Fill and Sign the Stipulation Order Form

Superior Court of Washington, County of In re: Petitioner/s (person/s who started this case) : And Respondent/s (other party/parties) : No. Agreed Order Allowing Access to Restricted Court Records (GR 22(c)(2)) (ORAR)  Clerk’s action required. Agreed Order Allowing Access to Restricted Court Records (GR 22(c)(2)) Based on the parties’ agreement, (name): is allowed access to the confidential court records in this case described below. Check one: Complete court record, with access to end on (date): . Only the records checked below: Confidential Information Form Sealed Financial Source Documents Sealed Confidential Report Sealed Personal Health Care Records 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 pursuant to GR 15(c). Other (specify): Ordered. Date Judge or Commissioner Petitioner and Respondent or their lawyers fill out below. This document is an agreement of the parties. This document is an agreement of the parties. Petitioner signs here or lawyer signs here + WSBA # Respondent signs here or lawyer signs here + WSBA # GR 22(i)(1) Mandatory Form (05/2016) FL All Family 020 Agreed Order Allowing Access to Restricted Court Records p. 1 of 2 Print Name Date Print Name Date GR 22(i)(1) Mandatory Form (05/2016) FL All Family 020 Agreed Order Allowing Access to Restricted Court Records p. 2 of 2