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400 - 00 156 – Confidential Notification for Relief from Abuse (09 /201 7 ) Page 1 of 1 STATE OF VERMONT SUPERIOR COURT FAMILY DIVISION Unit Docket No. CONFIDENTIAL Litigant's Address for Notification Name : _________________________________________________________________________________ Vermont Family Court Rules say that parties filing documents in Relief From Abuse cases must give the C ourt an address and telephone number. The address and telephone number you give are for the C ourt to contact you about your case. Please complete the information below: For the C ourt to contact me about my case, I can be reached at: Mailing Address: __________________________ __ ______________________________________ City, State Zip: _____________ _____________________________________________________ Home / Cell Phone : _________________________ Work Phone: _________________________ The address & telephone number(s) you have given in this case cannot be given to any person without your permission. Do you consent to the release of this information? ☐ Yes ☐ No _______________________________________ ____________________________________ Date Signat ure Important information: The rule that requires the C ourt to keep your address and telephone number confidential applies ON LY to Relief From Abuse cases. If you have other cases in C ourt, and you want the C ourt to keep your address and telephone number (s) confidential in those cases, you must file a written request in each. Your request will be given to the J udge. It is up to the J udge to decide.