Declaration
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Declaration Form. This is a Washington form and can be use in Domestic Relations Statewide.
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Tags: Declaration, DRPSCU 01.0100, Washington Statewide, Domestic Relations
Superior Court of Washington
County of
In re:
Petitioner(s),
and
Respondent(s).
No.
Declaration of
_________________________
[Name]
(Optional Use)
(DCLR)
This declaration is made by:
Name:
___________________________________________
Age:
___________________________________________
Relationship to the parties in this action: __________________________________________________
I Declare:
Declaration (DCLR) - Page 1 of ____
WPF DRPSCU 01.0100 (6/2006)
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(Attach Additional Pages if Necessary and Number Them.)
I declare under penalty of perjury under the laws of the state of Washington that the foregoing is true and
correct.
Signed at _______________________, [City] ____________ [State] on ____________________ [Date].
Signature of Declarant
Print or Type Name
Do not attach financial records, personal health care records or confidential
reports to this declaration. Such records should be served on the other party and
filed with the court using one of these cover sheets:
1) Sealed Financial Source Documents (WPF DRPSCU 09.0220) for financial records
2) Sealed Personal Health Care Records (WPF DRPSCU 09.0260) for health records
3) Sealed Confidential Report (WPF DRPSCU 09.270) for confidential reports
If filed separately using a cover sheet, the records will be sealed to protect your
privacy (although they will be available to all parties in the case, their attorneys,
court personnel and certain state agencies and boards.) See GR 22(C)(2).
Declaration (DCLR) - Page 2 of ____
WPF DRPSCU 01.0100 (6/2006)
American LegalNet, Inc.
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