vs.
NOTICE REGARDING RESTRICTED INFORMATION PURSUANT TO RULE 20-201.1
Please DO NOT use this form to file into the following case types: Adoption, Emergency Evaluation, Extreme
Risk Protective Order (ERPO), Guardianship, Juvenile, or a Criminal Case in which a Motion to Transfer
Jurisdiction to the Juvenile Court is pending. By rule or statute these case types are not subject to inspection.
Title of confidential submission:
1. RESTRICTED DOCUMENT - The entire document is not subject to inspection.
Child Abuse/Neglect: record created by an agency concerning child abuse or neglect required by statute to be kept confidential.
Rule 16-914(d); Family Law Article, § 5-707; Human Services, § 1-202 and § 1-203
Financial Information: information about the finances of an individual, including assets, income, liabilities, net worth, bank
balances, financial history or activities, or creditworthiness. General Provisions Article, § 4-336
Financial Statement: filed pursuant to Rule 9-202, a Child Support Guidelines Worksheet filed pursuant to Rule 9-206, or a
Joint Statement of Marital and Non-marital Property filed pursuant to Rule 9-207. Rule 16-914(l)
Hearing Closed to the Public: recording/transcript of hearing closed to the public. Rule 16-914(g)
Marital Property: Joint Statement of Marital and Non-Marital Property. Rule 16-914(l)
Marriage License Application: until the effective date of the license. Rule 16-912(c)
Medical Report: or other correspondence from a doctor or health care professional. Rule 16-914(i)
Parenting Plan/Joint Statement: prepared and filed under Rules 9-204.1 and 9-204.2. Rule 16-914(o)
Peace Order Denied/Dismissed/Consented - Shielded: case records shielded under Courts Article § 3-1510(b). Rule 16-914(c)
Pregnancy - Marriage License Application: certification of pregnancy of a person under 18 from doctor or nurse practitioner
in an application for a marriage license. Rule 16-912(c)
Presentence Investigation Report: (confidential until entered into evidence) Rule 16-914(f)(6)
Protective Order Denied/Dismissed/Consented - Shielded: case records shielded under FL Article § 4-512(b)(2). Rule 16-914(c)
Refusal to Testify: case record maintained under Code, Courts Article, § 9-106 of the refusal of an individual to testify in a
criminal action against the individual’s spouse. Rule 16-914(f)(5)
Sealed or Shielded: (entire document) by court order. Rule 16-934 & 16-914(k)(1)
Sealing or Shielding Motion: while pending, but not to exceed five (5) business days. Rule 16-934 & 16-914(k)(2)
Tax Returns: state and federal tax returns. Rule 16-914(j)
Other: Rule or Statute:
DOCUMENT FROM A CONFIDENTIAL CASE TYPE FILED INTO A NON-CONFIDENTIAL CASE TYPE.
Confidential Case type: Child adoption Emergency Evaluation ERPO Guardianship of a child
Juvenile Court case record Other: (explain)
2. CONFIDENTIAL INFORMATION - The document itself is subject to public inspection but contains
confidential information that is not open to public inspection.
That information consists of .
The information is made confidential by Rule(s) or by court order dated .
Pursuant to Rules 20-201.1 and 1-322.1, accompanying the document is a redacted version that does not contain the confidential information.
MDJ-008 (Rev. 04/2022)
COURT OF APPEALS
COURT OF SPECIAL APPEALS
CIRCUIT COURT
DISTRICT COURT OF MARYLAND FOR
City/County
Located at
Court Address
Case No.
STATE OF MARYLAND
OR
Defendant/Respondent
Date
Telephone Number
Signature
Printed Name
Address
City, State, Zip
Fax
E-mail
Attorney Number
(Give a description of the information and not the actual restricted information.)
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