Form LASC LACIV273 "Petition to Have Voter Registration Information Declared Confidential" - County of Los Angeles, California

What Is Form LASC LACIV273?

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

Form Details:

  • Released on June 1, 2019;
  • The latest edition provided by the Superior Court - County of Los Angeles, California;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form LASC LACIV273 by clicking the link below or browse more documents and templates provided by the Superior Court - County of Los Angeles, California.

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Download Form LASC LACIV273 "Petition to Have Voter Registration Information Declared Confidential" - County of Los Angeles, California

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NAME, ADDRESS, AND EMAIL ADDRESS OF PETITIONER OR ATTORNEY:
TELEPHONE:
Reserved for Clerk’s File Stamp
SUPERIOR COURT OF CALIFORNIA,
COUNTY OF LOS ANGELES
COURTHOUSE ADDRESS:
111 N. Hill Street
Los Angeles, CA 90012
PETITIONER (Name):
RESPONDENT:
County Registrar-Recorder/County Clerk
CASE NUMBER:
PETITION TO HAVE VOTER REGISTRATION
INFORMATION DECLARED CONFIDENTIAL
I,
, hereby petition the court for an order to declare the residence
address, telephone number and email address appearing on my affidavit of registration as a voter to be
deemed confidential information. I am requesting this order because it is necessary to protect me or a
member of my household from a life-threatening circumstance (provide explanation below):
Explanation (Use additional sheet if necessary):
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
I declare under penalty of perjury under the laws of the State of California that the
foregoing is true and correct.
Signature of Petitioner
Date
PETITION TO HAVE VOTER
Elections Code §§ 2166
LASC CIV 273 NEW 06/19
REGISTRATION INFORMATION
For Mandatory Use
DECLARED CONFIDENTIAL
NAME, ADDRESS, AND EMAIL ADDRESS OF PETITIONER OR ATTORNEY:
TELEPHONE:
Reserved for Clerk’s File Stamp
SUPERIOR COURT OF CALIFORNIA,
COUNTY OF LOS ANGELES
COURTHOUSE ADDRESS:
111 N. Hill Street
Los Angeles, CA 90012
PETITIONER (Name):
RESPONDENT:
County Registrar-Recorder/County Clerk
CASE NUMBER:
PETITION TO HAVE VOTER REGISTRATION
INFORMATION DECLARED CONFIDENTIAL
I,
, hereby petition the court for an order to declare the residence
address, telephone number and email address appearing on my affidavit of registration as a voter to be
deemed confidential information. I am requesting this order because it is necessary to protect me or a
member of my household from a life-threatening circumstance (provide explanation below):
Explanation (Use additional sheet if necessary):
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
I declare under penalty of perjury under the laws of the State of California that the
foregoing is true and correct.
Signature of Petitioner
Date
PETITION TO HAVE VOTER
Elections Code §§ 2166
LASC CIV 273 NEW 06/19
REGISTRATION INFORMATION
For Mandatory Use
DECLARED CONFIDENTIAL