CH-178

Response to Request for Release of  
Minor's Confidential Information

Clerk stamps date here when form is filed.

Fill in court name and street address:

Superior Court of California, County of

You will need to give the court form CH-175 and two copies of your completed form CH-178. Make 
sure you take these forms to the court for filing by the deadline listed on form CH-177.

What do I need to complete and file this form? 

     You will need three documents that you should have received with this form: 

Fill in case number:

Case Number:

Form CH-176, Request for Release of Minor's Confidential Information; 

Form CH-177, Notice of Request for Release of Minor's Confidential Information; and 
Form CH-175, Cover Sheet for Confidential Information. 

▶▶▶

  

 

CONFIDENTIAL

PUBLIC VERSION (REDACTED)

Instructions 
When to use this form?  

If someone is asking the court for information about a minor that has been made 
confidential, you can use this form to let the court know if you agree or disagree 
with the request. 

  
Who should use this form? 
You should use this form if you are a minor, parent, or legal guardian who made 
a request to keep information confidential.  

1 Parties in This Case 

a.

Protected party 

Name:

Name:

b. Restrained party

2

Information About the Request to Release Confidential Information 
Name of person requesting minor's confidential information
(person listed on form CH-176, item      ):

2

This is not a Court Order.

Judicial Council of California, www.courts.ca.gov 
New September 1, 2020, Mandatory Form  
Code of Civil Procedure, § 527.6(v)

Response to Request for 
Release of Minor's Confidential Information 
(Civil Harassment Prevention)

CH-178, Page 1 of 3

Case Number:

3

My Information 

a. Your name:

b.

My contact information 

Address where I can receive mail:  
This address will be used by the court and other parties in this case to send you notices of court dates and 
documents. If you want to keep your home address private, you can use another address like a post office 
box or another person's address if you have their permission. If you have a lawyer, give your lawyer's 
address and contact information.

Address:

City:

State:

Zip:

Lawyer's information  (skip if you do not have one):
Name:  

State Bar No.:

4

Do You Agree to the Request to Release Minor's Confidential Information? 
 

a.

No, I do NOT agree to the request and do not want the court to give any confidential information to the 
person listed in item       because:

2

New September 1, 2020

CH-178, Page 2 of 3

This is not a Court Order.

Response to Request for 
Release of Minor's Confidential Information 
(Civil Harassment Prevention)

Case Number:

b.

No, to some of the request. I agree to the person listed in item       having some information but do NOT 

2

want the person to have access to (check everything that you do NOT want the person in        to have):

2

Minor's name

Minor's address

Other information about the minor 

I do not want the person to have the information checked above because: 

c.

Yes, I agree to the request and want the court to give the person listed in       all the confidential 
information they requested on form CH-176.

2

5 Serve the Person Making the Request 

You must have your server mail a redacted copy of this form (with no confidential information) to the person listed 
in       . Have your server complete form                , Proof of Service by First-Class Mail--Civil, after this form is 
mailed and file the completed form                with the court.

2

6 Signature

I declare under penalty of perjury under the laws of the State of California that the information above is true and 
correct.
Date:

Type or print your name

Sign your name

7

Lawyer's Signature (skip if you do not have one)

Date:

Lawyer's signature

New September 1, 2020

CH-178, Page 3 of 3

This is not a Court Order.

Response to Request for 
Release of Minor's Confidential Information 
(Civil Harassment Prevention)