DV-175State (JC)Fillable

Cover Sheet for Confidential Information

Judicial Council of California · Domestic Violence

Verified current as of August 1, 2026

This form allows people to submit sensitive personal information (like addresses or phone numbers) to the court in domestic violence cases while keeping that information hidden from the other person. Domestic violence victims and their attorneys use it to protect their safety and privacy by preventing abusers from seeing their location or contact details in court records.

This form has fillable fields — you can complete it directly in the viewer on the right.
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