Personal Information Sheet (Confidential) {ADM-274}

ADM-274 - PERSONAL INFORMATION SHEET (CONFIDENTIAL). This form is used in the Superior Court of California, County of San Diego. It is a confidential form that collects personal information from an individual who has been ordered to pay court fees, fines, or costs. The form requires the individual to provide their last name, first name, middle initial, mailing address, city, state, zip code, telephone number, driver's license number, state of issuance, date of birth, and social security number. The individual is also required to sign the form. The form includes a notice stating that failure to pay the court fees, fines, and/or costs may result in legal action for collection, and the information provided on the form may be used for identification purposes in the collection process. www.FormsWorkflow.com