en-USSUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES en-USJUVENILE DIVISION, 201 CENTRE PLAZA DR., DEPT. 400, MONTEREY PARK, CA 91754en-USIN THE MATTER OFen-USDATE OF BIRTHen-USA MINORen-USSTIPULATION REGARDING INSPECTION, COPYING, AND NON-en-USDISSEMINATION OF JUVENILE RECORDS WITHOUT COURT ORDERen-USCASE NUMBER en-USThis stipulation is intended for use in those cases where, pursuant to California Welfare and Institutions Code, section 827 and California Rules of Court, rule 5.552, certain persons are permitted to inspect or inspect and copy juvenile Pursuant to California Welfare and Institutions Code, section 827 and California Rules of Court, rule 5.552: The 223Requestor224 signing below has asked to inspect and receive copies of records of the above-referenced minor. 1. en-USen-USany other person unless that other person is also entitled to the copies or information pursuant to Welfareen-USand Institutions Code, section 827. 2. en-USAll records and information obtained shall be used only in connection with a related case, if any, and shallen-USnot be disseminated or used for any other purpose. 3. en-USen-USunless by court order or as allowed by law. In addition, if it is necessary that any records or informationen-USen-USmaintained in a separate sealed envelope, bearing the statement that the contents are Juvenile Courten-USrecords and are available by judicial or administrative order only. 4. en-USen-USen-USand/or copying pursuant to this stipulation. Access to such records requires a court order pursuant to theen-US 5. en-USen-USen-USI hereby acknowledge that I understand and accept the terms as listed above. þ Type or print name þ Signature of Requestor þ Requester222s relationship to Minor Date en-USSTIPULATION REGARDING INSPECTION, COPYING, en-USAND NON-DISSEMINATION OF JUVENILE RECORDS en-USWITHOUT COURT ORDERen-USen-US en-USCal. Rules of Court, rule 5.552en-USen-US American LegalNet, Inc. www.FormsWorkFlow.com