Washington > Statewide > Antiharassment
Addendum To Confidential Information UH-01.0610 - Washington
| Addendum To Confidential Information Form. This is a Washington form and can be used in Antiharassment Statewide . |
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ADDENDUM TO CONFIDENTIAL INFORMATION FORM (AD) County: Cause Number: Do not file in a public access file. COURT CLERK: THIS IS A RESTRICTED ACCESS DOCUMENT Additional Petitioner Information Name (Last, First, Middle) Race Sex Birthdate The following information about additional parties is required in all cases. Type or Print only Additional Respondent Information Name (Last, first, Middle) Race Sex Birthdate Drivers Lic. or Identicard (# and State) Drivers Lic. or Identicard (# and State), (or, if unavailable, residential address) Mailing Address (P.O. Box/Street, City, State, Zip) Mailing Address (P.O. Box/Street, City, State, Zip) Relationship to Child(ren) Relationship to Child(ren) The following information is required if there are additional children involved in the proceeding (Soc. Sec. No. is not required for petitions in protection order cases (Domestic Violence/Antiharassment). 3) Child's Name (Last, First, Middle) Child's Race/Sex/Birthdate Child's Soc. Sec. No. (If required) Child's Present Address or Whereabouts 4) Child's Name (Last, First, Middle) Child's Race/Sex/Birthdate Child's Soc. Sec. No. (If required) Child's Present Address or Whereabouts Except for petitions in protection order cases (Domestic Violence/Antiharassment), the following information is required: Additional Petitioner Information Additional Respondent Information Soc. Sec. No.: Residential Address (Street, City, State, Zip) Soc. Sec. No.: Residential Address (Street, City, State, Zip) Telephone No.: ( Employer: Empl. Address: ) Telephone No.: ( Employer: Empl. Address: ) Empl. Phone No.: ( ) Empl. Phone No.: ( ) UH-01.0610 Conf. Info. Form Addendum (AD) (12/2001) - Page 1 of 1 American LegalNet, Inc. www.USCourtForms.com
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