CONFIDENTIAL INFORMATION FORM FOR PETITIONER IN SEXUAL ABUSE PROTECTIVE ORDER-UTCR 2.130 - Page 4 of 2 (SAPO 11/2016) 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 PROTECTED PERSON (PETITIONER) v. (Sexual Abuse Protective Order) Respondent (full name of person restrained) Amended CIF The information below is about Petitioner. 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. 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) Date of Birth of Petitioner: 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. American LegalNet, Inc. www.FormsWorkFlow.com CONFIDENTIAL INFORMATION FORM FOR PETITIONER IN SEXUAL ABUSE PROTECTIVE ORDER-UTCR 2.130 - Page 5 of 2 (SAPO 11/2016) NOTE TO COURT STAFF: 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. See UTCR 2.130. NOTICE TO PETITIONER: The Sheriff is required by law to provide you with a true copy of the proof of service which shows when the Protective Order has been served. If you would like to also receive an email message and/or cell phone text message advising you of when the Protective Order has been served on the Respondent and another message 30 days before the Order expires, please provide the information requested below. This information will be given to the sheriff222s office in the county where the Protective Order was obtained. This is voluntary227you are not required to provide this information. Your cell phone number: Your cell phone carrier (ATT, Verizon, etc.): Your email address: Note: If this information changes, you must notify the Sheriff222s office of the new information in order to receive the notice by email or cell phone text message. American LegalNet, Inc. www.FormsWorkFlow.com