Fill and Sign the Addendum Confidential Form

Attachment to Confidential Information (Additional Parties or Children) (AT) Clerk: Do not file in a public access file County: Case No.: Use this form if there are more parties or children in your case than you can list on the Confidential Information form. 1. Other Party’s Information (if any) – This person is a (check one): Petitioner Respondent Full name (first, middle, last): Date of birth ( MM / DD / YYYY ): Sex: M F Driver’s license/ Identicard (#, state): Race: Relationship to children in this case: Mailing address ( This address will not be kept private.) (street address or PO box, city, state zip ): If your case is only about a protection order, the information below is not required. Skip to 2. Home address (check one): same as mailing address listed below (street, city, state, zip): Phone: Email: Social Sec. #: Employer’s name: Employer’s phone: Employer’s address: 2. Other Party’s Information (if any) – This person is a (check one): Petitioner Respondent Full name (first, middle, last): Date of birth ( MM / DD / YYYY ): Sex: M F Driver’s license/ Identicard (#, state): Race: Relationship to children in this case: Mailing address ( This address will not be kept private.) (street address or PO box, city, state zip ): If your case is only about a protection order, the information below is not required. Skip to 3. Home address (check one): same as mailing address listed below (street, city, state, zip): Phone: Email: Social Sec. #: Employer’s name: Employer’s phone: Employer’s address: 3. Other Children’s Information (if any) (You do not have to fill out the children’s Social Security numbers if your case is only about a protection order.) Child’s full name (first, middle, last) Date of birth ( MM / DD / YYYY ) Race Sex Soc. Sec. # Current location : lives with 7. M F Petitioner Respondent other: RCW 26.23.050 Mandatory Form ( 05/2016 ) FL All Family 002 Attachment to Confidential Information (Additional Parties or Children) p. 1 of 2 8. M F Petitioner Respondent other: RCW 26.23.050 Mandatory Form ( 05/2016 ) FL All Family 002 Attachment to Confidential Information (Additional Parties or Children) p. 2 of 2