Notice Of Confidential Information Within Court Filing Form - First Judicialcircuit - Walton County, Florida
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2IN THE _________ COURT, FIRST JUDICIAL CIRCUIT, IN AND FOR
WALTON COUNTY, FLORIDA
_________________________
Plaintiff/Petitioner,
v.
CASE NO.: ______________________
______________________________
Defendant/Respondent.
______________________________________ /
NOTICE OF CONFIDENTIAL INFORMATION WITHIN COURT FILING
Pursuant to Florida Rule of Judicial Administration 2.420(d)(2), the filer of a court record at the time of filing shall
indicate whether any confidential information is included within the document being filed; identify the
confidentiality provision that applies to the identified information; and identify the precise location of the
confidential information within the document being filed.
Title/Type of Document(s): _____________________________________________________________
Indicate the applicable confidentiality provision(s) below from Rule 2.420(d)(1)(B), by specifying the
location within the document on the space provided:
□
Chapter 39 records relating to dependency matters, termination of parental rights, guardians ad litem, child
abuse, neglect, and abandonment. § 39.0132(3), Fla. Stat. (If the document is filed within a Chapter 39
case, this form is not required.)
Location: ___________________________________________________________________________
□
Adoption records. § 63.162, Fla. Stat. (If the document is filed within a Chapter 63 adoption case, this form
is not required.)
Location: ___________________________________________________________________________
□
Social Security, bank account, charge, debit, and credit card numbers in court records. § 119.0714(1)(i)-(j),
(2)(a)-(e), Fla. Stat. (Unless redaction is requested pursuant to § 119.0714(2), this information is exempt
only as of January 1, 2011.)
Location: ___________________________________________________________________________
□
HIV test results and patient identity within the HIV test results. § 381.004(3)(e), Fla. Stat.
Location: ____________________________________________________________________________
□
Sexually transmitted diseases – test results and identity within the test results when provided by the
Department of Health or the department’s authorized representative. § 384.29, Fla. Stat.
Location: ____________________________________________________________________________
□
Birth and death certificates, including court-issued delayed birth certificates and fetal death certificates.
§§382.008(6), 382.025(1)(a), Fla. Stat.
Location: ___________________________________________________________________________
□
Identifying information in petition by minor for waiver of parental notice when seeking to terminate
pregnancy. § 390.01116, Fla. Stat. (If the document is filed within a Ch. 390 waiver of parental notice case,
this form is not required.)
Location: ____________________________________________________________________________
□
Identifying information in clinical mental health records under the Baker Act. § 394.4615(7), Fla. Stat.
Location: ____________________________________________________________________________
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