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Notice Of Confidential Information Within Court Filings 2.420(d)(2) - Florida

Notice Of Confidential Information Within Court Filings Form. This is a Florida form and can be used in Civil Statewide .
 Fillable pdf Last Modified 9/20/2010
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IN THE ________________ COURT, ______________ JUDICIAL CIRCUIT, IN AND FOR ________________ COUNTY, FLORIDA CASE NO.: __________________ Plaintiff(s),/Petitioner(s), v. Defendant(s)./Respondent(s). / NOTICE OF CONFIDENTIAL INFORMATION WITHIN COURT FILING Pursuant to Florida Rule of Judicial Administration 2.420(d)(2), the filer of a court record at the time of filing shall indicate whether any confidential information is included within the document being filed; identify the confidentiality provision that applies to the identified information; and identify the precise location of the confi dential information within the document being filed. Title/Type of Document(s): Indicate the applicable confidentiality provision(s) below from Rule 2.420(d)(1)(B), by specifying the loca tion within the document on the space provided: Chapter 39 records relating to dependency matters, termination of parental rights, guardians ad litem, child abuse, neglect, and abandonment. § 39.0132(3), Fla. Stat. (If the document is filed within a Chapter 39 case, this form is not required.) Adoption records. § 63.162, Fla. Stat. (If the document is filed within a Chapter 63 adoption case, this form is not required.) Social Security, bank account, charge, debit, and credit card numbers in court records. § 119.0714(1)(i)­(j), (2)(a)­(e), Fla. Stat. (Unless redaction is requested pursuant to § 119.0714(2), this information is exempt only as of January 1, 2011.) HIV test results and patient identity within the HIV test results. § 381.004(3)(e), Fla. Stat. Sexually transmitted diseases -- test results and identity within the test results when provided by the Department of Health or the department's authorized representative. § 384.29, Fla. Stat. Birth and death certificates, including court-issued delayed birth certificates and fetal death certifi cates. §§ 382.008(6), 382.025(1)(a), Fla. Stat. Identifying information in petition by minor for waiver of parental notice when seeking to terminate pregnancy. § 390.01116, Fla. Stat. (If the document is filed within a Ch. 390 waiver of parental no tice case, this form is not required.) Identifying information in clinical mental health records under the Baker Act. §394.4615(7), Fla. Stat. Notice of Confidential Information Within Court Filing [pursuant to 2.420(d)(2), Florida Rules of Judicial Administration, effective October 1, 2010] American LegalNet, Inc. www.FormsWorkFlow.com Records of substance abuse service providers which pertain to the identity, diagnosis, and prognosis of and service provision to individuals who have received services from substance abuse service providers. § 397.501(7), Fla. Stat. Identifying information in clinical records of detained criminal defendants found incompetent to proceed or acquitted by reason of insanity. § 916.107(8), Fla. Stat. Estate inventories and accountings. § 733.604(1), Fla. Stat. Victim's address in domestic violence action on petitioner's request. § 741.30(3)(b), Fla. Stat. Information identifying victims of sexual offenses, including child sexual abuse. §§ 119.071(2)(h), 119.0714(1)(h), Fla. Stat. Gestational surrogacy records. § 742.16(9), Fla. Stat. Guardianship reports and orders appointing court monitors in guardianship cases. §§ 744.1076, 744.3701, Fla. Stat. Grand jury records. Ch. 905, Fla. Stat. (If the document is filed in a Ch. 905 grand jury proceeding, this form is not required.) Information acquired by courts and law enforcement regarding family services for children. § 984.06(3)­(4), Fla. Stat. (If the document is filed in a Ch. 984 family services for children case, this form is not required.) Juvenile delinquency records. §§ 985.04(1), 985.045(2), Fla. Stat. (If the document is filed in a Ch. 985 juvenile delinquency case, this form is not required.) Information disclosing the identity of persons subject to tuberculosis proceedings and records of the Department of Health in suspected tuberculosis cases. §§ 392.545, 392.65, Fla. Stat. CERTIFICATE OF SERVICE I HEREBY CERTIFY that a copy of the foregoing was furnished by U.S. mail to:/personal service to: , on , 20 . Attorney Name _______________________ Address _____________________________ Phone ______________________________ Florida Bar No. _______________________ Note: The clerk of court shall review filings identified as containing confidential information to determine whether the information is fa cially subject to confidentiality under the identified provision. The clerk shall notify the filer in writing within 5 days if the clerk deter mines that the information is NOT subject to confidentiality, and the records shall not be held as confidential for more than 10 days, unless a motion is filed pursuant to subdivision (d)(3) of the Rule. Fla. R. Jud. Admin. 2.420(d)(2). Notice of Confidential Information Within Court Filing [pursuant to 2.420(d)(2), Florida Rules of Judicial Administration, effective October 1, 2010] American LegalNet, Inc. www.FormsWorkFlow.com
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