© 2016 Family Law Self-Help Center Confidential Information Sheet (Domestic)
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
COURT CODE: CISD
Name:
Address:
Telephone:
Email Address:
DISTRICT COURT
CLARK COUNTY, NEVADA
________________________________
Plaintiff / Joint Petitioner,
and
________________________________
Defendant / Joint Petitioner.
CASE NO.: ____________________
DEPT: ____________________
CONFIDENTIAL INFORMATION SHEET – DOMESTIC
Pursuant to NRS 125.130(3), the parties’ social security numbers are provided below.
This information shall not be part of the public record and shall be maintained in a
confidential manner by the Clerk of Court.
First Spouse Name:
Social Security Number:
Date of Birth:
Second Spouse Name:
Social Security Number:
Date of Birth:
DATED this _____ day of ________________, 20___
Submitted By: (Signature)_________________________________
