NOTICE OF FILING CIF-- RESTRAINING ORDER TO PREVENT ABUSE OF ELDERLY PERSON OR PERSON WITH DISABILITIES - Page 1 of 2 (EPPDAPA 8/2016) IN THE CIRCUIT COURT OF THE STATE OF OREGON COUNTY OF (See CIF) ) Petitioner (date of birth) ) (name of person to be protected) ) NOTICE OF FILING OF: ) CONFIDENTIAL INFORMATION FORM (CIF) ) AMENDED CIF by and through his/her Guardian Petitioner: ) (Elderly Persons & Persons with Disabilities Abuse ) Prevention Act) ) (name of Guardian Petitioner) ) v. ) Case No. ) (See CIF) ) Respondent (date of birth) ) (name of person to be restrained) I am the (check one box): Petitioner Respondent Guardian Petitioner I filed Confidential Information Forms with the court about the following parties to this case (complete a section for each party for whom you have filled out a CIF): 1) Name (Last, First, Middle): Petitioner Respondent Confidential Personal Information contained in CIF (check all that apply): party222s date of birth employer222s name, address, and telephone number NOTICE: Confidential Information Form Has Been Filed Uniform Trial Court Rule (UTCR) 2.130 requires that parties to Elderly Persons & Persons with Disabilities Abuse Prevention Act (EPPDAPA) cases place certain information about themselves and other parties in a CIF when such information is required in a document filed with the court. The CIF is not available for public inspection except as authorized by law. Parties are allowed to see a CIF that contains information about them. A party who wants to see a CIF that contains information about another party must ask for permission from the court or the other party by following the procedures set out in UTCR 2.130. American LegalNet, Inc. www.FormsWorkFlow.com NOTICE OF FILING CIF-- RESTRAINING ORDER TO PREVENT ABUSE OF ELDERLY PERSON OR PERSON WITH DISABILITIES - Page 2 of 2 (EPPDAPA 8/2016) 2) Name (Last, First, Middle): Petitioner Respondent Confidential Personal Information contained in CIF (check all that apply): party222s date of birth employer222s name, address, and telephone number Dated this day of , 20 Signature Print Name Contact Address City, State, Zip Contact Telephone American LegalNet, Inc. www.FormsWorkFlow.com