RECORDS 18 Application and Order to Inspect and Copy 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF DESCHUTES In the Matter of: ) ) ) ) ) ) ) ) ) Case No. APPLICATION TO INSPECT AND COPY CONFIDENTIAL RECORDS I , , do hereby make this application for permission to inspect and obtain copies of a document or documents in the above case. I make this application for the following reasons: Complete if applicable Birth Name of Adoptee: Birth Date of Adoptee: Name of Adoptive Mother: Name of Adoptive Father: Date of Adoption: Dated: Applicant Signature Address SUBSCRIBED AND SWORN before me thisday of , 20 . Court Clerk/Notary American LegalNet, Inc. www.FormsWorkFlow.com