Address Confidentiality Affirmation
New York State Courts · Orders of Protection
Copy of the court's form from nycourts.gov, taken October 21, 2026. See it on the court's site ↗
Affirmation asking the Family Court to keep a party's or child's address and other identifying information confidential because disclosing it would put their health or safety at risk.
This form has fillable fields — you can complete it directly in the viewer on the right.