ATTACHMENT JV-2002 ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS): TELEPHONE NO.: FOR COURT USE ONLY ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA Street Address: Mailing Address: Juvenile Justice: 840 Guadalupe Pkwy., San José, CA 95113 191 North First Street, San José, CA 95113 In the Matter of: (Name of Child), a Minor. [D.O.B. _________ ] DECLARATION FOR JUVENILE COURT RECORD (JUVENILE JUSTICE) I am requesting access to the following record(s): CASE NUMBER: held by: Court Clerk, Juvenile Justice Division Juvenile Probation Department Department of Family & Children Services Other Minor's Name: Petition Number: Other Identifying Information: I am: Defense Attorney - State Bar Number: Parent/Guardian of the named juvenile Court-Appointed Special Advocate (CASA) Staff of Santa Clara County Victim Witness Assistance Center District Attorney - State Bar Number: Sixth Appellate District Program Member Other: (specify) Address: Use of juvenile records is subject to Petition under Welfare & Institutions Code § 827 [JV-570] and further Court authorization. I understand these records are confidential and can be used only for the purposes stated herein. I understand these records are confidential and can be used only for the purposes stated herein. I declare under penalty of perjury the forgoing is true and correct. Dated this day of , 20 , at San José, California Signature: Type or print name: JV-2002 REV 7/01/13 DECLARATION FOR JUVENILE COURT RECORD (JUVENILE JUSTICE) Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com