Form DV-165 "Order on Request to Keep Minor's Information Confidential" - California

What Is Form DV-165?

This is a legal form that was released by the California Superior Court - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2021;
  • The latest edition provided by the California Superior Court;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DV-165 by clicking the link below or browse more documents and templates provided by the California Superior Court.

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Download Form DV-165 "Order on Request to Keep Minor's Information Confidential" - California

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Order on Request to Keep Minor's
Clerk stamps date here when form is filed.
DV-165
Information Confidential
CONFIDENTIAL
PUBLIC VERSION (REDACTED)
Parties in This Case
1
a. Person who requested restraining order (form DV-100, item
):
1
Full Name:
2
b. Person to be restrained (form DV-100, item
):
Fill in court name and street address:
Superior Court of California, County of
Full Name:
2
Person Making Request for Confidentiality
Full Name:
Court fills in case number when form is filed.
Case Number:
4
13
(Court will complete item
if request is denied or items
if request
3
is granted or partially granted.)
3
Instructions to Clerk: If item
is
checked, file page 1 in a public file and
Court Denied Request or More Information Needed
3
discard pages 2–6.
a.
Denied. The request to keep information of a minor or minors confidential is denied.
(1)
The court will NOT make a decision on the Request for Domestic Violence Restraining Order
(form DV-100). The request for restraining order and proposed order forms must be returned to the
requester personally, destroyed, or deleted from electronic files and not filed with the court unless the
person requesting the restraining order agrees to file them without any changes.
(2)
The court will make a decision on the Request for Domestic Violence Restraining Order (form
DV-100). The request for restraining order and any accompanying orders will be filed in the public file.
More information is needed for court decision. You must go to court on the date and time below. At the
b.
court date, you must give more information on why you need the court to make information confidential.
Name and address of court if different from above:
Hearing
Date:
Time:
Date
Dept.:
Room:
c. If
3
is checked, only this page of this order form will be issued. All other pages may be discarded.
Date:
Judge (or Judicial Officer)
This is a Court Order.
www.courts.ca.gov
Judicial Council of California,
Order on Request to Keep
DV-165
Page 1 of 6
Rev. January 1, 2021, Mandatory Form
Family Code, § 6301.5
Minor's Information Confidential
(Domestic Violence Prevention)
Order on Request to Keep Minor's
Clerk stamps date here when form is filed.
DV-165
Information Confidential
CONFIDENTIAL
PUBLIC VERSION (REDACTED)
Parties in This Case
1
a. Person who requested restraining order (form DV-100, item
):
1
Full Name:
2
b. Person to be restrained (form DV-100, item
):
Fill in court name and street address:
Superior Court of California, County of
Full Name:
2
Person Making Request for Confidentiality
Full Name:
Court fills in case number when form is filed.
Case Number:
4
13
(Court will complete item
if request is denied or items
if request
3
is granted or partially granted.)
3
Instructions to Clerk: If item
is
checked, file page 1 in a public file and
Court Denied Request or More Information Needed
3
discard pages 2–6.
a.
Denied. The request to keep information of a minor or minors confidential is denied.
(1)
The court will NOT make a decision on the Request for Domestic Violence Restraining Order
(form DV-100). The request for restraining order and proposed order forms must be returned to the
requester personally, destroyed, or deleted from electronic files and not filed with the court unless the
person requesting the restraining order agrees to file them without any changes.
(2)
The court will make a decision on the Request for Domestic Violence Restraining Order (form
DV-100). The request for restraining order and any accompanying orders will be filed in the public file.
More information is needed for court decision. You must go to court on the date and time below. At the
b.
court date, you must give more information on why you need the court to make information confidential.
Name and address of court if different from above:
Hearing
Date:
Time:
Date
Dept.:
Room:
c. If
3
is checked, only this page of this order form will be issued. All other pages may be discarded.
Date:
Judge (or Judicial Officer)
This is a Court Order.
www.courts.ca.gov
Judicial Council of California,
Order on Request to Keep
DV-165
Page 1 of 6
Rev. January 1, 2021, Mandatory Form
Family Code, § 6301.5
Minor's Information Confidential
(Domestic Violence Prevention)
Case Number:
Court will complete the rest of this form if the request is partially or fully granted
Court Granted Request
4
a.
Granted in full. The request to keep the information of a minor or minors confidential is granted in full.
5
Details of the order are stated below in items
12
.
b.
Partially granted. The request to keep the information of a minor or minors confidential is granted only
5
in part. Details of the order are stated below in items
12
.
Findings
5
The court finds all of the following (all of these findings are required if granting in full or in part):
a. The right to privacy of the minors listed in item
6
overcomes the public's right of access to the information;
6
b. There is a substantial probability that the interests of the minors listed in item
will be prejudiced if the
information is not kept confidential;
c. The order is narrowly tailored; and
d. No less restrictive means exist to protect the privacy of the minors in item
6
.
Minors Subject to This Order
6
This order protects the information listed in item
7
for the following minors:
a. Name:
b. Name:
c. Name:
d. Name:
Check here if there are additional minors. Attach a sheet of paper and write "Attachment 6—Additional
Minors" for a title.
References in this order to “the minor” refer to all minors listed here.
7
Information to Be Kept Confidential from the Public
WARNING: Unless authorized by the court or by law, if the information listed below is misused or disclosed to
anyone other than law enforcement, you may be sanctioned up to $1,000 or face other court penalties. See Family
Code section 6301.5 for the limited situations in which disclosures can be made without a court order.
The following information must be kept confidential and not viewable by the public. (Check all that apply.)
a.
Name of minor
Initials viewable by the public
True name of minor in item
6
(to be kept confidential)
(to be used in redacted version)
This is a Court Order.
Order on Request to Keep
Rev. January 1, 2021
DV-165,
Page 2 of 6
Minor's Information Confidential
(Domestic Violence Prevention)
Case Number:
b.
Address of minor
The following addresses of the minors listed in item
6
must be redacted and must not be viewable by the
public:
c.
Information relating to minor (check one):
(1)
The information CIRCLED in the attached copy of form DV-100 or other document or form is
made confidential by this order.
(2)
The information below is made confidential by this order:
Location of Information
Information to Be Redacted
(for example, form #, page #,
(not viewable by the public)
paragraph #, line #,
attachment #, or exhibit #)
(a)
(b)
(c)
(d)
Check here if there is not enough space for your answer. Put your complete answer on an attached
sheet of paper, and write “Attachment 7c(2)” for a title.
d.
Other:
This is a Court Order.
Order on Request to Keep
Rev. January 1, 2021
DV-165,
Page 3 of 6
Minor's Information Confidential
(Domestic Violence Prevention)
Case Number:
Information to Be Kept Confidential from the Restrained Person
8
The restrained person (full name)
will have access to the
following information checked in item
7
to comply with the protective order and prepare a response:
a.
All the information, unredacted.
b.
All the information except for the following:
Check here if there is not enough space for your answer. Put your complete answer on an attached sheet of
paper, and write “Attachment 8b” for a title.
People Who May Have Access to Unredacted Court Documents
9
a. The minor's (check all that apply):
(1)
School and after-school program
(2)
Childcare provider
(3)
Supervised visitation provider
Other (name):
(4)
b. may be given copies of unredacted documents from this case with the following information
(check all that apply):
(1)
Minor's name
(2)
Minor's address
(3)
Minor's information listed in item 7c.
c. Law enforcement may have access to any information in this case that is necessary to enforce the restraining
order.
This is a Court Order.
Order on Request to Keep
Rev. January 1, 2021
DV-165,
Page 4 of 6
Minor's Information Confidential
(Domestic Violence Prevention)
Case Number:
Responsibility for Redacting All Forms and Documents
10
a. All forms and documents submitted with the request for confidentiality must be redacted and filed with the
court no later than
(number of court days or date)
, by the:
(1)
Court
(2)
Person making the request
(3)
Other:
b. The redacted documents must be filed in a public file, and the unredacted documents must be filed in a
confidential file.
Court Records and Hearings
11
The information listed in item
7
must NOT be disclosed by the court in any:
a. Registers of actions, indexes, court calendars
,
court transcripts, or minute orders in this case, any family law
case, or any civil case with the same parties, in the State of California.
b. Future court hearings, including any documents introduced during a hearing in this case, any family law case,
or any civil case with the same parties, in the State of California.
To All Parties
12
a. The information made confidential by this order must NOT be made public in this case, any family law case,
or or any other civil case with the same parties, in the State of California.
7
b. If you file a document in this case or any case noted above in 12a that includes information listed in item
,
you must attach form DV-175, Cover Sheet for Confidential Information, to the front, and include a copy of
this order if there is not already one in the case.
This is a Court Order.
Order on Request to Keep
Rev. January 1, 2021
DV-165,
Page 5 of 6
Minor's Information Confidential
(Domestic Violence Prevention)
Page of 6