Form DV-165 "Order on Request to Keep Minor's Information Confidential (Domestic Violence Prevention)" - California

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Download this version of Form DV-165 for the current year.

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, 2019;
  • 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 (Domestic Violence Prevention)" - California

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Clerk stamps date here when form is filed.
Order on Request to Keep Minor's
DV-165
Information Confidential
CONFIDENTIAL
PUBLIC VERSION (REDACTED)
Person in
2
must complete items
and
only.
1
2
Parties in This Case
1
a.
Person who requested restraining order (form DV-100, item
):
1
Full Name:
Fill in court name and street address:
b.
Person from whom protection is sought (form DV-100, item
2
):
Superior Court of California, County of
Full Name:
Person Making Request for Confidentiality
2
Full Name:
Court fills in case number when form is filed.
Court will complete item
if request is denied or items
if
3
4
13
Case Number:
request is granted or partially granted.
Court's Decision
The court has reviewed the request for confidentiality and makes the following decision:
Denied in Whole or in Part or More Information Needed
3
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
b.
to provide more information on why you need a request for confidentiality.
Name and address of court if different from above:
è
Hearing
Date:
Time:
Date
Dept.:
Room:
c.
If
is checked, only this page of this order form will be issued. All other pages may be discarded.
3
Date:
Judge (or Judicial Officer)
Instructions to Clerk
If item
3
is checked, file page 1 in a public file and discard pages 2–5.
File the request for confidentiality (form DV-160) in a confidential file.
This is a Court Order.
Judicial Council of California, www.courts.ca.gov
Order on Request to Keep
DV-165
Page 1 of 5
New January 1, 2019, Mandatory Form
Family Code, § 6301.5
Minor's Information Confidential
(Domestic Violence Prevention)
Clerk stamps date here when form is filed.
Order on Request to Keep Minor's
DV-165
Information Confidential
CONFIDENTIAL
PUBLIC VERSION (REDACTED)
Person in
2
must complete items
and
only.
1
2
Parties in This Case
1
a.
Person who requested restraining order (form DV-100, item
):
1
Full Name:
Fill in court name and street address:
b.
Person from whom protection is sought (form DV-100, item
2
):
Superior Court of California, County of
Full Name:
Person Making Request for Confidentiality
2
Full Name:
Court fills in case number when form is filed.
Court will complete item
if request is denied or items
if
3
4
13
Case Number:
request is granted or partially granted.
Court's Decision
The court has reviewed the request for confidentiality and makes the following decision:
Denied in Whole or in Part or More Information Needed
3
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
b.
to provide more information on why you need a request for confidentiality.
Name and address of court if different from above:
è
Hearing
Date:
Time:
Date
Dept.:
Room:
c.
If
is checked, only this page of this order form will be issued. All other pages may be discarded.
3
Date:
Judge (or Judicial Officer)
Instructions to Clerk
If item
3
is checked, file page 1 in a public file and discard pages 2–5.
File the request for confidentiality (form DV-160) in a confidential file.
This is a Court Order.
Judicial Council of California, www.courts.ca.gov
Order on Request to Keep
DV-165
Page 1 of 5
New January 1, 2019, 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
GRANTED
4
a.
Granted in full. The request to keep the information of a minor or minors confidential is granted in full.
5
12
Details of the order are stated below in items
.
b.
Partially granted. The request to keep the information of a minor or minors confidential is granted only
5
12
in part. Details of the order are stated below in items
.
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
There is a substantial probability that the interests of the minors listed in item
will be prejudiced if the
b.
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
8
for the following minors:
a.
Name:
b.
Name:
Name:
c.
d.
Name:
Check here if there are additional minors. Attach a sheet of paper and write "Attachment 2b(2)—Additional
Minors" for a title.
References in this order to “the minor” refer to all minors listed here.
WARNING: If the information listed in item
8
is misused or disclosed to anyone other than law
7
enforcement, you may be fined up to $1,000 for contempt of court or face other sanctions.
Information to Be Kept Confidential from Public
8
The following information must be kept confidential and not viewable by the public. (Check all that apply.)
Name of minor
a.
Initials viewable by the public
True name of minor in item
6
(to be used in redacted version)
(to be kept confidential)
This is a Court Order.
Order on Request to Keep
New January 1, 2019
DV-165,
Page 2 of 5
Minor's Information Confidential
(Domestic Violence Prevention)
Case Number:
b.
Address of minor
The following addresses of the minors listed in item
must be redacted and must not be viewable to the
6
public.
Information relating to minor (check one):
c.
(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 8c(2)” for a title.
d.
Other:
This is a Court Order.
Order on Request to Keep
New January 1, 2019
DV-165,
Page 3 of 5
Minor's Information Confidential
(Domestic Violence Prevention)
Case Number:
Information to Be Kept Confidential from the Restrained Person
9
The restrained person (full name)
will have access to the
following information checked in item
8
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 additional space is needed and include the information on a separate piece of paper, write
“Attachment 9b” at the top, and attach to this form.
WARNING: If the information listed in item
is misused or disclosed to anyone other than law
8
enforcement, you may be fined up to $1,000 for contempt of court or face other sanctions.
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
, by the:
(number of court days or date)
(1)
Court
Person making the request
(2)
(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
8
must NOT be disclosed by the court in any:
8
a.
,
Registers of actions, indexes, court calendars
court transcripts, or minute orders in this case.
b.
Future court hearings, including any documents introduced during a hearing in this case or any civil case 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 or any other civil case.
b.
Any documents filed in this case or any other civil case that includes information listed in item
must be
8
filed with form DV-175, Cover Sheet for Confidential Information, attached to the front.
This is a Court Order.
Order on Request to Keep
New January 1, 2019
DV-165,
Page 4 of 5
Minor's Information Confidential
(Domestic Violence Prevention)
Case Number:
To the Person Making the Request for Confidentiality
13
You must do the following:
a.
Have a copy of each form listed in item (c) below personally served on (given to) the restrained person.
(See form DV-200-INFO to find out how to meet this requirement. Personal service is required when the
protected person is making this request and when forms DV-100, DV-109 and DV-110 have NOT been served
on the restrained person.)
b.
Have a copy of each form listed in item (c) mailed to the:
(1)
Restrained person
Protected person
(2)
(3)
Other:
(See form DV-250 to find out how to meet this requirement.)
c.
Forms to serve:
(1)
Form DV-170, Notice of Order Protecting Information of Minor
(Form DV-170 should be the first page with all others stapled behind.)
(2)
Form DV-100, Request for Domestic Violence Restraining Order
(3)
Form DV-109, Notice of Court Hearing
(4)
Form DV-110, Temporary Restraining Order
(5)
Form DV-160, Request to Keep Minor's Information Confidential
Unredacted
Redacted (if item 9b on DV-165 is checked)
(6)
Form DV-165, Order on Request to Keep Minor's Information Confidential
Unredacted
Redacted (if item 9b on DV-165 is checked)
(7)
Form DV-175, Cover Sheet for Confidential Information (leave blank)
(8)
Other:
d.
In any OTHER civil cases involving the minor, provide a copy of this order to the court in the other case.
Date:
Judge (or Judicial Officer)
Instructions to Clerk
1. The originals of all unredacted documents containing the information checked in item
8
must be kept in a
confidential file and must NOT appear in any register of action, calendar, index, minute order, or transcript.
2. If item 9b is checked, provide the person making this request no more than three certified copies of forms DV-100,
8
DV-109, and DV-110, which must include any information in item
but must NOT include any information listed in
item 9b. Use form DV-170 as a cover sheet for each set of forms.
3. Any information listed in item 9b must not be available to the restraining person and filed in a confidential file.
This is a Court Order.
Order on Request to Keep
New January 1, 2019
DV-165,
Page 5 of 5
Minor's Information Confidential
(Domestic Violence Prevention)
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