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Address Confidentiality Program Application

Texas · TexasLawHelp.org

This form is an application to join the Address Confidentiality Program. It asks for personal information for the applicant and any other household members, and it confirms that the applicant fears for their safety due to violence, assault, stalking, or human trafficking.

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Where this fits in a case

Start a case

Stage: Start a case

This form is used when an individual wishes to apply for the Address Confidentiality Program because they fear for their safety from someone who has committed or is accused of committing family violence, sexual assault, stalking, or human trafficking.

Usually filed by the person starting the case.

Common questions

Who should fill out this form?
The applicant or a parent/guardian should sign this form. The form also asks for information about an advocate who may help with the application.
What does signing this form mean?
By signing, the applicant confirms that the information given is true and correct. They agree that the Office of the Attorney General (OAG) can verify the details provided.

Revision history

No changes recorded since we started tracking this form on October 9, 2026.

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