Here is the text we could read:
CH-176
Request for Release of
Minor's Confidential Information
Instructions
Who should complete this form?
Use this form if you want to ask the court to give you information about a
minor that has been made confidential in a civil harassment restraining order
case. After you file this form with the court, the court will provide a copy of
this request to the person who made the request to keep the minor's
information confidential. That person will have an opportunity to disagree
with your request before the court makes a decision on your request.
What do I do if I received a completed copy of this form?
2
The person in is asking the court for access to information that has been
made confidential (see item on page 2 of this form). If you do NOT agree
with this request, complete and file Response to Request for Release of
Minor's Confidential Information (form CH-178), by the deadline listed on
form CH-177, item .
3
4
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:
1
Parties in This Case
a.
Protected party
(check one)
Name of protected party is:
Name of protected party is confidential in this case.
b. Restrained party (check one)
Name of restrained party is:
Name of restrained party is confidential in this case.
2
My Information
My full name is:
I am applying on behalf of (name of entity):
Address:
City:
State:
Zip:
How do you know the minor?
My contact information (optional):
Telephone:
E-Mail Address:
Fax:
Lawyer's information (skip if you do not have a lawyer):
Name:
State Bar Number:
Judicial Council of California, www.courts.ca.gov
New September 1, 2020, Mandatory Form
Code of Civil Procedure, ยง 527.6(v)
This is not a Court Order.
Request for Release of Minor's
Confidential Information
(Civil Harassment Prevention)
CH-176, Page 1 of 3
Case Number:
3
My Request Involves One Minor
I ask the court to release the confidential information checked below (check all that apply):
Minor's name
Minor's address
Other information about the minor
(Please describe the information that you want released to you. For example, you can describe where the
information is located by providing the form #, page #, and item # of where the information is located.)
Check this box if you need more space for your answer. Attach a piece of paper to this form and write
"Attachment 3c" at the top.
4
My Request Involves More Than One Minor
a.
The information I ask the court to release is the same for all minors.
Minors' names
Minors' address(es)
Other information about the minors
(Please describe the information that you want released to you. For example, you can describe where the
information is located by providing the form #, page #, and item # of where the information is located.)
a.
b.
c.
(1)
(2)
(3)
b.
The information I ask the court to release is not the same for all minors.
(Please describe the confidential information that you want released to you by the court for each minor. If
the minor's name was made confidential use the initials or name used by the court to identify each minor.)
Check this box if you need more space for your answer. Attach a piece of paper to this form and write
"Attachment 4" at the top.
New September 1, 2020
CH-176, Page 2 of 3
This is not a Court Order.
Request for Release of Minor's
Confidential Information
(Civil Harassment Prevention)
Case Number:
5 Reasons I Want Access to Minor's Confidential Information
To approve your request, the court must find that giving you the minor's confidential information is necessary to
prevent harassment or is in the best interest of the minor.
ith that in mind, why should the court give you the minor's confidential information you asked
for on page 2?
W
6
Number of pages attached to this form, if any:
7 Signature
I declare under penalty of perjury under the laws of the State of California that the information above and in all
attached papers is true and correct.
Date:
Type or print your name
Sign your name
8
Lawyer's Signature (skip if you do not have one)
Date:
Lawyer's signature
New September 1, 2020
CH-176, Page 3 of 3
This is not a Court Order.
Request for Release of Minor's
Confidential Information
(Civil Harassment Prevention)
Request for Release of Minor's Confidential Information
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): 3
- Fields(s): 43
- Average fields per page: 14
- Reading Level: Grade 6
- LIST Grouping(s):
CO-07-00-00-00, CO-00-00-00-00.
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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.
c_h_page_court_info_ft was CH-176[0].Page1[0].CourtInfo_ft[0] (0.47 conf)c_h_page_case_number_ft was CH-176[0].Page1[0].CaseNumber_ft[0] (0.32 conf)c_h_page_protected_lawyer_name__1 was CH-176[0].Page1[0].ProtectedLawyerName_ft[0] (0.38 conf)c_h_page_protected_lawyer_name__2 was CH-176[0].Page1[0].ProtectedLawyerName_ft[1] (0.38 conf)c_h_page_protected_lawyer_bar was CH-176[0].Page1[0].ProtectedLawyerBar_no[0] (0.31 conf)c_h_page_protected_street_ft was CH-176[0].Page1[0].ProtectedStreet_ft[0] (0.32 conf)c_h_page_protected_phone_ft__1 was CH-176[0].Page1[0].ProtectedPhone_ft[0] (0.32 conf)c_h_page_protected_state_ft was CH-176[0].Page1[0].ProtectedState_ft[0] (0.35 conf)c_h_page_protected_zip_ft was CH-176[0].Page1[0].ProtectedZip_ft[0] (0.32 conf)c_h_page_protected_email_ft was CH-176[0].Page1[0].ProtectedEmail_ft[0] (0.38 conf)c_h_page_protected_city_ft was CH-176[0].Page1[0].ProtectedCity_ft[0] (0.35 conf)c_h_page_protected_phone_ft__2 was CH-176[0].Page1[0].ProtectedPhone_ft[1] (0.32 conf)c_h_page_protected_lawyer_name__3 was CH-176[0].Page1[0].ProtectedLawyerName_ft[2] (0.38 conf)c_h_page_protected_description__1 was CH-176[0].Page1[0].ProtectedDescription[0] (0.34 conf)c_h_page_protected_description__2 was CH-176[0].Page1[0].ProtectedDescription[1] (0.34 conf)c_h_page_protected_description__3 was CH-176[0].Page1[0].ProtectedDescription1[0] (0.34 conf)c_h_page_protected_description__4 was CH-176[0].Page1[0].ProtectedDescription1[1] (0.34 conf)c_h_page_text_field__1 was CH-176[0].Page1[0].TextField[0] (0.33 conf)c_h_page_text_field__2 was CH-176[0].Page1[0].TextField[1] (0.33 conf)c_h_page_protected_description__5 was CH-176[0].Page1[0].ProtectedDescription3[0] (0.34 conf)c_h_page_text_field__3 was CH-176[0].Page1[0].TextField[2] (0.33 conf)c_h_page_p_e_grp_number__1 was CH-176[0].Page2[0].PE_P2Header\.grp[0].CaseNumber_ft[0] (0.40 conf)c_h_page_check_box__1 was CH-176[0].Page2[0].CheckBox4[0] (0.34 conf)c_h_page_check_box__2 was CH-176[0].Page2[0].CheckBox4[1] (0.34 conf)c_h_page_check_box__3 was CH-176[0].Page2[0].CheckBox1[0] (0.34 conf)c_h_page_check_box__4 was CH-176[0].Page2[0].CheckBox1[1] (0.34 conf)c_h_page_check_box__5 was CH-176[0].Page2[0].CheckBox1[2] (0.34 conf)c_h_page_multiline_check_box__1 was CH-176[0].Page2[0].MultilineCheckBox[0] (0.33 conf)c_h_page_check_box__6 was CH-176[0].Page2[0].CheckBox1[3] (0.34 conf)c_h_page_check_box__7 was CH-176[0].Page2[0].CheckBox1[4] (0.34 conf)c_h_page_check_box__8 was CH-176[0].Page2[0].CheckBox1[5] (0.34 conf)c_h_page_check_box_right was CH-176[0].Page2[0].CheckBoxRightCaption[0] (0.32 conf)c_h_page_multiline_check_box__2 was CH-176[0].Page2[0].MultilineCheckBox[1] (0.33 conf)c_h_page_multiline_check_box__3 was CH-176[0].Page2[0].MultilineCheckBox[2] (0.33 conf)c_h_page_text_field__4 was CH-176[0].Page2[0].TextField[0] (0.33 conf)c_h_page_text_field__5 was CH-176[0].Page2[0].TextField[1] (0.33 conf)c_h_page_text_field__6 was CH-176[0].Page2[0].TextField[2] (0.33 conf)c_h_page_p_e_grp_number__2 was CH-176[0].Page3[0].PE_P2Header\.grp[0].CaseNumber_ft[0] (0.40 conf)c_h_page_sig_date__1 was CH-176[0].Page3[0].SigDate[0] (0.32 conf)c_h_page was CH-176[0].Page3[0].T14[0] (0.33 conf)c_h_page_sig_date__2 was CH-176[0].Page3[0].SigDate[1] (0.32 conf)c_h_page_text_field__7 was CH-176[0].Page3[0].TextField[0] (0.33 conf)c_h_page_text_field__8 was CH-176[0].Page3[0].TextField[1] (0.33 conf)
We've done our best to group similar variables togther to avoid overwhelming the user.
Suggested Screen 0:
c_h_page_court_info_ftc_h_page_case_number_ftc_h_page_protected_lawyer_name__1c_h_page_protected_lawyer_name__2c_h_page_protected_lawyer_barc_h_page_protected_street_ftc_h_page_protected_phone_ft__1c_h_page_protected_state_ftc_h_page_protected_zip_ftc_h_page_protected_email_ftc_h_page_protected_city_ftc_h_page_protected_phone_ft__2c_h_page_protected_lawyer_name__3c_h_page_protected_description__1c_h_page_protected_description__2c_h_page_protected_description__3c_h_page_protected_description__4c_h_page_text_field__1c_h_page_text_field__2c_h_page_protected_description__5c_h_page_text_field__3c_h_page_p_e_grp_number__1c_h_page_check_box__1c_h_page_check_box__2c_h_page_check_box__3c_h_page_check_box__4c_h_page_check_box__5c_h_page_multiline_check_box__1c_h_page_check_box__6c_h_page_check_box__7c_h_page_check_box__8c_h_page_check_box_rightc_h_page_multiline_check_box__2c_h_page_multiline_check_box__3c_h_page_text_field__4c_h_page_text_field__5c_h_page_text_field__6c_h_page_p_e_grp_number__2c_h_page_sig_date__1c_h_pagec_h_page_sig_date__2c_h_page_text_field__7c_h_page_text_field__8
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