Fill and Sign the Order Authorizing Inspection of Form

MOTION/DECL FOR ORD TO INSPECT RECORDS (MTAF) - Page 1 of 2 WPF JU 10.0100 (9/2000) - RCW 13.50.010 (5)(7) SUPERIOR COURT OF WASHINGTON COUNTY OF _______________________ JUVENILE COURT STATE OF WASHINGTON v. Respondent(s). D.O.B.: NO: MOTION AND DECLARATION FOR ORDER AUTHORIZING INSPECTION OF RECORDS (MTAF) I. MOTION I, _____________________________, request that the court issue an order authorizing inspection of the (Name) records of ___________________________________________________, records which pertain to me. (Juvenile Justice or Care Agency)  I further request that the court set a date for a hearing on this motion. _____________________________________________ Signature _____________________________________________ Title/Relationship II. DECLARATION I, ______________________________________________________, hereby declare as follows: 2.1 I am __________________________________________________. I make this declaration of personal knowledge and could and would competently testify to its contents. 2.2 I have reasonable cause to believe information concerning me is included in the records of the above-named agency because: MOTION/DECL FOR ORD TO INSPECT RECORDS (MTAF) - Page 2 of 2 WPF JU 10.0100 (9/2000) - RCW 13.50.010 (5)(7) 2.3 I have been denied access to those records by the agency. 2.4 I have given reasonable notice of this motion to all parties to the original action and to any agency whose records will be affected by this motion including (list persons, agencies, method of notice): I declare under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. Signed at _______________________________, Washington on _______________________________. (Place) (Date) _______________________________________ Declarant