THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH http://www.courts.state.nh.us Court Name: Case Name: Case Number: (if known) MOTION TO DISCLOSE CHILD ABUSE AND/OR NEGLECT COURT RECORDS Pursuant to RSA 169-C:20, IV, the School District respectfully moves that the court to allow disclosure of all court records or the court records listed on the enclosed attachment, regarding the above mentioned matter to a Department of Education hearing officer for a hearing scheduled on (date). The purpose of the disclosure is the following: I certify that on this date I provided a copy of this document to the parties listed below in the court proceeding and the due process hearing by: Hand-delivery OR US Mail OR E-mail (E-mail only by prior agreement of the parties based on Circuit Court Administrative Order). Date Authorized School District Representative NHJB-2493-DF (03/25/2013) American LegalNet, Inc. www.FormsWorkFlow.com Case Name: Case Number: NOTICE OF INTENT TO DISCLOSE DEL/CHINS COURT RECORDS Persons subject to juvenile proceedings have important rights to the confidentiality of juvenile court proceedings. This motion requests the disclosure of some of that information. If you object to the disclosure of information, you must file a written objection with the court no later than 10 days after the filing of the school district's notice. If you fail to object in writing, the court may allow private information to be revealed to the New Hampshire Department of Education hearing officer. NHJB-2493-DF (03/25/2013) American LegalNet, Inc. www.FormsWorkFlow.com