ALA JV-003 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address) FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, ALAMEDA COUNTY STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: OTHER: CASE NUMBER: DECLARATION AND APPLICATION FOR ACCESS TO JUVENILE COURT RECORDS 1. a. I declare that I am the parent or guardian OR of (Specify minor's name): b. My name is: My address is: My telephone number is: Court Appointed Special Advocate OR Deputy District Attorney OR Other (specify): 2. I am requesting inspection only OR inspection and copying of the following records (specify): 3. I understand that I may have to pay a reasonable fee for the cost of photocopying any requested documents. 4. I understand these records are confidential and can be used only for the purposes stated in this application. 5. I declare that the information in this application is true and correct and make this declaration under penalty of perjury under the laws of the State of California. Date: _________________________________________________________ SIGNATURE _________________________________________________________ PRINT OR TYPE NAME Page 1 of 1 Form Adopted for Mandatory Use Superior Court of California, County of Alameda ALA JV-003 [Rev. January 1, 2008] DECLARATION AND APPLICATION FOR ACCESS TO JUVENILE COURT RECORDS Local Rule 5.512(b) American LegalNet, Inc. www.FormsWorkflow.com