CONFIDENTIAL
In the case of wanting to identify family members and social security numbers for spouses involved in a divorce case, the following form has to be completed and submitted.
DownloadExtracted Text for Proper Search
CONFIDENTIAL CON114 State ENG 7/ 15 www.mncourts.gov/forms Page 1 of 2 State of Minnesota District Court County Judicial District: Court File Number: Case Type: Juvenile In the Matter of the Welfare of the Child(renyf R f : B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B Parent (syf /egal Custodian (syf Confidential Information Form (Form 11.4yf Minn. 5. -uv. Prot. P. . 4, subd. 5 This form shall not be accessible to the public except by court order. This form shall be accessible to case participants as authorized by the court. This form shall be accessible to case parties unless it contains information in sections 3 (identity of reporter of abuseyf or 4 (HIV-related informationyf in which case it shall be accessible to the parties as authorized by the court. 1. Name, address, home, or location of any shelter care or foster care facility in which a c hild is placed under a court order. Reference in Document Name of Shelter/Foster Care Facility or Parent Shelter/Foster Care Address Child in Shelter/Foster Care Shelter / Foster Parent 1 Shelter / Foster Parent 2 Shelter / Foster Parent 3 2. Information that identifies a child as a victim of an alleged or adjudicated sexual assau lt. Reference in document Child’s First and Last Name Child’s Date of Birth (mm /dd/yyyyyf Child 1 Child 2 Child 3 Child 4 CONFIDENTIAL CON114 State ENG 7/ 15 www.mncourts.gov/forms Page 2 of 2 3. Portions of juvenile protection case records that identify reporters of abuse or neglect Reporter 1: Reporter 2: Reporter 3: 4. Information that a person has undergone HIV testing and/or HIV test results ______________________________________________________________________________ ______________________________________________________________________________ _______________________________________________________ _______________________ ______________________________________________________________________________ ______________________________________________________________________________ __________________________________________________________________________ ____ 5. Other information that is confidential by statute, rule, or court order ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Filed by: Name: Signed: Attorney Reg. #: (if attorneyyf Firm/Agency Name : Address: City/State/Zip Code: E-mail address : Date:
If you want to remove CONFIDENTIAL from this website please contact us providing the reasons together with this url: https://formsarchive.com/confidential/