LASC CIV 274 NEW 06/19 ORDER TO HAVE VOTER Elections Code 247247 2166 For Mandatory Use REGISTRATION INFORMATION DECLARED CONFIDENTIAL NAME , ADDRESS, AND EMAIL ADDRESS OF P ETITIONER OR ATTORNEY : TELEPHONE: Reserved for Clerk222s File Stamp SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES COURTHOUSE ADDRESS: 111 N. Hill Street Los Angeles, CA 90012 P ETITIONER (Name ) : RESPONDENT : County Registrar - Recorder/County Clerk (Proposed) ORDER TO HAVE VOTER REGISTRATION INFORMATION DECLARED CONFIDENTIAL CASE NUMBER: O R D E R The court having reviewed the Petition of (name) to have voter registration information declared confidential, and good cause having been shown that a life-threatening circumstance exists to petitioner, or a member of petitioner222s household; IT IS HEREBY ORDERED that the residence address, telephone number and email address appearing on the petitioner222s affidavit of voter registration, or upon any list, roster or index prepared therefrom, are declared to be confidential. Respondent is ordered to maintain the confidentiality of said information as required by Section 2166 of the Elections Code of the State of California. Dated: Judicial Officer: American LegalNet, Inc. www.FormsWorkFlow.com