Santa Clara — JV-2002*

Source: https://santaclara.courts.ca.gov/system/files/jv-2002_0.pdf

ATTACHMENT JV-2002 ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS): TELEPHONE NO.: FOR COURT USE ONLY

To keep other people from seeing what you entered, please press the Reset Form

ATTORNEY FOR (Name): button at the end of the form when finished. SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA Street Address: Juvenile Justice: 840 Guadalupe Pkwy., San José, CA 95113 Mailing Address: 191 North First Street, San José, CA 95113 In the Matter of: To keep other people from seeing what you entered, (Name of Child), a Minor. [D.O.B. _________ ]

CASE NUMBER:

DECLARATION FOR JUVENILE COURT RECORD (JUVENILE JUSTICE)

I am requesting access to the following record(s):

held by:

Court Clerk, Juvenile Justice Division

Juvenile Probation Department

Department of Family & Children Services

Other

Minor’s Name:

Petition Number:

Other Identifying Information:

I am:

Defense Attorney - State Bar Number:

Parent/Guardian of the named juvenile

Court-Appointed Special Advocate (CASA)

Staff of Santa Clara County Victim Witness Assistance Center

District Attorney - State Bar Number:

Sixth Appellate District Program Member

Other: (specify)

Address:

Use of juvenile records is subject to Petition under Welfare & Institutions Code § 827 [JV-570] and further Court authorization. I understand these records are confidential and can be used only for the purposes stated herein.

I understand these records are confidential and can be used only for the purposes stated herein.

I declare under penalty of perjury the forgoing is true and correct.

Dated this day of , 20 , at San José, California

Signature:

Type or print name:

Reset Form

JV-2002 REV 7/01/13 DECLARATION FOR JUVENILE COURT RECORD Page 1 of 1 (JUVENILE JUSTICE)