CONFIDENTIAL INFORMATION FORM FOR RESPONDENT IN SEXUAL ABUSE PROTECTIVE ORDER-UTCR 2.130 - Page 6 of 2 (SAPO 08/2019) IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR COUNTY Petitioner Case No: (Parent/Guardian of Minor Petitioner) CONFIDENTIAL INFORMATION (use full names) FORM (CIF) FOR PERSON RESTRAINED (RESPONDENT) v. (Sexual Abuse Protective Order) Respondent (full name of person restrained) Amended CIF The information below is about Respondent. Respondent222s Name (Last, First, Middle): The names of the parties are NOT confidential. 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 I am subject to penalty for perjury. ATTENTION COURT STAFF: THIS IS A RESTRICTED-ACCESS DOCUMENT. This document is not accessible to the public or other parties. Exceptions may apply. See UTCR 2.130. Employer222s Name, Address, and Telephone Number: Respondent222s Date of Birth: American LegalNet, Inc. www.FormsWorkFlow.com CONFIDENTIAL INFORMATION FORM FOR RESPONDENT IN SEXUAL ABUSE PROTECTIVE ORDER-UTCR 2.130 - Page 7 of 2 (SAPO 08/2019) Submitted by: Date Signature of Petitioner, Parent or Guardian of Minor Petitioner Respondent Signature Print Name, Petitioner, Parent or Guardian of Minor Petitioner Respondent Attorney for Petitioner Attorney for Respondent OSB No. (if applicable) 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 and law enforcement. American LegalNet, Inc. www.FormsWorkFlow.com