WPF DRPSCU 09.0210 Conf Info Form Addendum (AD) ( 07/201 3 ) RCW 26.23.050 - Page 1 of 1 A ddendum to C onfidential I nformation F orm (AD) The information below is subject to limited disclosure. It may be disclosed to governmental agencies without notice to you; but will not be disclosed to other parties or the public unless allowed by law. Co unty: Cause Number: Do not file in a C ourt Clerk : T his is a Restricted A ccess Document public access file . List the address where notices can be sent to you. This does not have to be your home address. This address will become public . I am Petiti oner Respondent. My public mailing address (P.O. Box/Street, City, State, Zip): The following information about additional parties is required in all cases . Additional Petitioner Information Type or Print O nly Additional Respondent Information Name (Last, First, Middle) Name (Last, first, Middle) Race Sex Birthdate Race Sex Birthdate Drivers Lic. or Identicard (# and State) Drivers Lic. or Identicard (# and State), (or, if unavailable, residential address) Relationship to Child(ren) R elationship to Child(ren) The following information is required if there are additional children involved in the proceeding . (Soc. Sec. No. is not required for petitions in protection order cases (Domestic Violence/Antiharassment /Sexual Assault ). ) 3) Ch ild's Name (Last, First, Middle) Child's Race/Sex/Birthdate Child's Soc. Sec. No. (If required) Child's Present Address or Whereabouts 4) Child's Name (Last, First, Middle) Child's Race/Sex/Birthdate Child's Soc. Sec. No. (If required) Child's Pres ent Address or Whereabouts Except for petitions in protection order cases (Domestic Violence/Antiharassment / Sexual Assault ), the following information is required : Additional Petitioner Information Additional Respondent Information Soc. Sec. No.: Soc . Sec. No.: Residential Address (Street, City, State, Zip) Residential Address (Street, City, State, Zip) E - mail Address: E - mail Address: Telephone No.: ( ) Telephone No.: ( ) Employer: Employer: Empl. Address: Empl. Address: Empl. Phone No.: ( ) Empl. Phone No.: ( ) American LegalNet, Inc. www.FormsWorkFlow.com