Local JV10 12-08-2014 DELCARATION IN SUPPORT OF ACCESS TO JUVENILE RECORDS Page 2 of 2 SUPERIOR COURT OF THE STATE OF CALIFORNIA, COUNTY OF NEVADA 201 Church Street, Suite 7, Nevada City, CA 95959 (530) 265-1311 10075 Levon Avenue, Suite 107, Truckee, CA 96161 (530) 582-7835 FOR COURT USE ONLY Declaration submitted by: (name, office/agency/court, address, telephone number): Name of Minor: DOB: JUVENILE CASE NUMBER: DECLARATION FOR ACCESS TO JUVENILE CASE FILE IN POSSESSION OF JUVENILE COURT (WIC 247 827, CRC Rule 5.552, Local Rule 6.08.1) I, , do hereby declare that I am a person described in Welfare and Institutions Code section 827(a)(1 )(A)-(O), to wit: A. Persons entitled to inspect and receive copies of juvenile case files 1. Juvenile court personnel. [WIC 247 827(a)(1)(A)] 2. A district attorney, city attorney, or city prosecutor authorized to prosecute criminal or juvenile cases under state law. [WIC 247 827(a)(1 )(8)] 3. The minor who is the subject of the juvenile proceeding. [WIC 247 827(a)(1)(C)] 4. A parent or guardian of the minor. [WIC 247 827(a)(1 )(D)] 5. An attorney for the minor who is actively participating in criminal or juvenile proceedings involving the minor. [WIC 247 827(a)(1 )(E)] 6. An attorney for the parent or guardian of the minor who is actively participating in criminal or juvenile proceedings involving the minor. [WIC 247 827(a)(1)(E)] 7. An attorney representing the petitioning agency in a dependency action. [WIC 247 827(a)(1 )(E) & (F)] 8. A judge, referee, or hearing officer who is actively participating in criminal or juvenile proceedings involving the minor. [WIC 247 827(a)(1 )(E)] 9. A probation officer actively participating in criminal or juvenile proceedings involving the minor. [WIC 247 827(a)(1 )(E)] 10. A social worker or investigator employed by a child protective agency. [WIC 247247 272(a)(1) & 827(a)(1 )(E) & (H)] 11. A law enforcement officer, other than a deputy sheriff or city police officer, who is actively participating in criminal or juvenile proceedings involving the minor. [WIC 247 827(a)(1 )(E)] 12. A deputy sheriff or city police officer. [WIC 247 827(a)(1 )(H) & PC 247 11165.9] 13. A probation officer who receives mandated reports of suspected child abuse or neglect pursuant to county designation. [WIC 247 827(a)(1)(H) & PC 247 11165.9] 14. A State Department of Social Services employee engaged in the oversight and monitoring of county child welfare agencies, children in foster care or receiving foster care assistance, and/or out-of-state placements. [WIC 247 827(a)(1 )(1)] 15. Court Appointed Special Advocate (CASA) [WIC 247247 827(a)(1 )(A) & 103(h)] American LegalNet, Inc. www.FormsWorkFlow.com Local JV10 12-08-2014 DELCARATION IN SUPPORT OF ACCESS TO JUVENILE RECORDS Page 2 of 2 Your Name: Case Number: B. Persons entitled to inspect juvenile case files (no copies) 1. A superintendent or designee of the school district where the minor is enrolled or attending school. [WIC 247 827(a)(1 )(G)] 2. A State Department of Social Services legal staff or special investigator peace officer engaged in the inspection, licensing and investigation of community care facilities. [WIC 247 827(a)(1 )(J)] 3. Person, agency, or member of a multidisciplinary team providing treatment or supervision of the minor. [WIC 247 827(a)(1 )(K)] 4. A judge, commissioner, or hearing officer assigned to a family law case involving the custody and/or visitation of the minor. [WIC 247 827(a)(1 )(L)] 5. A family court mediator actively participating in a family law case involving the minor.[WIC 247 827(a)(1)(L)] 6. A child custody evaluator actively participating in a family law case involving the minor. [WIC 247 827(a)(1 )(L)] 7. An attorney appointed for the minor in a family law case. [WIC 247 827(a)(1 )(L)] 8. A probate court investigator actively participating in a guardianship case involving the minor. [WIC 247 827(a)(1)(M)] 9. A local child support agency employee engaged in establishing paternity and/or establishing and enforcing child support orders. [WIC 247 827(a)(1)(N)] 10. Juvenile justice commissioner appointed pursuant to Welfare and Institutions Code 247 225. [WIC 247 827(a)(1 )(0)] I further declare: C. I am requesting to view and/or receive copies of the juvenile case file concerning the above-named minor for use in my capacity described above, and will not share any portion of the records released to me or information relating to their contents, other than as provided by law. [Initial] D. I will not attach any portion of the juvenile case file or any information relating to the contents of the juvenile case file to any other document without the prior approval of the Presiding Judge of the Juvenile Court, unless they are used in connection with and in the course of a criminal investigation or prosecution, a proceeding to declare a person a dependent child or ward of the Juvenile Court, or a proceeding described in Welfare and Institutions Code section 827(a)(1 )(1) by the State Department of Social Services. [Initial] E. Designation of Authorized Agent: I authorize as my agent to view and/or receive copies of the requested records. I declare under penalty of perjury that the above is true and correct. Executed this day of , 20 in , California Signature Title If applicable, indicate the following: State Bar No. (Attorneys): Badge No. (Law enforcement): Agency Case No.: Related (non-juvenile) Case No.: For Office Use Only Granted Denied Date: By Clerk: American LegalNet, Inc. www.FormsWorkFlow.com