Oregon UTCR 2.100 Affidavit with Request to Segregate Social Security Numbers Only (Short Form)
What is this form?
The UTCR 2.100 Affidavit with Request to Segregate Social Security Numbers Only (Short Form) is a legal document used in Oregon to protect Social Security numbers in family law proceedings. This form allows individuals to maintain the confidentiality of their Social Security information during dissolution, separation, or annulment cases, in accordance with Oregon law. It specifically segregates Social Security numbers from public court records to prevent unauthorized access.
What’s included in this form
- Details of parties involved: Includes the names of the petitioner and respondent.
- Social Security numbers to be protected: Identifies the specific Social Security numbers being segregated.
- Legal basis for request: Cites Oregon Revised Statutes (ORS) 107.840 as the legal reason for segregation.
- Document preparation certificate: Indicates whether the user completed the form independently or with assistance.
- Segregated Information Sheet: Contains the actual Social Security numbers that will be kept confidential.
When to use this document
This form should be used in situations where you are involved in a dissolution, separation, or annulment proceeding in Oregon and need to protect your Social Security number from public disclosure. It is specifically helpful when your case is filed after January 1, 2004, as per the requirements of Oregon law.
Intended users of this form
- Individuals filing for divorce or separation in Oregon.
- Petitioners or respondents in annulment proceedings.
- Parents seeking to protect their children's Social Security numbers during family law cases.
Completing this form step by step
- Identify the parties: Fill in the names of the petitioner and respondent.
- List the Social Security numbers: Provide the Social Security numbers for yourself and any relevant children on the segregated information sheet.
- Verify legal authority: Check the box to acknowledge the legal basis for the request under ORS 107.840.
- Complete the document preparation certificate: Indicate whether you received assistance in preparing the form.
- Sign and date the affidavit: Add your signature and the date to finalize the form.
Does this document require notarization?
This form does not typically require notarization unless specified by local law.
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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.
Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.
Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.
If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.
We protect your documents and personal data by following strict security and privacy standards.
Typical mistakes to avoid
- Failing to list all relevant Social Security numbers.
- Not signing the affidavit before submission.
- Incomplete information on the Segregated Information Sheet.
Benefits of using this form online
- Convenience of downloading and filling out the form at your own pace.
- Editability allows for easy corrections and customizations prior to submission.
- Access to accurate and reliable forms drafted by licensed attorneys.
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