Fill and Sign the Sa 1061 Addendum to Confidential Information Form Washington

Addendum To Confidential Information Form (AD) County: Cause Number: Do not file in a Court Clerk: This is a Restricted Access Document public access file. The following information about additional parties is required in all cases . Additional Petitioner Information Type or Print only Additional Respondent information Name (Last, First, Middle) Name (Last, First, Middle) Race Sex Birth date Race Sex Birth date Drivers Lic. or Identicard (# and State) Drivers Lic. or Identicard (# and State), (or, if unavailable, residential address) Mailing Address (P.O. Box/Street, City, State, Zip) Mailing Address (P.O. Box/Street, City, State, Zip) Relationship to Child(ren) Relationship to Child(ren) The following information is required if there are additional children involved in the proceeding (Soc. Sec. No. is not required for petitions in protection order cases (Domestic Violence/Antiharassment/ Sexual Assault.) 3) Child's Name (Last, First, Middle) Child's Race/Sex/Birth date Child's Soc. Sec. No. (If required) Child's Present Address or Whereabouts 4) Child's Name (Last, First, Middle) Child's Race/Sex/Birth date Child's Soc. Sec. No. (If required) Child's Present Address or Whereabouts Except for petitions in protection order cases (Domestic Violence/Antiharassment/ Sexual Assault), the following information is required : Additional Petitioner Information Additional Respondent Information Soc. Sec. No.: Soc. Sec. No.: Residential Address (Street, City, State, Zip) Residential Address (Street, City, State, Zip) Telephone No.: ( ) Telephone No.: ( ) Employer: Employer: Empl. Address: Empl. Address: Empl. Phone No.: ( ) Empl. Phone No.: ( ) WPF SA-1.061 Conf Info Form Addendum (AD) (6/2006) - Page 1 of 1