5 Request To Keep Minor's Information Confidential

Request to Keep Minor's
CH-160 Information Confidential CONFIDENTIAL

Clerk stamps date here when form is filed.
When do I use this form?
Complete this form if you want the court to keep information about a minor
in a civil harassment restraining order proceeding confidential and not
available to the public or the restrained person. If you only want to keep
your home address confidential, you may use a mailing address on your
other forms rather than using this form.
What if there is information I don't want the restrained person to have?
You can make this request at item 8 if you want to ask the court to keep
information confidential from the restrained person. If the court grants your
request to keep certain information confidential from the restrained person,
the information will have to be redacted (whited or blacked out) from all
Fill in court name and street address:
forms before the restrained person gets a copy. But be aware that if the court
denies your request, the information may be provided to the restrained Superior Court of California, County of
person.
Who will see this form?
The public will NOT have access to this form.
The restrained person will have access to the entire form unless the court
grants the request made in item 8 below.
Court fills in case number when form is filed.
Case Number:
1 Parties in This Case
a. Person who requested restraining order (form CH-100, item 1 ):
Full Name:
b. Person to be restrained (form CH-100, item 2 ):

Full Name:
2 Person Making Request for Confidentiality

a. Full Name:
b. I am:
(1) The minor requesting confidentiality.
(2) The parent legal guardian of the minor or minors listed below.
List all the minors that you are making the request for:
Name:
Name:
Name:
Name:
Check here if there are additional minors. Attach a sheet of paper and write "Attachment 2b(2)—
Additional Minors" for a title.
This is not a Court Order.
Judicial Council of California, www.courts.ca.gov CH-160 Page 1 of 6

Rev. September 1, 2020, Mandatory Form Request to Keep Minor's
Code of Civil Procedure, § 527.6(v)
Information Confidential
(Civil Harassment Prevention)
Case Number:
3 Contact Information
Address where you can receive mail
This address will be used by the court and the person in 2 to notify you in this case. If you want to keep
your home address private, you can use another address like a post office box or another person's address,
if you have their permission. If you have a lawyer, give your lawyer's address and contact information.
Address:
City: State: Zip:
Your contact information (optional)

Telephone: Fax:
E-mail address:
Lawyer's information (skip if you do not have one)
Name: State Bar No.:
4 Requests for More Than One Minor (ONLY for parents or legal guardians)
I am making this request for two or more minors.

a. The information I want confidential (as checked in item 5 ) is the SAME for all minors.
b. The information I want confidential (as checked in item 5 ) is NOT the same for all minors.
If you checked 4b, make sure you list all the information you want confidential for each minor in 5 . If you
need more space in 5 , attach a separate piece of paper.
5 Information to Be Kept Confidential From the Public
I want the information checked below to be made confidential and NOT available to the public.
(Check all that apply:)
a. Minor’s name
(Note: If your request is granted, the public will not have access to the minor's name in this case, but law
enforcement must be given this information.)
b. Minor’s address
(Note: You do NOT have to make this request if you use a mailing address that does not need to be kept
confidential. Use that mailing address on all forms in this case and any other civil case.)
The address I want kept confidential is:

Rev. September 1, 2020 Request to Keep Minor's CH-160, Page 2 of 6
Case Number:
c. Information relating to the minor
(Note: If information relating to the minor is made confidential by the court, the public will not have
access to this information but the restrained person must be given the information that is necessary to comply
with the restraining order and to respond to the restraining order request. Also, the court may give permission to
release confidential information in this case to other people like the minor's childcare provider or school, or
anyone who needs the information to protect the minor's best interest or to prevent harassment.)
Describe all information in the documents that will be filed that you want kept confidential.
You may either (check one):
(1) Attach a copy of form CH-100 or other document that you are filing. Circle all the information you
want kept confidential.
(2) List the information below, identifying the location of the statements in form CH-100 or other
document that you are filing.
Location of Information Information to Be Redacted

(for example, form #, page #, (not viewable by the public)
paragraph #, line #,
attachment #, or exhibit #)
Check here if there is not enough space for your answer. Put your complete answer on an attached
sheet of paper and write “Attachment 5c(2)” for a title.
(a)
(b)
(c)
(d)

Case Number:
6 Reasons for Request

To approve your request in 5 , the court must expressly find all of the following:
l The minor's right to privacy overcomes the right of the public access to the information;
l There is a substantial probability that the minor's interest will be prejudiced if the information is not kept
confidential;
l The order to keep the information confidential is narrowly tailored; and
l No less restrictive means exist to protect the minor's privacy.
Use these four requirements to help you answer the questions below.
a. Why should the information about the minor provided in item 5 be kept private or confidential?
Check here if there is not enough space for your answer. Put your complete answer on an attached sheet of
paper and write “Attachment 6a” for a title.
b. What do you think would happen if the information is NOT made private or confidential?
paper and write “Attachment 6b” for a title.

Rev. September 1, 2020
Request to Keep Minor's CH-160, Page 4 of 6
Case Number:
(Skip items 7 and 8 if you are not the person requesting the restraining order.)
7 If any portion of the request for confidentiality from the public (item 5 ) is denied, I want
to (check one):
a. Cancel my request for restraining order
I ask the court NOT to make a decision on my Request for Civil Harassment Restraining Orders (form
CH-100). I understand that canceling my request means that I will not receive a restraining order at this time.
(Note: You may file a request on the same or different facts at a later date.)
b. Move forward with my request for restraining order
I ask the court to make a decision on my Request for Civil Harassment Restraining Orders (form CH-100).
(Note: Choosing this option means that the information in your completed form CH-100 and other court
papers in this case will be available to the public and must be seen by the restrained person.
8 Information to Be Kept Confidential From the Restrained Person

(Note: The restrained person must be given information necessary to comply with the restraining order and to
respond to the restraining order request.)
I do not want the restrained person to have access to some of the information checked in item 5 .
a. What information do you want to be confidential and not given to the restrained person?
(1) Minor’s name
(2) Minor’s address
(3) Other information relating to the minor from item 5 (specify):
Check here if there is not enough space for your answer. Put your complete answer on an attached
sheet of paper and write “Attachment 8a(3)” for a title.
b. Why should the information listed in 8a be kept confidential and not given to the restrained person?
c. What do you think would happen if the information listed in 8a is given to the restrained person?
paper and write “Attachment 8” for a title.
Case Number:
d. If any portion of the request for confidentiality from the restrained person (item 8 ) is denied, I want to:
(1) Cancel my request for restraining order

I ask the court NOT to make a decision on my Request for Civil Harassment Restraining Orders (form
CH-100). I understand that canceling my request means that I will not receive a restraining order at this
time. (Note: You may file a request on the same or different facts at a later date.)
(2) Move forward with my request for restraining order
I ask the court to make a decision on my Request for Civil Harassment Restraining Orders (form
CH-100). (Note: Choosing this option means that all of the information in your completed form
CH-100 must be seen by the restrained person.)
9 People I Want to Have Access to Confidential Information

(Note: If you want other people to have unredacted copies of restraining order forms in this case, you should
complete this item.)
a. If my request in item 5 is granted, I want to be allowed to give the following people or entities
(check all that apply):
(1) Minor's school and after-school program
(2) Minor's childcare provider
(3) Supervised visitation provider

(4) Other (name):
b. copies of documents in this case with the following information (check all that apply):
(1) Minor's name
(2) Minor's address
(3) Information listed in item 5c.
10 Number of pages attached to this form, if any:
11 Signature
I declare under penalty of perjury under the laws of the State of California that the information above and in all
attached papers is true and correct.
Date:
Type or print your name Sign your name
12 Lawyer's Signature (skip if you do not have one)

Date:
Lawyer’s sign

Rev. September 1, 2020
Request to Keep Minor's CH-160, Page 6 of 6
For your protection and privacy, please press the Clear
This Form button after you have printed the form. Print this form Save this form Clear this form

5 Request To Keep Minor's Information Confidential

Uploaded by

Copyright:

Available Formats

5 Request To Keep Minor's Information Confidential

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

5 Request To Keep Minor's Information Confidential

Uploaded by

Copyright:

Available Formats

Request to Keep Minor's

CH-160 Information Confidential CONFIDENTIAL

b. Person to be restrained (form CH-100, item 2 ):

2 Person Making Request for Confidentiality

This is not a Court Order.

Judicial Council of California, www.courts.ca.gov CH-160 Page 1 of 6

City: State: Zip:

Your contact information (optional)

I am making this request for two or more minors.

(Check all that apply:)

The address I want kept confidential is:

This is not a Court Order.

c. Information relating to the minor

Location of Information Information to Be Redacted

This is not a Court Order.

Rev. September 1, 2020 Request to Keep Minor's CH-160, Page 3 of 6

6 Reasons for Request

This is not a Court Order.

8 Information to Be Kept Confidential From the Restrained Person

(1) Cancel my request for restraining order

9 People I Want to Have Access to Confidential Information

(3) Supervised visitation provider

10 Number of pages attached to this form, if any:

Type or print your name Sign your name

12 Lawyer's Signature (skip if you do not have one)

This is not a Court Order.

You might also like