Confidential Cover Sheet and Declaration re Documents for Stay and Early Evaluation Conference
California · Judicial Council of California · Effective July 1, 2013
This form is a cover sheet and declaration used to tell the court clerk that certain documents being filed are private. It is used when filing with an Application for Stay of Proceedings and Early Evaluation Conference.
The court describes it as: Tell the court clerk that documents you are filing with your Application for Stay of Proceedings and Early Evaluation Conference, Joint Inspection (DAL-005) are confidential.
Where this fits in a case
HearingStage: Hearing
This form is used when filing supporting documents along with an Application for Stay of Proceedings and Early Evaluation Conference in a Disability Access Litigation case.
Either party may file.
Common questions
- What is this form for?
- This form is a Confidential Cover Sheet and Declaration used to tell the court clerk that certain documents being filed are private for your protection and privacy.
- Who needs to file this form?
- The form requires a declaration under penalty of perjury, meaning the person signing it must swear that the information is true and correct.
- What documents can be listed here?
- The form allows you to list documents like a report from a Certified Access Specialist, wage report forms, or state or federal income tax returns.
Revision history
No changes recorded since we started tracking this form on October 9, 2026. The current version took effect July 1, 2013.
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