OAH 87 REQUEST FOR PROTECTI VE ORDER SEALING CO NFIDENTIAL RECORDS (Rev.07/13) OFFICE OF ADMINISTRATIVE HEARINGS State of California REQUEST FOR PROTECTIVE ORDER SEALING CONFIDENTIAL RECORDS (Gov. Code § 11425.20; 11450.30; Cal. Code Regs., tit. 1, § 1030) CASE TITLE NAME OF MOVING PARTY OAH CASE NO. AGENCY CASE NO. MOVING PARTY ATTORNEY/REPRESENTATIVE (Name, Address, Phone, Fax) Notice: A party filing a document with OAH is required to redact all confidential personal information. A protective order sealing a record should be requested only when the document must be considered in its entirety and redaction of portions of the document is not practicable or will not adequately protect privacy interests. Identification of Documents Requested to be Sealed: This request for protective order sealing confidential records relates to the following documents: EXHIBITS NUMBERED (indicate exhibit page numbers) TRANSCRIPTS RECORDINGS OTHER DOCUMENTS FILED WITH OAH (describe) ; ALL EXHIBITS Factual Basis for Request for Protective Order Sealing Confidential Records: The moving party alleges that the records listed above contain confidential personal information including: medical information/records; other (describe) These records should be protected from disclosure to the public. The documents cannot be partially redacted and must be sealed because (describe reasons): personal financial information; alleged crime victim(s)/complaining witness(es); names of minor(s); Legal Authority for Protective Order Sealing Confidential Records: The moving party alleges that a protective order sealing confidential records is authorized by the following legal authorities: Opposition to Request: This request is NOT OPPOSED by any party. This request is opposed by (name): A proof of service upon all parties to this case is attached as required. DATED: Printed Name: Signature: REQUEST FOR PROTECTIVE ORDER SEALING CONFIDENTIAL RECORDS American LegalNet, Inc. www.FormsWorkFlow.com