Confidential Order For Protection Of Children Information
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Confidential Order For Protection Of Children Information Form. This is a Nevada form and can be use in Harm To Minors Statewide.
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Tags: Confidential Order For Protection Of Children Information, C-12, Nevada Statewide, Harm To Minors
*CONFIDENTIAL*
ORDER FOR PROTECTION OF CHILDREN INFORMATION
(TO BE FILLED OUT BY ADVERSE PARTY)
Instructions: Please provide all information and please print legibly. The Court requests this information in order to notify
you about upcoming hearings or activity in your case.
ADVERSE PARTY DATA
Full Name:
Other Name Used:
(Last)
(First)
(Middle)
(Last)
(First)
(Middle)
Date of Birth: ____/____/___ and/or Social Security No.: _________________________________________________
(M)
(D)
(Y)
Home Address: _____________________________________________________________________________________
(Street Address)
(Building/Apartment #)
(City)
(State)
(Zip Code)
(Building/Apartment #)
(City)
(State)
(Zip Code)
Mailing Address:
(If different from above)
(Street Address)
Home Phone:
Cell Phone: _____________________________
Employer:
Occupation:
Work Address:
(Street Address)
(City)
Work Days:
(State)
Work Hours:
(Zip Code)
Work Phone:
Additional Contact Person:________________________Phone:_____________Address:__________________________
Do you speak English? ________________________
If not, what language? _________________________________
(Yes or No)
Do not write in this space. For court purposes only.
Issuing Court ORI: NV______________
Court Case Number: _______________
*CONFIDENTIAL*
Form C12 Confidential Order for Protection of Children Information
©2007 Nevada Supreme Court
June 30, 2007
