Butte — JV.030

Source: https://www.butte.courts.ca.gov/system/files/local-rules/jv030-declarationin-support-request-inspect-juvenile-records-final-fillable.pdf

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY

TELEPHONE:

FAX NO. (Optional):

ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF BUTTE

Butte County Courthouse North Butte County Courthouse
One Court Street, Oroville, CA 95965 1775 Concord Avenue, Chico, CA 95928
(530) 532-7002 (530) 532-7002

IN RE: Declaration in Support of Request to Inspect CASE NUMBER: and/or Copy Juvenile Court Records Without a Court Order (W&I 827) Confidentiality Requirements/Warning:

No person or entity may copy or inspect confidential psychological, medical, or education information absent an order from the Judge of the Juvenile Court.

NOTE: A Request for Release of Juvenile Court File (JV-570) must be submitted to the Judge of the Juvenile Court for review if copies of sealed records are being requested by individuals or entities listed below.

For Records you inspect or are provided today, all records, reports or information obtained from Juvenile Court shall not be further released or disseminated to persons or agencies not otherwise entitled pursuant to Welfare and Institutions Code sections 827 or 362.5. Said information shall not be attached to any document without prior approval of the Judge of the Juvenile Court unless they are used in connection with adult criminal or juvenile court proceedings to declare a minor a dependent or ward of the court.

Declaration Regarding Your Role: (Please check all applicable boxes under section 1 and/or 2).

1. I am one of the following individuals or work for one of the following entities that may inspect and receive copies of the Juvenile Case without an order of the Juvenile Court pursuant to Welfare and Institutions Code sections 827 or 362.5.

☐ District Attorney, authorized to prosecute criminal or juvenile cases under state law. ☐ The child or nonminor dependent who is the subject of the proceeding. ☐ The child’s parent(s) or guardian for a child who is less than 17 years and 6 months of age and my parental rights have NOT been terminated. IF the subject is older than 17 years and 6 months of age, I am currently receiving reunification services from the Social Services Agency. ☐ An attorney for a party in the juvenile court proceeding in the above-captioned case or related appellate proceeding. ☐ A probation office, or law enforcement officer who is actively participating in criminal or juvenile proceedings involving the child or nonminor defendant, including the district attorney if the nonminor is also a ward of the Juvenile Court. ☐ County Counsel, City Attorney, or any other attorney representing the petitioning agency in a dependency action. ☐ A member of a child protective agency as defined in Penal Code Section 11165.9

(JV.030) Page 1 of 4 (A.D. 7-1-25) Mandatory Declaration in Support of Request to Inspect and/or Copy Juvenile Court Records Without a Court Order (W&I 827)

☐ An assigned social worker or probation officer charged with review of court records for the purpose of making a written recommendation to the court in a social study report pursuant to Welfare and Institution code 241.1 for determination of dual status suitability of a current dependent or ward of the court. ☐ A Court Appointed Special Advocate (CASA) ☐ TheTheTheTheThe California Department of Social Services in order to carry out its duty to oversee and monitor county child welfare agencies, children in foster care or receiving foster-care assistance, and out-of-state placements, or authorized legal staff or special investigators who are peace officers employed by, or who are authorized representatives of the State Department of Social Services, as necessary for the performance of their duties to inspect, license, and investigate community care facilities, to ensure that the standards of care and service provided in those facilities are adequate and appropriate, and to ascertain compliance with the rules and regulation to which the facilities are subject. ☐ The Department of Justice, to carry out its duties pursuant to Penal Code sections 290.008 and 290.08 as the repository of sex offender registration and notification in California. ☐ The Juvenile Justice Commission. ☐ An Indian child’s tribe that has intervened in the child’s case. ☐ An Indian child’s tribe that has not intervened in the child’s case. ☐ The Department of Justice for the purpose of determining if the person is suitable to purchase, own, or possess a firearm consistent with Penal Code section 29820 and Welfare and Institutions Code section 786(g)(1)(J). ☐ An individual other than a person described in Welfare and Institution Code section 827(a)(1)(A) to (a)(1)(P) who files a notice of appeal or writ petition challenging a juvenile court order, or who is a respondent or real party in interest in that appeal or writ proceeding, seeking to inspect or copy, for purposes of that appeal or writ proceeding, any records in a juvenile case file to which the individual was previously grated access by the juvenile court pursuant to Welfare and Institutions Code Section 827(a)(1)(Q), including any records or portions thereof that are made a part of the appellate record. ☐ An attorney in an administrative hearing involving the minor or nonminor only as necessary to meet the requirements of Welfare and Institutions Code section 10952 and 10952.5. The attorney acknowledges that the confidential information shall remain confidential for purposes of the administrative proceedings and be available only to the judge or hearing officer and parties to the case. The confidential information shall be sealed after the conclusion of the administrative hearing and shall not subsequently be released except in accordance with this subdivision. ☐ The California Department of Social Services, for the purpose of completing the required duties pursuant to an order setting aside an adoption, which includes vacating or setting aside a customary tribal adoption, filing a full report with the court within sixty (60) days after the notice of a petition to set aside the adoption, and for representing the child to determine if an order of adoption is to be set aside. (Welfare and Institutions Code sections 366.26 and 827).

2. I am or represent one of the following individuals and entities that may inspect a juvenile case file without a court order. I understand I am not authorized to receive copies of the juvenile case file without a court order.

☐ A member of the child’s multidisciplinary team, person or agency providing treatment or supervision of the child.

(JV.030) Page 2 of 4 (A.D. 7-1-25) Mandatory Declaration in Support of Request to Inspect and/or Copy Juvenile Court Records Without a Court Order (W&I 827)

☐ A statutorily authorized or court-appointed investigator who is investigating pursuant to Family Code section 7663, 7851, or 9001, or who is actively participating in a guardianship case involving a minor pursuant to Probate Code Section 1500, et seq. and acting within the scope of the investigator’s duties in that active case. ☐ A local child support agency for the purpose of establishing paternity and establishing and enforcing child support orders. ☐ A court-appointed mediator or evaluator conducting a court-connected child custody evaluation, investigation, or assessment pursuant to Family Code 3150. ☐ A child welfare agency of a county responsible for the supervision and placement of a minor or nonminor dependent for the purpose of determining an appropriate placement or service that has been order for the minor or nonminor dependent by the court pursuant to Welfare and Intuition code section 786(g)(1)(H). ☐ A probation officer who is preparing a report pursuant to Welfare and Intuitions section 1178 on behalf of a person who has petitioned the Board of Juvenile Hearings for an honorable discharge. ☐ An attorney representing a person who is, or was, subject to juvenile proceedings under Welfare and Institutions Code sections 601 and 602.

3. INSPECTION OF RECORDS: I have read and agree to the following terms: a. Any information contained in the records shall not be disclosed or disseminated to any person, unless otherwise ordered by the Juvenile Court. b. Records contained in the juvenile case file shall not be altered, deleted, transmitted, copies or photographed by any means. c. Records placed in confidential or sealed envelopes shall NOT be opened or viewed without a court order. d. The Court may monitor the inspection of the records for compliance with the court’s order.

4. COPY OF RECORDS: I have read and agree to the following terms: a. Any information contained in the records shall not be disclosed or disseminated to nay person, unless otherwise ordered by the Juvenile Court. b. Records placed in a confidential file or sealed envelope shall NOT be opened without a court order.

5. I understand the above warning regarding dissemination of juvenile court records. I will abide by the terms and conditions set forth for inspection and record of copies of the juvenile court records.

I declare under penalty of perjury under the law of the State of California that the foregoing is true and correct.

Date:

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Type or print your name Signature

(JV.030) Page 3 of 4 (A.D. 7-1-25) Mandatory Declaration in Support of Request to Inspect and/or Copy Juvenile Court Records Without a Court Order (W&I 827)

SUPERIOR COURT OF CALIFORNIA COUNTY OF BUTTE

☐ Butte County Courthouse ☐North Butte County Courthouse
One Court Street 1775 Concord Avenue
Oroville, CA 95965 Chico, CA 95928
(530) 532-7002 (530) 532-7002

I am an individual or work for an entity that may inspect and receive copies from the Juvenile Court

without a court order and request copies of the below documents.

Fees for services are as follows:
• Copies of documents $.50 per page
• Certification of any document, $40.00 per Certification

If you are paying by check, please obtain a copy count from the Court - please do not send blank checks).

Checks should be made payable to "Butte County Superior Court"& must have a case number

Copy work requests are processing in the order received, typically within one week of receipt.

Your name/Agency:

Case#:

Document(s) requested:

☐ Certified Copies Requested ($40 per Certification, plus $.50 per page copy work charge.

Additional Information:

(JV.030) Page 4 of 4 (A.D. 7-1-25)
Mandatory Declaration in Support of Request to
Inspect and/or Copy Juvenile Court
Records Without a Court Order (W&I
827)