CONFIDENTIAL

Clerk stamps date here when form is filed.

Fill in court name and street address:

Superior Court of California, County of

Court fills in case number when form is filed.

Case Number:

DV-160

Request to Keep Minor's 
Information Confidential

When do I use this form?
Complete this form if you want the court to keep information about a minor 
in a domestic violence restraining order proceeding confidential and not 
available to the public or the restrained person. If you only want to keep 
your home address confidential, you may use a mailing address on your 
other forms rather than using this form. 

What if there is information I don't want the restrained person to have?
You can make this request at item      if you want to ask the court to keep 
8
information confidential from the restrained person. If the court grants your 
request to keep certain information confidential from the restrained person, 
the information will have to be redacted (whited or blacked out) from all 
forms before the restrained person gets a copy. But be aware that if the court 
denies your request, the information may be provided to the restrained 
person.

Who will see this form?
The public will NOT have access to this form. 
The restrained person will have access to the entire form unless the court 
grants item      on this form. 
8

1

Parties in This Case

a.

Person who requested restraining order (form DV-100, item      ):

1

b.

Person to be restrained (form DV-100, item      ):

2

2

Person Making Request for Confidentiality

The minor requesting confidentiality.

The 

parent 

legal guardian

of the minor or minors listed below.

List all the minors that you are making the request for:

Full Name:

Full Name:

Full Name:

a.

b.

I am:

(1)

(2)

Name:

Name:

Name:

Name:

Check here if there are additional minors. Attach a sheet of paper and write "Attachment 2b(2)—
Additional Minors" for a title.

Judicial Council of California, www.courts.ca.gov 
Rev. September 1, 2020, Mandatory Form 
Family Code, § 6301.5

DV-160 Page 1 of 6

This is not a Court Order.

Request to Keep Minor's  
Information Confidential 
(Domestic Violence Prevention)

Case Number:

3

Contact Information

Address where you can receive mail

This address will be used by the court and the person in      to notify you in this case. 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.

2

(If you checked 4b, make sure you list all the information you want confidential for each minor in      . If you 
need more space in      , attach a separate piece of paper.)

5

5

55

The information I want confidential (as checked in item      ) is the SAME for all minors.

The information I want confidential (as checked in item      ) is NOT the same for all minors.

a.

b.

4

Requests for More Than One Minor (only for parents or legal guardians)

I am making this request for two or more minors.

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

State Bar No.:

5

Information to Be Kept Confidential from the Public

I want the information checked below to be made confidential and NOT available to the public.

(Check all that apply)

a.

Minor’s name

b.

Minor’s address

(Note: If your request is granted, the public will not have access to the minor's name in this case, but law 
enforcement must be given this information.)

(Note: You do NOT have to make this request if you use a mailing address that does not need to be kept 
confidential. Use that mailing address on all forms in this case and any other civil case.)

The address I want kept confidential is:

Your contact information (optional)

State:

Zip:

Fax:

Address:

City:

Telephone:

E-mail address:

Name:

Rev. September 1, 2020

DV-160, Page 2 of 6

This is not a Court Order.

Request to Keep Minor's  
Information Confidential 
(Domestic Violence Prevention)

Case Number:

c.

Information relating to the minor

         (Note: If information relating to the minor is made confidential by the court, the public will not have 
access to this information but the restrained person must be given the information that is necessary to comply 
with the restraining order and to respond to the restraining order request. Also, the court may give permission to 
release confidential information in this case to other people like the minor's childcare provider or school, or 
anyone who needs the information to protect the minor's best interest or to prevent abuse.)

Describe all information in the documents that will be filed that you want kept confidential.

You may either (check one):

(1)

(2)

Attach a copy of form DV-100 or other document that you are filing. Circle all the information you 
want kept confidential.    

List the information below, identifying the location of the statements in form DV-100 or other 
document that you are filing.

Location of Information  
(for example, form #, page #,  
paragraph #, line #, 
attachment #,  or exhibit #)

Information to Be Redacted  
(not viewable by the public)

(a)

(b)

(c)

(d)

Check here if there is not enough space for your answer. Put your complete answer on an attached 
sheet of paper, and write “Attachment 5c(2)” for a title.

Rev. September 1, 2020

DV-160, Page 3 of 6

This is not a Court Order.

Request to Keep Minor's  
Information Confidential 
(Domestic Violence Prevention)

Case Number:

6

Reasons for Request
To approve your request in      , the court must expressly find all of the following:

5

The minor's right to privacy overcomes the public's right to access the information;

There is a substantial probability that the minor's interest will be prejudiced if the information is not kept 
confidential; 
The order to keep the information confidential is narrowly tailored; and 

l

l

l

l

No less restrictive means exist to protect the minor's privacy.

Use these four requirements to help you answer the questions below.

a.

Why should the information about the minor provided in item       be kept private or confidential from the 
public?

5

Check here if there is not enough space for your answer. Put your complete answer on an attached sheet of 
paper, and write “Attachment 6a” for a title.

b.

What do you think would happen if the information was NOT made private or confidential?

Check here if there is not enough space for your answer. Put your complete answer on an attached sheet of 
paper, and write “Attachment 6b” for a title.

Rev. September 1, 2020

DV-160, Page 4 of 6

This is not a Court Order.

Request to Keep Minor's  
Information Confidential 
(Domestic Violence Prevention)

Case Number:

(Skip item       and      d  if you are not requesting a restraining order at the same time as this request.)

8

7

7

If any portion of the request for confidentiality from the public (item     ) is denied, I want 
to (check one):
a.

Cancel my request for restraining order  
I ask the court NOT to make a decision on my Request for Domestic Violence Restraining Order (form 
DV-100). I understand that cancelling my request means that I will not receive a restraining order at this 
time. (Note: You may file a request on the same or different facts at a later date.)

5

b.

Move forward with my request for restraining order  
I ask the court to make a decision on my Request for Domestic Violence Restraining Order (form DV-100). 
(Note: Choosing this option means that all of the information in your completed form DV-100 and other 
court papers in this case will be available to the public and must be seen by the restrained person.)

8

Information to Be Kept Confidential from the Restrained Person

(Note: The restrained person must be given information necessary to comply with the restraining order and to 
respond to the restraining order request.)

I do not want the restrained person to have access to some of the information checked in item      .

5

a.

What information do you want to be confidential and not given to the restrained person?

Minor’s name

Minor’s address

(1)

(2)

(3)

Other information relating to the minor from item      5

(specify):

b.

Why should the information listed in 8a be kept confidential and not given to the restrained person?

c.

What do you think would happen if the information listed in 8a is given to the restrained person?

Check here if there is not enough space for your answer. Put your complete answer on an attached sheet of 
paper, and write “Attachment 8” for a title.

Rev. September 1, 2020

DV-160, Page 5 of 6

This is not a Court Order.

Request to Keep Minor's  
Information Confidential 
(Domestic Violence Prevention)

(1)

(2)

(1)

(2)

(3)

(4)

(1)
(2)
(3)

Date:

Date:

Case Number:

d.

If any portion of the request for confidentiality from the restrained person (item     ) is denied, I 
want to:

8

Cancel my request for restraining order  
I ask the court NOT to make a decision on my Request for Domestic Violence Restraining Order (form 
DV-100). I understand that canceling my request means that I will not receive a restraining order at this 
time. (Note: You may file a request on the same or different facts at a later date.)

Move forward with my request for restraining order  
I ask the court to make a decision on my Request for Domestic Violence Restraining Order (form 
DV-100). (Note: Choosing this option means that all of the information in your completed form DV-100 
and other court papers in this case must be seen by the restrained person.) 

9

People I Want To Have Access To Confidential Information
(Note: If you want other people to have unredacted copies of restraining order forms in this case, you should 
complete this item.)

a.

If my request in item       is granted, I want to be allowed to give the following people or entities  
(check all that apply):

5

Minor's school and after-school program

Minor's childcare provider

Supervised visitation provider

Other 

(name of person or entity):

Minor's name
Minor's address
Information listed in item 5c.

10 Number of pages attached to this form, if any:

b.

copies of documents from this case with the following information (check all that apply):

11

Signature
I declare under penalty of perjury under the laws of the State of California that the information above and all 
attached papers are true and correct.

Type or print your name

Sign your name

12

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

Rev. September 1, 2020

DV-160, Page 6 of 6

Lawyer’s signature

This is not a Court Order.

Request to Keep Minor's  
Information Confidential 
(Domestic Violence Prevention)