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Declaration For Juvenile Court Record (Dependency) JV-2002a - California
| Declaration For Juvenile Court Record (Dependency) Form. This is a California form and can be used in Juvenile Santa Clara Local County . |
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ATTACHMENT JV-2002a ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS): TELEPHONE NO.: FOR COURT USE ONLY ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA Street Address: Mailing Address: Juvenile Dependency, 115 Terraine Street, San José, CA 95113 191 North First Street, San José, CA 95113 In the Matter of: (Name of Child), a Minor. [D.O.B. _________ ] CASE NUMBER: DECLARATION FOR JUVENILE COURT RECORD (DEPENDENCY) I am: Child or Former Dependent Mother of the named juvenile Father of the named juvenile Guardian of the named juvenile Court-Appointed Special Advocate (CASA) District Attorney - State Bar Number: Attorney - State Bar Number: Sixth Appellate District Program Member Other: (specify) Address: I am requesting to view the following record(s) relating to the minor: Representing (name, "AKA" and DOB) (name, "AKA" and DOB) (name, "AKA" and DOB) which are held by: Court Clerk, Juvenile Dependency Division Department of Family & Children Services I request copies of the following record(s) [copies of records may be subject to a fee pursuant to statute]: I will use this information for the following purpose(s): Use of juvenile records is subject to Petition under Welfare & Institutions Code § 827 [JV-570] and further Court authorization. I understand these records are confidential. I declare under penalty of perjury the forgoing is true and correct. Dated this day of , 20 , at San Jose, California Signature: Type or print name: JV-2002a REV 1/01/11 DECLARATION FOR JUVENILE COURT RECORD (DEPENDENCY) Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com
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