Declaration For The Receipt Of Confidential Juvenile Information {JV5}

JV5 - DECLARATION FOR THE RECEIPT OF CONFIDENTIAL JUVENILE INFORMATION. This form is used in the Superior Court of California, County of Nevada, to request access to confidential information related to a traffic accident or crime incident involving a juvenile. The information may be held by various local or state law enforcement agencies, such as the Nevada County Sheriff’s Department, Grass Valley Police Department, or California Department of Parks & Recreation. The declarant must certify that the purpose of requesting this information is solely to assess and pursue reimbursement for injuries or damages caused by a minor’s conduct. The form explains that the information is confidential and subject to strict limitations under a standing order of the Nevada County Juvenile Court. The declarant must agree not to share the information with anyone except their attorney, insurance adjuster, or other authorized representatives involved in recovering damages. By signing the declaration, the requester acknowledges that unauthorized use or disclosure of the information may result in prosecution for contempt of court under California Penal Code §166, and affirms under penalty of perjury that the information will be used only for the approved purpose of pursuing reimbursement. Optional Form. www.FormsWorkflow.com