DV-176 - Request for Release of Minor's Confidential Information

Summary

Request for Release of Minor's Confidential Information

Text

Form ID: DV-176
Title: 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/DV-176
Primary Download URL: https://www.courts.ca.gov/documents/dv176.pdf
Form Detail Page:
Request for Release of Minor's Confidential Information
(DV-176)
Get form DV-176
Effective: September 1, 2020
Go to
How-to instructions for Domestic Violence
Go to
Domestic Violence Form Packets
PDF Text:
Request for Release of Minor's 
Confidential Information  
(Domestic Violence Prevention)
This is not a Court Order.
DV-176, 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
Court fills in case number when form is filed.
Case Number:
DV-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 domestic violence 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? 
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 form DV-178, Response to Request for 
Release of Minor's Confidential Information, by the deadline listed on item    
on form DV-177, Notice of Request for Release of Minor's Confidential 
Information.
1
My Information 
My full name is:
Lawyer's information (skip if you do not have a lawyer):
Name: State Bar Number:
Address:
Telephone:
State: Zip:
E-Mail Address:
City:
My contact information (optional):
Fax:
How do you know the minor?
2
Judicial Council of California, www.courts.ca.gov 
New September 1, 2020, Mandatory Form  
Family Code, § 6301.5
Parties in This Case 
Protected party (check one):
Name of protected party is:
Name of protected party is confidential in this case.
a.
b. Restrained party (check one):
Name of restrained party is:
Name of restrained party is confidential in this case.
2
3
4
I am applying on behalf of (name of entity):

Request for Release of Minor's 
Confidential Information  
(Domestic Violence Prevention)
This is not a Court Order.
Case Number:
DV-176, Page 2 of 3
My Request Involves More Than One Minor
The information I ask the court to release is the same for all minors.  
New September 1, 2020
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.)
3
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.
a.
b.
c.
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.) 
(1)
(2)
(3)
My Request Involves One Minor
I ask the court to release the confidential information below (check all that apply):
4
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.
a.
b.

Request for Release of Minor's 
Confidential Information  
(Domestic Violence Prevention)
This is not a Court Order.
Case Number:
DV-176, Page 3 of 3New September 1, 2020
6
Reasons I Want Access to Minor's Confidential Information 
To grant your request, the court must find that giving you the minor's confidential information is needed to prevent 
abuse or is in the best interest of the minor.  
 
With that in mind, why should the court give you the minor's confidential information you asked  
for on page 2?
5
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.
7 Signature
Lawyer's Signature (skip if you do not have one)
Date:
Type or print your name Sign your name
Date:
Lawyer's signature
8
Number of pages attached to this form, if any:

Retrieval chunks

• #1

  Form ID: DV-176 Title: 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/DV-176 Primary Download URL: https://www.courts.ca.gov/documents/dv176.pdf Form Detail Page: Request for Release of Minor's Confidentia…

• #2

  I am applying on behalf of (name of entity): Request for Release of Minor's Confidential Information (Domestic Violence Prevention) This is not a Court Order. Case Number: DV-176, Page 2 of 3 My Request Involves More Than One Minor The information I ask the court to release is the same for all minors. New Sep…