Parties in This Case
a.
(1)
(2)
Minor protected by confidentiality order:b.
The order was made in (check one):
2
Information About the Order for Confidentiality
CH-175
Cover Sheet for Confidential
Information
I have attached two copies of the following documents:
Judicial Council of California, www.courts.ca.gov
Rev. September 1, 2020, Mandatory Form
Code of Civil Procedure, § 527.6(v)
CH-175, Page 1 of 1
Cover Sheet for Confidential Information
(Civil Harassment Prevention)
3
Other form or document
Form
1
Person who filed the case:
(Name):
b. Other party or parties:
a.
(Name):
This case.
Another civil case:(2)
(1)
(a)
County it was filed in:(b)
Case number:
Attach a copy of the order (form CH-165) if you have one.
Name:
Name:
Check here if you need more space. Include the information
on a separate piece of paper, write “Attachment 2” on the
top, and attach it to this form.
(describe):
Instructions to Clerk
1. The court must review and
approve a redacted version of
documents attached to this cover
sheet before filing.
2. Once approved by the court, file
the redacted version in a public
file.
3. File the unredacted version and
this cover sheet in a confidential
file.
CH-
CONFIDENTIAL
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 the case number:
When information about a minor has been made confidential (granted on
form CH-165, Order on Request to Keep Minor's Information Confidential,
and you want to file a document or form that includes confidential
information (see form CH-165, item 7).
Instructions
How to use this cover sheet
Use this cover sheet:
Make two copies of the documents you want to file.
Complete this form, place it on top of the documents (both
copies) you want to file, and file them with the court.
4
Date:
Type or print your name
Sign your name
Check here if you are a lawyer.
Signature
For your protection and privacy, please press the Clear
This Form button after you have printed the form.
