EIGHTH JUDICIAL DISTRICT COURT
www.clarkcountycourts.us
JUDGES AND GOVERNMENT OFFICIALS/EMPLOYEES:
INSTRUCTIONS FOR CONFIDENTIAL INFORMATION PACKET
PURSUANT TO NRS 247, 250, & 293
Th
is packet is for certain government officials and other employees who are allowed
under Nevada law to make their personal information confidential at the County Recorder,
County Assessor, and Secretary of State/City Clerk. Follow these steps to apply for a court
order to restrict public access to your personal information:
Step 1: Flip to page 1 of the Affidavit attached, and look at Item #1, beginning on Line 20.
Review Item #1 and all the checkboxes on pages 1-2. If you can check any of the
boxes, proceed to Step 2.
• If you are a person who wants to apply for confidentiality of your personal
information, but you do not qualify under one of those checkboxes, visit
www.civillawselfhelpcenter.org
and search for Confidentiality Packets.
• If you are a non-profit entity looking to apply for confidentiality, visit
www.clarkcountycourts.us
.
Step 2: Fill out the entire packet, including the Affidavit and Order. You must include all
parcel numbers and instrument numbers that you wish to be kept confidential—both
are required.
*If you are applying for yourself and another person (e.g., your spouse, child), fill out
two Affidavits—one for yourself and one for the other person. Only one Order is
required; include all the names on the same Order.
Step 3: Make a copy of your business card with a telephone number or a copy of your work
ID.
Step 4: Arrange your documents in the following order: (1) proposed Order; (2) copy of
business card or work ID; (3) Affidavit(s); (4) copy of trust documents, if applicable (if
any of the subject properties is held in trust, the trust documents must be included).
Step 5: Scan the entire packet in a single PDF and email it to:
DC30Inbox@ClarkCountyCourts.us
Step 6: Wait until you are notified with a result. Do not contact the Chief Judge’s
department. A representative from the clerks’ office will reach out to you once the
clerks have processed the Order. The representative will let you know if you have
any further steps.
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ORDA
Name:
Address:
Telephone:
Email Address:
DISTRICT COURT
CLARK COUNTY, NEVADA
In the Matter of Confidentiality Pursuant to NRS
247.530, 250.130, and/or 293.908.
Case No: ____________
Depar
tment No: ____________
AFFIDAVIT REQUESTING CONFIDENTIALITY
PURSUANT TO NRS 247, 250, AND/OR 293
STATE OF NEVADA )
) SS.
COUNTY OF CLARK )
I, (your name) ___________________________________, declare under the laws of State of
Nevada under penalty of perjury that:
1. I qualify as a person who may have personal information in the records of the
County Recorder, County Assessor, and Secretary of State or City Clerk kept confidential
pursuant to NRS 247.540, NRS 250.140, or 293.902 because I am:
(check one box)
A Justice or Judge in Nevada.
A senior Justice or Senior Judge in Nevada.
A court-appointed master in Nevada.
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A clerk of a court, court administrator, or court executive officer in Nevada.
A county or city clerk or registrar of voters charged with the powers and duties
relating to elections and any deputy appointed by such county or city clerk or
registrar of voters in the elections division of any county or city.
A peace officer or retired peace officer as defined by NRS 247.540(3)(d), NRS
250.140(3)(d), and NRS 293.908(2)(d). I work or worked with the following state
or federal agency (name your employer) __________________________________ as a
(name of your job title) ____________________________________________________.
A prosecutor.
A state or county public defender.
Employed by the Office of the Attorney General, and I prosecute or defend actions
on behalf of the State of Nevada or any agency in the Executive Department of
the State Government.
A social worker, or employed by Nevada or a political subdivision of Nevada who
interacts with the public and performs tasks related to child welfare services or
child protective services or tasks that expose the person to comparable dangers. I
am employed at the (name the State department where you work) ________________________.
A county manager in Nevada.
An inspector, officer or investigator employed by Nevada or a political subdivision
of Nevada, designated by my employer who possesses specialized training in code
enforcement; who as part of my normal job responsibilities, interacts with the
public, and whose primary duties are the performance of tasks related to code
enforcement. I am employed at the (name the State department where you work)
_________________________________.
The spouse, domestic partner, or minor child of (state name of person) _______________,
a person described above.
The surviving spouse, domestic partner, or minor child of (state name of person)
_______________, a person described above, who was killed in the performance
of their duties.
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2. As a result of the information contained above, there is or has been contact with
individuals who are suspected of crimes, have been convicted of crimes, and are on
probation/parole for crimes.
3. That as a result, there is exposure to possible retribution, retaliation, threats,
harassment, or violence by these negatively affected individuals or their associates.
4. That this exposure creates a special risk of harm at my home.
5. That for my protection, it is necessary to keep confidential my home address,
phone number, and email address.
6. Additionally, I have the following justification(s): (Optional: Include any further justification)
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
7. That the home address(es), telephone number(s), and email address(es) of the
person or entity for which this confidentiality shall attach are:
Address(es):
Phone No.(s):
Email(s):
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8. That the instrument number(s) and parcel number(s) for the above-referenced
home addresses(s) are:
Instrument No.(s):
Parcel No.(s):
Pursuant to NRS 53.045, I declare under the laws of the State of Nevada that the
foregoing is true and correct.
Your signature:
Your name:
SUBSCRIBED AND SWORN to before me this
________ day of __________________, 20____.
NOTARY PUBLIC in and for the
County of Clark, State of Nevada.
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ORDA
Name:
Address:
Telephone:
Email Address:
DISTRICT COURT
CLARK COUNTY, NEVADA
In the Matter of Confidentiality Pursuant to NRS
247.530, 250.130, and/or 293.908.
Case No: ____________
Department No: ____________
ORDER OF CONFIDENTIALITY
PURSUANT TO NRS 247, 250, AND/OR 293
This matter having been reviewed in chambers on _______________________________,
upon the Affidavit Requesting Confidentiality Pursuant to NRS 247, 250, and/or 293,
incorporated by reference, and the Court having considered the same, and good cause appearing
therefore,
IT IS HEREBY ORDERED, ADJUDGED AND DECREED that pursuant to NRS 247,
250, and 293, subject to the exceptions delineated in state law, the County Recorder, the County
Assessor, the Secretary of State, and the County and/or City Clerk shall keep confidential and
shall not disclose the personal information (home addresses, phone numbers, email addresses) of
the following person(s): _________________________________________________________
IT IS FURTHER ORDERED, ADJUDGED AND DECREED that this Order shall
remain in effect under further order of this Court, the real property is sold or conveyed or if the
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person signs a consent with the County Recorder, the County Assessor, the Secretary of State,
and the County and/or City Clerk to disclose confidential information pursuant to state law by
providing a written sworn statement made under oath to the respective entity, indicating the
manner of said disclosure;
IT IS FURTHER ORDERED, ADJUDGED AND DECREED that the County Recorder,
the County Assessor, the Secretary of State, and the County and/or City Clerk shall keep
confidential personal information that is filed or received after the date of this order if a request
is submitted to the Recorder, Assessor, Secretary of State, and the County and/or City Clerk,
along with the document number;
IT IS FURTHER ORDERED, ADJUDGED AND DECREED that upon evidence
sufficient to the County Recorder, the County Assessor, the Secretary of State, and the County
and/or City Clerk that the real and/or personal property subject to this Order has been conveyed
from the person herein named in this Order, the entity may without further order of this Court
terminate the non-disclosure of confidential information as delineated herein.
IT IS FURTHER ORDERED, ADJUDGED AND DECREED that this order shall be
sealed and access will not be allowed to anyone without a court order.
DATED: ______________________
________________________________________
Chief Judge of the Eighth Judicial District Court
