400 - 00 156 Confidential Notification for Relief from Abuse (09 /201 7 ) Page 1 of 1 STATE OF VERMONT SUPERIOR COURT FAMILY DIVISION Unit Docket No. CONFIDENTIAL Litigant's Address for Notification Name : Vermont Family Court Rules say that parties filing documents in Relief From Abuse cases must give the C ourt an address and telephone number. The address and telephone number you give are for the C ourt to contact you about your case. Please complete the information below: For the C ourt to contact me about my case, I can be reached at: Mailing Address: City, State Zip: Home / Cell Phone : Work Phone: The address & telephone number(s) you have given in this case cannot be given to any person without your permission. Do you consent to the release of this information? Yes No Date Signat ure Important information: The rule that requires the C ourt to keep your address and telephone number confidential applies ON LY to Relief From Abuse cases. If you have other cases in C ourt, and you want the C ourt to keep your address and telephone number (s) confidential in those cases, you must file a written request in each. Your request will be given to the J udge. It is up to the J udge to decide. American LegalNet, Inc. www.FormsWorkFlow.com