ATTACHMENT JV-2002
JV-2002 REV 7/01/13
DECLARATION FOR JUVENILE COURT RECORD
(JUVENILE JUSTICE)
Page 1 of 1
ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS): TELEPHONE NO.:
ATTORNEY FOR (Name):
FOR COURT USE ONLY
I am requesting access to the following record(s):
held by:
Court Clerk, Juvenile Justice Division
Juvenile Probation Department
Department of Family & Children Services
Other
Minor’s Name:
Petition Number:
Other Identifying Information:
I am:
Defense Attorney - State Bar Number:
Parent/Guardian of the named juvenile
Court-Appointed Special Advocate (CASA)
Staff of Santa Clara County Victim Witness Assistance Center
District Attorney - State Bar Number:
Sixth Appellate District Program Member
Other: (specify)
Address:
I understand these records are confidential and can be used only for the purposes stated herein.
I declare under penalty of perjury the forgoing is true and correct.
Dated this
day of , 20 , at San José, California
Signature:
Type or print name:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA
Street Address: Juvenile Justice: 840 Guadalupe Pkwy., San José, CA 95113
Mailing Address: 191 North First Street, San José, CA 95113
In the Matter of:
(Name of Child),
a Minor. [D.O.B.
_________ ]
CASE NUMBER:
DECLARATION FOR JUVENILE COURT RECORD
(JUVENILE JUSTICE)
Use of juvenile records is subject to Petition under Welfare & Institutions Code § 827 [JV-570] and further Court
authorization. I understand these records are confidential and can be used only for the purposes stated herein.
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