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Certificate Of Confidentiality Form. This is a Official Federal Forms form and can be use in 4th Circuit Court Of Appeals Circuit Court Of Appeals.
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UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT
CERTIFICATE OF CONFIDENTIALITY, LOCAL RULE 25(c)
No.
Caption:
(appellant, appellee, petitioner, respondent, other)
certifies the following information regarding sealing of the document(s) described below:
1. Identify document(s) filed (e.g., appendix volume, opening brief, motion):
2. Is sealing of document(s) necessary?
[ ] No
[ ] Yes, to protect material sealed by district court/agency
[ ] Yes, to protect personal data identifiers
3. Have redacted copies of document been filed:
[For all documents except appendices, counsel must file (i) a sealed version of the document (4 copies with
sealed material highlighted and front page marked SEALED, in an envelope marked SEALED, with 4 copies
of a certificate or motion to seal) and (ii) a public version (the usual number of copies, with sealed material
redacted). A motion to seal should be filed in lieu of a certificate if the document cannot be redacted.]
[ ] Yes
[ ] No
4. Has sealed record material been separated from unsealed record material and placed in a separate,
sealed volume of the appendix:
[Sealed material must be separated from other portions of the appendix and filed in a separate, sealed
volume of the appendix (4 copies with the cover conspicuously marked SEALED, in an envelope marked
SEALED, with 4 copies of certificate of confidentiality)]
[ ] Yes
[ ] No
5. Date(s) of order(s) sealing the material or, if there is no order, the authority relied upon to treat
the material as sealed:
6. Terms of order sealing the material, including whether documents were filed ex parte or in
camera (if filed ex parte, envelope and front of document must be marked SEALED and EX
PARTE):
_________________
(date)
_________________________________
(signature)
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