Election Law 2475 - 508 GF - 44 (Order on Petition for Voter Registration Confidentiality) 3/2018 At a term of the Family Court of the State of New York, held in and for the County of , at New York, on . P R E S E N T: Hon. Judge In the Matter of a Proceeding under Election Law 2475 - 508 Docket No. ORDER ON PETITION FOR , Petitioner VOTER REGISTRATION CONFIDENTIALITY s address and/or other identifying information not be disclosed pursuant to Election Law Section 5 - 508, NOW, it is hereby [check applicable box] ORDERED that the Petition is hereby GRANTED and that present and all future addressees and/or other iden tifying information of the above - named Petitioner be kept separate and apart from other registration records kept or maintained in accordance with Election Law Article 5, that such records not be made available for inspection or copying by th e public or any other person, except election officials acting within the course and scope of their official duties and only as pertinent and necessary in connection therewith; and that this Order and accompanying pleadings be kept under seal; OR ORDERE D that the Petition is hereby DENIED. [REQUIRED where Petition is granted]: AND IT IS ORDERED that Petitioner serve a copy of this Order upon the Board of Elections of [specify county or city]: 1 AND IT IS FURTHER ORDERED that [specify]: . ENTER Judge of the Family Court Dated: , . PURSUANT TO SECTION 1113 OF THE FAMILY COURT ACT, AN APPEAL FROM THIS ORDER MUST BE TAKEN WITHIN 30 DAYS OF RECEIPT OF THE ORDER BY APPELLANT IN COURT, 35 DAYS F ROM THE DATE OF MAILING OF THE ORDER TO APPELLANT BY THE CLERK OF COURT, OR 30 DAYS AFTER SERVICE BY A PARTY OR THE ATTORNEY FOR THE CHILD UPON THE APPELLANT, WHICHEVER IS EARLIEST. Check applicable box: Order mailed on [spe cify date(s) and to whom mailed ]: Order received in court on [specify date(s) and to whom given]: 1 Note to Petitioner: If Petitioner moves and registers t o vote in a different county or city, this Order should be served upon the Board of Elections in that county or city. American LegalNet, Inc. www.FormsWorkFlow.com