Stanislaus — JV-576

Source: http://www.courts.ca.gov/documents/jv576.pdf

Clerk stamps date here when form is filed. Order Granting Welfare and Institutions Code Section 827 JV-576 Petition Attachment: Required Redactions

To Order After Judicial Review on Petition for Access to Juvenile Delinquency Case File or a Living Child’s Juvenile Dependency Case File (form JV-574) Order After Judicial Review on Petition for Public Disclosure of a Deceased Child’s Juvenile Dependency Case File (form JV-588) Use this form to identify required redaction(s) to the juvenile case file when Fill in court name and street address: Superior Court of California, County ofgranting the Welfare and Institutions Code Section 827 petition, and to authorize testimony related to the released juvenile case file information, as necessary.

1 After an in-camera review, the court determines that (check one): all portions of the juvenile case file may be disclosed. The court releases Court fills in case number when form is filed. the documents specified below subject to the requirements of any state Case Number: law or federal law or regulation prohibiting or limiting release of the juvenile case file or any portions thereof (check all that apply): a. Court File (1) Orders (2) Petitions, applications, motions, oppositions, replies, and accompanying memoranda of points and authorities and exhibits (3) Reports by social workers (4) Reports by probation officers (5) Reports by Court Appointed Special Advocates (CASA) (6) Psychological or psychiatric reports (7) Letters of guardianship (8) Adoption records (9) Restraining or protective orders (10) Declarations (11) Health records (including authorizations for psychotropic medication) (12) Education records (13) Waivers, information, and notification forms (14) Intercounty transfer records (15) Interstate Compact on the Placement of Children (ICPC) records (16) Indian Child Welfare Act (ICWA) records (17) Short-Term Residential Therapeutic Program (STRTP) or community treatment facility (CTF) records (18) Resource Family Approval (RFA) records

Judicial Council of California, courts.ca.gov JV-576, Page 1 of 3New January 1, 2026, Optional Form Order Granting Welfare and Institutions Code Section Welf. & Inst. Code, § 827;Cal. Rules of Court, rules 5.551, 5.552, 5.553 827 Petition Attachment: Required Redactions

Case Number:

1 a. (19) Other (please specify additional documents or information):

b. Agency File
(1) Emergency response referrals
(2) Delivered service logs
(3) Investigative narratives
(4) Relative home assessments
(5) Other (please specify additional documents or information):

The following information must be removed or redacted before the documents are released (check all that 2
apply):
a. Any information relating to or that could identify other minors, nonminor dependents, or individuals
protected pursuant to Welfare and Institutions Code section 827, and the California Consumer Privacy Act
(CCPA) (Civ. Code, § 1798.100 et seq.).
b. Names, addresses, and telephone numbers of reporting parties pursuant to the Child Abuse and Neglect
Reporting Act (CANRA) (Pen. Code, § 11167(d)).
c. Social Security numbers pursuant to California Civil Code section 1798.85.
d. Dates of birth pursuant to the Privacy Act of 1974, 5 U.S.C. § 552a, the Driver’s Privacy Protection Act
(DPPA) (18 U.S.C. § 2721), and the California Public Records Act (CPRA) (Gov. Code, § 7927.410).
e. Driver’s license numbers pursuant to the Driver’s Privacy Protection Act (DPPA) (18 U.S.C. § 2721) and
Vehicle Code section 1808.21.
f. Protected health information pursuant to the Health Insurance Portability and Accountability Act (HIPAA)
(Public Law 104-191 (1996)), the California Confidentiality of Medical Information Act (CMIA) (Civ.
Code, § 56 et seq.), and Health and Safety Code sections 12097–121020.
g. Mental health information pursuant to the Lanterman-Petris-Short Act (LPS) (Welf. & Inst. Code, § 5000 et
seq.), Health and Safety Code section 11845.5, and Civil Code section 56.103.
h. Substance abuse treatment information pursuant to the Comprehensive Alcohol Abuse and Alcoholism
Prevention,Treatment, and Rehabilitation Act (CAAAPTR) (42 U.S.C. § 4541 et seq.), Public Health Service
Act (42 U.S.C. § 290dd–2), and Health and Safety Code section 11845.5.

New January 1, 2026 Order Granting Welfare and Institutions Code Section JV-576, Page 2 of 3 827 Petition Attachment: Required Redactions

Case Number:

2 i. Psychotherapy notes pursuant to Civil Code section 56.10(c)(1). j. Education information pursuant to the Family Educational Rights and Privacy Act (FERPA) (20 U.S.C. § 1232g, 34 C.F.R. part 99) and the California Student Records Act (Ed. Code, §§ 49060–49085). k. Privileged information pursuant to Evidence Code sections 954, 994, 1014, 1035.8, 1037.5, 1038. l. AIDS, HIV, and hepatitis testing information pursuant to Health and Safety Code sections 120820, 120970(i), 120975, 120980, 121015, 121023(f), 121025, 121035, 121065, 121070, 121075, 121280; Penal Code sections 1202.1, 7517, 7523, 7540; and Welfare and Institutions Code section 1768.9. m. Blood-alcohol test records pursuant to Vehicle Code section 1804. n. Address of a party known to be a victim of domestic violence pursuant to Penal Code section 278.7 and Welfare and Institutions Code sections 302(b), 332(e). o. Identity of and information about clients of a community care facility pursuant to Health and Safety Code section 1557.5. p. Identity of and information about recipients of public social services or aid, including Medi-Cal and workers’ compensation pursuant to Welfare and Institutions Code sections 9401, 10810, 10850, 10850.1, 10850.2, 10850.3, 10850.7, 14100.2, 17006, 18491. q. Identity of and information about conservatees and developmentally disabled persons pursuant to Health and Safety Code sections 416.8, 416.18; Penal Code section 1620; Probate Code sections 1821(a)(5), 1826, 1827.5(e), 1834, 1851, 2586; and Welfare and Institutions Code sections 4514, 4518, 4552.5, 4727, 4903. r. Other information:

3 The court releases the foregoing documents upon the petitioner submitting a signed protective order.

4 The court further authorizes social workers probation officers other: to testify about information from the juvenile case file in the upcoming proceedings criminal, case number(s), if known: juvenile, case number(s), if known: family law, case number(s), if known: probate, case number(s), if known: civil, case number(s), if known:

Date: Judicial Officer

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