Superior Court of Washington, County of In re custody of: Children: No. Petitioner/s (person/s who started this case): Sealed CPS Information (Cover Sheet) (XBKGD) Clerk's action required: Do not file in a Respondents (parents and any guardian or custodian): public access file. Sealed CPS Information (Cover Sheet) The Department of Social and Health Services is providing the attached information under seal in response to the Order to DSHS to Release CPS Information (Non-Parent Custody) signed by the court pursuant to RCW 13.50.100. The Department does not waive any confidentiality or privilege attached to the information. Any recipient of the information shall protect against unauthorized disclosure of the information. Department Representative signs here Print name Date RCW 13.50.100 Mandatory Form (05/2016) FL Non-Parent 408 Sealed CPS Information (Cover Sheet) p. 1 with attachments American LegalNet, Inc. www.FormsWorkFlow.com