[Firm Name]

[Firm Address]

[Firm Phone Number]

[Firm Fax]

[Firm Email]

[Attorney Name and Bar Number]

Attorney for Plaintiff(s)/Defendant(s)

 

[Trial Court System], [County]

 

[Plaintiff Name(s)],

 

Plaintiff(s),

 

v.

 

[Defendant(s)],

 

Defendant(s).

 

 

Case No.

 

REQUEST TO CLERK TO DISALLOW PUBLIC ACCESS TO A DOCUMENT PENDING JUDICIAL REVIEW

 

 

Assigned to the Hon. [Judge]

 

 

 

TO THE CLERK OF THE COURT:

Pursuant to [local civil rule], [identification of requesting party] hereby requests the Clerk of the Court to disallow public access to the following document(s) filed in this case: [identification of document by title, date and docket number]

The basis for this request is that a [Motion to File Document(s) Under Seal/Stipulation and Request for Court Order Authorizing Document(s) to be Filed Under Seal], filed on [date of filing] by [name of submitting party or person], is pending before the Court, which asks the Court to enter an order authorizing the above-identified document(s) to be filed under seal.

A copy of the document(s) that is the subject of the request to seal has been lodged with the Court pursuant to [local civil rule]. As provided in [local civil rule], on receipt of this request the Clerk of the Court must disallow public access to the document identified above until the Court rules on the pending request to seal.

Dated this [Day] of [Month], [Year].

 

By                                                                    

[Attorney]

[Firm Name]

[Firm Address]

Attorney for Plaintiff(s)/Defendant(s)

 

On [Date], undersigned:

 

[Filed/E-filed] the original;

 

[Mailed/Emailed/Hand Delivered] a copy to:

·      [Opposing party’s Counsel]
[Address]

 

/s/[Attorney]