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.: ____________________ NOTICE OF FILING OF CONFIDENTIAL INFORMATION FORM (CIF) AMENDED CIF NOTICE: Confidential Information Form Has Been Filed Uniform Trial Court Rule (UTCR) 2.130 requires that parties to domestic relations or other specified types of 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. I am the (check one box): Petitioner Respondent Co-Petitioner _____________________________________________ Child at least 18 but under 21: _______________________________________________________ Other: __________________________________________________________________________ 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 Co-Petitioner Adult Child Other:__________________ Confidential Personal Information contained in CIF (check all that apply): party's social security number, party's date of birth, children's social security number, children's date of birth, employer's name, address, and telephone number, driver license number, former legal name(s). Page 1 ­ Form 2.130.2 ­ NOTICE RE: FILING OF CONFIDENTIAL INFORMATION FORM ­ UTCR 2.130 (Revised 8/1/16) American LegalNet, Inc. www.FormsWorkFlow.com 2) Name (Last, First, Middle):______________________________________________________ Petitioner Respondent Co-Petitioner Adult Child Other:__________________ Confidential Personal Information contained in CIF (check all that apply): party's social security number, party's date of birth, children's social security number, children's date of birth, employer's name, address, and telephone number, driver license number, former legal name(s). 3) Name (Last, First, Middle):______________________________________________________ Petitioner Respondent Co-Petitioner Adult Child Other:__________________ Confidential Personal Information contained in CIF (check all that apply): party's social security number, party's date of birth, children's social security number, children's date of birth, employer's name, address, and telephone number, driver license number, former legal name(s). 4) Name (Last, First, Middle):______________________________________________________ Petitioner Respondent Co-Petitioner Adult Child Other:__________________ Confidential Personal Information contained in CIF (check all that apply): party's social security number, party's date of birth, children's social security number, children's date of birth, employer's name, address, and telephone number, driver license number, former legal name(s). Dated this _______ day of ____________________, 20____ Signature Contact Address City, State, Zip Print Name Contact Telephone Page 2 ­ Form 2.130.2 ­ NOTICE RE: FILING OF CONFIDENTIAL INFORMATION FORM ­ UTCR 2.130 (Revised 8/1/16) American LegalNet, Inc. www.FormsWorkFlow.com