SUPERIOR COURT OF WASHINGTON



Superior Court of Washington

County of

|In re: |No. |

| | |

| |Stipulation and Order to Allow Access to Court Records |

|Petitioner(s), |Restricted Under GR 22(c)(2) |

|and |(ORAR) |

| |Clerk’s Action Required |

| | |

| | |

|Respondent(s). | |

Based upon the parties' stipulation and agreement, it is ordered that ______________________________

_____________________________ [Name] is allowed access to the following court records otherwise restricted under GR 22(c)(2):

[ ] Entire court record, which access shall expire on _________________________[Date].

[ ] Only the following court records:

[ ] Confidential Information Form

[ ] Sealed Financial Source Documents

[ ] Domestic Violence Information Form

[ ] Notice of Intended Relocation of Children

[ ] Sealed Personal Health Care Record

[ ] Retirement Plan Order

[ ] Confidential Reports as defined in GR 22(e)(2)(B)

[ ] Personal Information Sheet necessary for Judicial Information System

[ ] Other:

Dated:_______________________________ _______________________________________

Judge/Commissioner

Stipulated and agreed:

Signature of Party or Lawyer/WSBA No. Signature of Party or Lawyer/WSBA No.

Print or Type Name Print or Type Name

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