IN THE CIRCUIT COURT OF THE STATE OF OREGON COUNTY OF Petitioner (Former Protected Child) (your full name) and Respondent (full name of person to be restrained) ))))))))))))))) CONFIDENTIAL INFORMATION FORM (CIF) FOR RESPONDENT IN CASE RE: RENEWAL OF RESTRAINING ORDER (FORMER PROTECTED CHILD) Amended CIF Case No. Original Petitioner (full name of person who obtained original restraining order but is not a party to this renewal request.) This document is not accessible to the public or other parties. See UTCR 2.130 CONFIDENTIAL INFORMATION FORM FOR RESPONDENTS RE: RENEWAL OF RESTRAINING ORDER (FORMER PROTECTED CHILD) 226 PAGE 1 of 1 (FAPA 12/11) The information below is about: Respondent Respondent222s Name (Last, First, Middle): The names of the parties are NOT confidential. Employer222s Name, Address, and Telephone Number: ATTENTION COURT STAFF : THIS IS A RESTRICTED-ACCESS DOCUMENT. Unless ordered or authorized under UTCR 2.130, this Confidential Information Form is not available to the opposing party or his/her attorney , or to the public, except for the state and law enforcement. I hereby declare that the above statements are true to the best of my knowledge and belief and that I understand they are made for use as evidence in court and are subject to penalty for perjury. Date: Signature: Type or Print Name: Submitted by: Petitioner (Former Protected Child) Respondent American LegalNet, Inc. www.FormsWorkFlow.com