JV-570
Request for Disclosure of
Juvenile Case File
Your name:
Relationship to child (if any):
Street address:
State:City: Zip:
Name of child (if known):
Lawyer (if any) (name, address, telephone numbers, and State Bar
number):
Clerk stamps date here when form is filed.
Fill in court name and street address:
Superior Court of California, County of
Case Number:
Fill in case number if known:
1
2
4
Telephone number:
Note: You must provide a copy of this form to all interested parties if you know their names and addresses.
JV-570, Page 1 of 2
Judicial Council of California, www.courtinfo.ca.gov
Revised January 1, 2009, Mandatory Form
Welfare and Institutions Code, § 827;
California Rules of Court, rules 5.552, 5.553
Request for Disclosure of Juvenile Case File
a. A petition regarding the child in has been filed under
Welfare and Institutions Code section 300
Welfare and Institutions Code section 601
Welfare and Institutions Code section 602 or
b. I believe the child in died as a result of abuse or neglect. Approximate date of death:
2
2
If you checked box b, you may skip items 5 and 6.
Child’s date of birth (if known):
3
If you are requesting a court order to obtain the juvenile case file of a child
who is alive, fill out all items on this form, and file it with the court. You must
also fill out and file Proof of Service—Request for Disclosure (form JV-569).
If you are a member of the public requesting the juvenile case file of a child
who is deceased, you can:
a. Fill out items 1–4 and 7 on this form and file it with the court. You must
then provide a copy of this form to the Custodian of Records of the county
child welfare agency, who will then provide notice of this request.
b. Do not complete the form and request the juvenile case file from the child
welfare agency under Welfare and Institutions Code section 10850.4.
Or
To keep other people from
seeing what you entered on
your form, please press the
Clear This Form button at the
end of the form when finished.
Your name:
Case Number:
JV-570, Page 2 of 2
Revised January 1, 2009, Mandatory Form
I declare under penalty of perjury under the laws of the State of California that the information in this form
is true and correct. This means that if I lie on this form, I am guilty of a crime.
8
Date:
Sign your name
Type or print your name
Request for Disclosure of Juvenile Case File
The reasons for this request are:
a.
b
c.
d.
Other (specify):
Juvenile court case pending in (name of county):
Criminal court case pending in (name of county):
Civil court case pending in (name of county):
6
Case number:
Hearing date:
The records I want are: (Describe in detail. Attach more pages if you need more space.)
5
Case number:
Hearing date:
Case number:
Hearing date:
Continued on Attachment 5.
Case number:
Hearing date:
Continued on Attachment 7.
I need the records because: (Describe in detail. Attach more pages if you need more space.)
7
For your protection and privacy, please press the Clear This Form
button after you have printed the form.
Save This Form
Print This Form
Clear This Form