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Sealed Confidential Reports (Cover Sheet) - Washington
| Sealed Confidential Reports (Cover Sheet) Form. This is a Washington form and can be used in General Superior Court Thurston Local County . |
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q EXPEDITE (if filing within 5 court days of hearing) q Hearing is set: Date: ______________________________________ Time: _____________________________________ Judge/Calendar: _____________________________ SUPERIOR COURT OF WASHINGTON FOR THURSTON COUNTY FAMILY AND JUVENILE COURT In re _______________________________________________ Petitioner(s) and _______________________________________________ Respondent(s) No. Sealed Confidential Reports (Cover Sheet) (SEALRPT) Clerk's Action Required Sealed Confidential Reports (List documents below and write "Sealed" at least one inch from the top of the first page of each document.) This cover sheet shall be used to file the sealed portion of the following reports: r CPS Reports created by Family Court Services or supplied directly by Children's Protective Services (RPT) Parenting evaluations (RPT) Reports of Guardian ad Litem or Court Appointed Special Advocate (RTGAL) Declaration of Persons in Household (3rd Party Custody Cases) (DCLR) Other: _________________________________________________________________________ r Domestic Violence Assessment Reports created by Family Court Services or a qualified expert appointed by the court (RPT) Risk Assessment Reports created by Family Court Services or a qualified expert (RPT) Sexual abuse evaluations (RPT) r r r r r r The sealed portion of these reports include: 1) Detailed descriptions of material, or information gathered or reviewed; 2) Detailed descriptions of all statements reviewed or taken; 3) Detailed descriptions of tests conducted or reviewed; 4) Analysis to support the conclusions and recommendations. DATED: _______________________. Address: ______________________________ ______________________________ Phone No.: (_______)_________________ Submitted by: Signature: ____________________________ Print Name: ___________________________ NOTICE: The other party may have access to these confidential reports. If you are concerned for your safety or the safety of the children, you may redact (block out or delete) information that identifies your location. Other parties may have access to these confidential reports through a court order. You may also redact the following information: Social security number, driver's license number, telephone number, and financial account numbers. Sealed Confidential Reports (SEALRPT) - Page 1 of 1 WPF DRPSCU 09.0270 (6/2006) - GR 22(e)(1), (2)(B), (f) 12/30/08 American LegalNet, Inc. www.FormsWorkFlow.com
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