"Confidential Information for Order Transferring Wireless Telephone Number(S)" - Kansas

Confidential Information for Order Transferring Wireless Telephone Number(S) is a legal document that was released by the Kansas Judicial Branch - a government authority operating within Kansas.

Form Details:

  • Released on July 1, 2018;
  • The latest edition currently provided by the Kansas Judicial Branch;
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Your name: ________________________________
Case Number_______________
Confidential Information for
Order Transferring Wireless Telephone Number(s)
CONFIDENTIAL
DO NOT FILE THIS FORM WITH THE COURT.
DO NOT PLACE IN THE COURT FILE.
ATTENTION PROTECTED PERSON: This form should not be filed with the court.
Complete this form and send it to the wireless service provider (service provider), along
with a copy of the Order Transferring Wireless Telephone Number(s).
To be completed by Protected Person:
The service provider is (name of company): __________________________________________
The current account holder is (name of defendant): ____________________________________
The new account holder is (your name): _____________________________________________
Your contact information:
(This information will be used by the service provider only. The service provider
will use this information to contact you to set up your account.)
1) The best phone number to reach you is (list a phone number that is not controlled
by the defendant): ___________________________________
2) Another phone number to reach you is (list a phone number that is not controlled
by the defendant): ____________________________________
3) Email address (list an email address that is not controlled by the defendant):
______________________________________________________
4) Mailing address: ___________________________________________________
___________________________________________________
ATTENTION WIRELESS SERVICE PROVIDER
Under Kansas law, K.S.A. 66-2020, the information contained on this form is
CONFIDENTIAL and must not be disclosed to the defendant (current account holder).
7/2018 KSJC
1
Your name: ________________________________
Case Number_______________
Confidential Information for
Order Transferring Wireless Telephone Number(s)
CONFIDENTIAL
DO NOT FILE THIS FORM WITH THE COURT.
DO NOT PLACE IN THE COURT FILE.
ATTENTION PROTECTED PERSON: This form should not be filed with the court.
Complete this form and send it to the wireless service provider (service provider), along
with a copy of the Order Transferring Wireless Telephone Number(s).
To be completed by Protected Person:
The service provider is (name of company): __________________________________________
The current account holder is (name of defendant): ____________________________________
The new account holder is (your name): _____________________________________________
Your contact information:
(This information will be used by the service provider only. The service provider
will use this information to contact you to set up your account.)
1) The best phone number to reach you is (list a phone number that is not controlled
by the defendant): ___________________________________
2) Another phone number to reach you is (list a phone number that is not controlled
by the defendant): ____________________________________
3) Email address (list an email address that is not controlled by the defendant):
______________________________________________________
4) Mailing address: ___________________________________________________
___________________________________________________
ATTENTION WIRELESS SERVICE PROVIDER
Under Kansas law, K.S.A. 66-2020, the information contained on this form is
CONFIDENTIAL and must not be disclosed to the defendant (current account holder).
7/2018 KSJC
1