CONFIDENTIAL COURT RECORD GF-245, 05/16 Confidential Disclosure of Information to be Sealed or Redacted 247801.21, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 1 Enter the name of the county in which this case is filed. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY Enter the Petitioner/ Petitioner/Plaintiff : First name Middle name Last name Respondent/Defendant : First name Middle name Last name Enter the Respondent / Defendant full name. Confidential Disclosure of Information to be Sealed or Redacted Case No. Enter the case number. This form is used with GF - 24 6A when requesting that the court seal or redact information from the court records. If the court grants the motion to seal or redact, this form will be sealed. Use GF - 241 to provide Social Security, driver license, financial accounts, and other protected n umbers to the court. This form is used for all case types. Some information may not apply to your case. Be specific. For example, address: 1234 Main Street, The information that I request to be sealed redacted is: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. The document to be sealed is attached. Upon request, the information on this form will be sealed until the court reviews the motion. I am filing this information under temporary seal until the court rules on this motion. Sign and print your name and date the document. Signature Print or Type Name Relationship to Case Date American LegalNet, Inc. www.FormsWorkFlow.com