IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR COUNTY , Petitioner Co - Petitioner, a nd v. . 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. The information below is about: Petitioner Respondent Co - Petitioner Child at least 18 but under 21: Other: Name (Last, First, Middle): Former Legal Name(s) (if applicable): Date of Birth: Social Security Number: Driver License (Number and State): Page 1 Form 2.130.1 UTCR 2.130 CONFIDENTIAL INFORMATION FORM UTCR 2.130 (Revised 8/1/16) ATTENTION COURT STAFF : THIS IS A RESTRICTED - ACCESS DOCUMENT. American LegalNet, Inc. www.FormsWorkFlow.com 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: Page 2 Form 2.130.1 UTCR 2.130 CONFIDENTIAL INFORMATION FORM UTCR 2.130 (Revised 8/1/16) NOTE TO COURT STAFF: Unless ordered or authorized under UTCR 2.130, t h is Confidential Information Form is not available to the opposing party or his/her attorney , or to the public ; except for the state. American LegalNet, Inc. www.FormsWorkFlow.com