CH-178 - Response to Request for Release of Minor's Confidential Information

Summary

Response to Request for Release of Minor's Confidential Information

Text

Form ID: CH-178
Title: Response to Request for Release of Minor's Confidential Information
Effective Date: 2020-09-01
Mandatory Form: yes
Info Page: https://selfhelp.courts.ca.gov/jcc-form/CH-178
Primary Download URL: https://www.courts.ca.gov/documents/ch178.pdf
Form Detail Page:
Response to Request for Release of Minor's Confidential Information
(CH-178)
Tell the court and other side if you agree or disagree with a request to release confidential information about a child (age 0-18). This form is filled out by the person responding to a request to release the information.
Get form CH-178
Effective: September 1, 2020
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How-to instructions for Civil Harassment
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Civil Harassment Form Packets
PDF Text:
Response to Request for 
Release of Minor's Confidential Information 
(Civil Harassment Prevention)
This is not a Court Order.
CH-178, Page 1 of 3
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:
CH-178 Response to Request for Release of  
Minor's Confidential Information
Judicial Council of California, www.courts.ca.gov 
New September 1, 2020, Mandatory Form  
Code of Civil Procedure, § 527.6(v)
1 Parties in This Case 
Information About the Request to Release Confidential Information 2
CONFIDENTIAL PUBLIC VERSION (REDACTED)
Protected party 
Name:
a.
b. Restrained party
Name:
Form CH-176, Request for Release of Minor's Confidential Information; 
Form CH-175, Cover Sheet for Confidential Information. 
Form CH-177, Notice of Request for Release of Minor's Confidential Information; and 
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.
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.  
  
What do I need to complete and file this form? 
     You will need three documents that you should have received with this form: 
 
▶
▶
▶
Name of person requesting minor's confidential information
2(person listed on form CH-176, item      ):

Response to Request for 
Release of Minor's Confidential Information 
(Civil Harassment Prevention)
This is not a Court Order.
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:
Case Number:
Do You Agree to the Request to Release Minor's Confidential Information? 
 
4
a.
2
CH-178, Page 2 of 3New September 1, 2020
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.
State: Zip:City:
b.
Lawyer's information  (skip if you do not have one):
Name:  
State Bar No.:
My contact information 
Address:
My Information 3
a. Your name:

Response to Request for 
Release of Minor's Confidential Information 
(Civil Harassment Prevention)
This is not a Court Order.
CH-178, Page 3 of 3New September 1, 2020
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
Case Number:
No, to some of the request. I agree to the person listed in item       having some information but do NOT 
want the person to have access to (check everything that you do NOT want the person in        to have):
Minor's name
Minor's address
Other information about the minor 
b. 2
2
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.
2c.
I declare under penalty of perjury under the laws of the State of California that the information above is true and 
correct.
6 Signature
Lawyer's Signature (skip if you do not have one)
Date:
Type or print your name Sign your name
Date:
Lawyer's signature
7
I do not want the person to have the information checked above because:

Retrieval chunks

• #1

  Form ID: CH-178 Title: Response to Request for Release of Minor's Confidential Information Effective Date: 2020-09-01 Mandatory Form: yes Info Page: https://selfhelp.courts.ca.gov/jcc-form/CH-178 Primary Download URL: https://www.courts.ca.gov/documents/ch178.pdf Form Detail Page: Response to Request for Releas…

• #2

  Release of Minor's Confidential Information (Civil Harassment Prevention) This is not a Court Order. 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: Case Number: Do You Agree to the Request to Release Minor's Confidentia…