CONFIDENTIAL DOCUMENT FORM - luzernecounty.org 2025

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The document outlines the Confidential Document Form required for filing confidential documents in the Unified Judicial System of Pennsylvania. It specifies the types of documents considered confidential, such as financial records, medical records, and educational records. The form must accompany any confidential filings and is accessible to the public, while the attached documents remain confidential unless ordered otherwise by a court. Instructions for completing the form and compliance with the Case Records Public Access Policy are also provided.

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What to write on a confidential document?

A disclaimer should be clear, concise, and polite. For example, you may write: This letter and its enclosures are confidential and intended for the exclusive use of the addressee. If you are not the intended recipient, please notify the sender immediately and destroy this letter and its enclosures.

What do you write in a confidential document?

Here is a common example: CONFIDENTIALITY NOTICE: This message and any accompanying documents contain information belonging to the sender which may be confidential and legally privileged. This information is only for the use of the individual or entity to which it was intended.

How do you write a confidential note?

The Confidentiality Note should contain a statement indicating that the email is confidential and intended for the named recipient, as well as a process for communicating with the sender in the event the email is received by someone other than the recipient.

What is an example of a confidential statement?

I am not permitted to access, view, and alter (change) confidential information unless I have received authorization as required to complete my job responsibilities, and that I will access, view, and alter (change) only the confidential information records needed to perform those job duties.

What is a confidential document?

Confidential documents are not available to the public. Within the courts electronic filing system, users will not be able to access these documents. Documents filed as confidential or under seal will include a notation of such on the docket entry.

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What do you write in a confidential report?

While writing the Confidential Reports it must be stated in each case whether the officer or official concerned has been able to discharge the duties of his office satisfactorily, whether the person is intelligent, able, conscientious, hard working and quick in the dispatch of business and whether he is regular and

CONFIDENTIAL DOCUMENT FORM - luzernecounty.org 2025

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