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Affidavit For Release Of Confidential Information Form. This is a Utah form and can be use in Guardianship Of Minor Statewide.
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Tags: Affidavit For Release Of Confidential Information, Utah Statewide, Guardianship Of Minor
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Plaintiff(s)
-against-
Calendar No.
:
JUDICIAL SUBPOENA
:
:
AFFIDAVIT FOR RELEASE
:
OF CONFIDENTIAL INFORMATION
Defendant(s)
:
......................................................
Name
THE PEOPLE OF THE STATE OF NEW YORK
Address
TO
Telephone
Date
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
TO County ofIT MAY CONCERN,located at
WHOM
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
I,
the undersigned Parent part of the
or adjourned date, to testify and give evidence as, a witness in this action on theor Guardian of
, a minor, give
School
Your failure to comply with this subpoena it, my permission to have total and
District, and whosoever it chooses to represent is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
unrestricted access to any and all confidential criminal records, proceedings, and
Witness, Honorable
Court in
County,
, one of the Justices of the
information that involve Minor named above and which occurred or were already ongoing on
day of
, 20
.
DATE
or after
(Attorney must sign above and type name below)
DATE:
Attorney(s) for
Office and P.O. Address
Parent or Guardian of Minor
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
August 2001
Affidavit for Release of Confidential Information
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
:
Plaintiff(s)
-against-
Calendar No.
JUDICIAL SUBPOENA
:
:
:
Defendant(s)
:
......................................................
NOTARY CLAUSE
THE PEOPLE OF THE STATE OF NEW YORK
STATE OF
,
COUNTY OF
TO
Affiant,
, personally appeared
GREETINGS:
before me, the undersigned Notary Public, and proved to me Affiant’s identity with
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
at the
Court upon being sworn and
. And
located at
County of
underroom signed ,the the
in oath,
on preceding document entitled AFFIDAVIT FOR RELEASE OF at any recessed
day of
, 20
, at
o'clock in the
noon, and
or adjourned date, to testify and give evidence as a witness in this action on the part affirmed that the
of the
CONFIDENTIAL INFORMATION in my presence and acknowledged and
the Honorable
documentation in the form of
information contained in the document is true to the best of Affiant’s own personal
knowledge and that Affiant has with this subpoena is punishable as a contempt stated purpose.
Your failure to comply signed the document voluntarily for its of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
DATE:
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
Notary Public
Attorney(s) for
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
August 2001
Affidavit for Release of Confidential Information
American LegalNet, Inc.
www.USCourtForms.com
