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Pledge Of Confidentiality Form. This is a New Mexico form and can be use in 11th Judicial District Local District Court.
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Tags: Pledge Of Confidentiality, New Mexico Local District Court, 11th Judicial District
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Plaintiff(s)
-against-
a
Calendar No.
:
JUDICIAL SUBPOENA
:
:
:
PLEDGE OF CONFIDENTIALITY
Defendant(s)
:
......................................................
I, ___________________________________, promise that I shall hold in confidence, all
pertinent information. I will not violate the confidential relationship between CASA, its
THE PEOPLE OF THE STATE OF NEW and all parties interviewed. I will not remove from
volunteers, related agencies, courts, YORK
the office of CASA or the court, without expressed permission, any written records.
TO
I accept full responsibility for maintaining the confidential and private nature of all
records and information.
GREETINGS:
I understand that I am personally responsible for the immediate return of any case related
documents to the CASA office, at the close of any court case orlaid aside, termination ofof you attend before
WE COMMAND YOU, that all business and excuses being upon my you and each
my involvement as a CASA volunteer.
,
the Honorable
at the
Court
located at
County of
I understand ,that the personally responsible,for any ,violation ofo'clock in the
I am
this agreement. noon, and at any recessed
in room
on
day of
20
at
or adjourned date, to testify and give evidence as a witness in this action on the part of the
I further understand that my services as a CASA will be terminated for any violation of
this agreement.
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
______________________________
result ___________________________________
of your failure to comply.
CASA Volunteer Signature
Witness, Honorable
Court ______________________ day of
in
County,
Witness
, one of the Justices of the
, 20
Date
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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