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Fill and Sign the Order Regarding Access to Records under Gr 22c3 Washington Form

Fill and Sign the Order Regarding Access to Records under Gr 22c3 Washington Form

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Superior Court of Washington, County of In re: Petitioner/s (person/s who started this case) : And Respondent/s (other party/parties) : No. Order about Access to Restricted Court Records (GR 22(c)(2)) (ORAR / ORDYMT)  Clerk’s action required: 4 Order about Access to Restricted Court Records (GR 22(c)(2)) 1. The Court has considered a Motion to allow (name): access to confidential court records restricted by GR 22(c)(2).  The Court Finds 2. Notice All parties in this case were properly served with this Motion . The court should not require (party’s name): to be served because (check one): s/he could not be found after good faith efforts. Additional good faith efforts to find this person probably would not be successful. the Motion is seeking access only to JIS database records reviewed before approval of a parenting/custody order . Other: 3. Privacy and safety vs. public or personal interest The Motion should not be approved because the privacy and safety interests of the parties or children in this case outweigh the (check one): public interests personal interests of the person asking for access. The Motion should be approved because the (check one): public interests personal interests of the person asking for access outweigh the privacy and safety interests of the parties or children in this case. GR 22(i)(2) Mandatory Form ( 05/2016 ) FL All Family 022 Order about Access to Restricted Court Records p. 1 of 3 Other:  The Court Orders 4. The Motion for Access to Restricted Court Records is: Denied . Approved . The Court Clerk must give (name): access to the court record in this case as follows: (check all that apply): Specific Records The complete court record, with access ending on (date): Only the records checked below: the Confidential Information form Sealed Financial Documents Sealed Personal Health Care Records Sealed Confidential Report Notice of Intent to Move with Children (Relocation) Redacted JIS database records reviewed before approval of a parenting/custody order . Any data which is confidential or restricted by statute or court rule must be redacted by the court pursuant to GR 15(c). Other (specify): Information Deleted Full access to these records with nothing deleted. Access to these records with the following information deleted: Social Security Number of (name): Driver’s License Number of (name): Telephone number/s of (name): Financial account number/s of (name): Home address of (name): Social Security Numbers of the children under 18 Dates of birth of the children under 18 Other (specify): (Name): must provide a copy of these records, with any deletions ordered above, to the court clerk. The clerk must file the redacted copies and allow access as ordered above. GR 22(i)(2) Mandatory Form ( 05/2016 ) FL All Family 022 Order about Access to Restricted Court Records p. 2 of 3 5. Other Orders (specify): Ordered. Date Judge or Commissioner Petitioner and Respondent or their lawyers fill out below. This document (check any that apply) : This document (check any that apply) : is an agreement of the parties is an agreement of the parties is presented by me is presented by me may be signed by the court without notice to me may be signed by the court without notice to me Petitioner signs here or lawyer signs here + WSBA # Respondent signs here or lawyer signs here + WSBA # Print Name Date Print Name Date GR 22(i)(2) Mandatory Form ( 05/2016 ) FL All Family 022 Order about Access to Restricted Court Records p. 3 of 3

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