Page1[0].AttSignatureDate[0] (0.41 conf)
topmost_page_text_field__1 was topmostSubform[0].Page1[0].TextField6[0] (0.36 conf)
topmost_page_text_field__2 was topmostSubform[0].Page1[0].TextField6[1] (0.36 conf)
topmost_page_text_field__3 was topmostSubform[0].Page1[0].TextField6[2] (0.36 conf)
topmost_page_text_field__4 was topmostSubform[0].Page1[0].TextField6[3] (0.36 conf)
topmost_page_text_field__5 was topmostSubform[0].Page1[0].TextField6[4] (0.36 conf)
topmost_subform_page_atty_signature_ft was topmostSubform[0].Page1[0].AttySignature_ft[0] (0.41 conf)
topmost_page_text_field__6 was topmostSubform[0].Page1[0].TextField6[5] (0.36 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Nonminor Dependent—Consent to Copy and Inspect Nonminor Dependent Court File

About This Form:

Identified Data Fields:

Create an Interactive Version of this Form:

The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02