IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR ___________________ COUNTY , Petitioner and v. Co-Petitioner, . Respondent Co-Petitioner. _________________________________________ Child At Least 18 But Under 21 Other_____________________ ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) Case No.: ____________________ UTCR 2.130 CONFIDENTIAL INFORMATION FORM (CIF) Amended CIF This document is not accessible to the public or other parties. Exceptions may apply. See UTCR 2.130. ATTENTION COURT STAFF: THIS IS A RESTRICTED-ACCESS DOCUMENT. The information below is about: Petitioner Respondent Co-Petitioner____________________ Child at least 18 but under 21: ____________________________________________________________ Other: ________________________________________________________________________________ Name (Last, First, Middle): _______________________________________________________________ The names of the parties and the children, as well as the children's ages, are NOT confidential. Former Legal Name(s) (if applicable): Date of Birth: Social Security Number: Driver License (Number and State): Employer's Name, Address, and Telephone Number: Page 1 ­ Form 2.130.1 ­ UTCR 2.130 CONFIDENTIAL INFORMATION FORM ­ UTCR 2.130 (Revised 8/1/16) American LegalNet, Inc. www.FormsWorkFlow.com Children's Names (Last, First, Middle) Date of Birth Social Security Number Please attach an additional sheet if there are more than five children involved in the proceeding. 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:________________________________ COMPLETED AND SUBMITTED BY: Petitioner Respondent Co-Petitioner_______________________________________________ Child who is at least 18 and under 21: ___________________________________________________ Other: ______________________________________________________________________________ NOTE TO COURT STAFF: 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. Page 2 ­ Form 2.130.1 ­ UTCR 2.130 CONFIDENTIAL INFORMATION FORM ­ UTCR 2.130 (Revised 8/1/16) American LegalNet, Inc. www.FormsWorkFlow.com