JV-287 Confidential Information Clerk stamps date here when form is filed. This form is used to keep contact information confidential. It may be used along with any Judicial Council Juvenile Court form, including Request to Change Court Order (form JV-180), Application and Affidavit for Restraining Order (form JV-245), Relative Information (form JV-285), Caregiver Information Form (form JV-290), and De Facto Parent Request (form JV-295). You do not need to fill out this entire form, only the information that you know. Fill in court name and street address: 1 Your name: Your telephone number: Your address: Superior Court of California, County of Fill in child's name and date of birth: Child's Name: 2 Child's name: Child's telephone number, if known: Child's address, if known: Date of Birth: Clerk fills in case number when form is filed: Case Number: 3 If known: Child's Indian custodian, if any (name each): Custodian's telephone number: Custodian's address: 4 If known: Child's caregiver (name each): Caregiver's telephone number: Caregiver's address: Judicial Council of California, www.courts.ca.gov New January 1, 2011, Optional Form Cal. Rules of Court, rule 5.534 Confidential Information JV-287, Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com