Rev. 7/2018 KSJC
IN THE DISTRICT COURT OF COUNTY, KANSAS
, Plaintiff
vs. Case No.
, Defendant
PROTECTION FROM STALKING, SEXUAL ASSAULT, OR HUMAN TRAFFICKING
CONFIDENTIAL INFORMATION FORM
(K.S.A. 60-31a04(e))
NOTE: THIS FORM WILL BE SHOWN ONLY TO AUTHORIZED COURT OR LAW
ENFORCEMENT PERSONNEL. THIS FORM WILL NOT BE DISCLOSED TO THE PUBLIC
OR TO THE DEFENDANT. IT IS THE PLAINTIFF’S RESPONSIBILITY TO NOTIFY THE
COURT OF ANY CHANGE IN ADDRESS OR TELEPHONE NUMBER OR EMAIL.
Name of Plaintiff:
Confidential Address:
Street
City State Zip Code
Phone Number
Email
(give a phone number and email that are not controlled or accessible by the defendant)