(a) An adult individual.
(b) A parent or guardian acting on behalf of a minor when the minor resides with the parent or guardian.
(c) A guardian acting on behalf of an incapacitated individual.
(2) The application must be dated, signed and verified by the applicant and the application assistant who assisted in the preparation of the application.
(3) The application must contain all of the following:
(a) A statement by the applicant that the applicant or the applicant’s child or ward is a victim of domestic violence, a sexual offense, stalking or human trafficking and that the applicant fears for the applicant’s safety or the safety of the applicant’s child or ward.
(b) Evidence that the applicant or the applicant’s child or ward is a victim of domestic violence, a sexual offense, stalking or human trafficking. This evidence may include any of the following:
(A) Law enforcement, court or other federal, state or local government records or files;
(B) Documentation from a public or private entity that provides assistance to victims of domestic violence, a sexual offense, stalking or human trafficking if the applicant or the applicant’s child or ward is an alleged victim of domestic violence, a sexual offense, stalking or human trafficking;
(C) Documentation from a religious, medical or other professional from whom the applicant has sought assistance in dealing with the alleged domestic violence, sexual offense, stalking or human trafficking; or
(D) Other forms of evidence as determined by the Attorney General by rule.
(c) A statement by the applicant that disclosure of the actual address of the applicant would endanger the safety of the applicant or the safety of the applicant’s child or ward.
(d) A statement by the applicant that the applicant:
(A) Resides at a location in this state that is not known by assailants or potential assailants of the applicant or the applicant’s child or ward; and
(B) Will not disclose the location to assailants or potential assailants of the applicant or the applicant’s child or ward while the applicant is a program participant.
(e) Written consent permitting the Attorney General to act as an agent for the applicant for the service of all legal process in this state and the receipt of first-class, certified or registered mail.
(f) The mailing address and telephone number at which the Attorney General can contact the applicant.
(g) The actual address that the applicant requests not be disclosed by the Attorney General that directly relates to the increased risk of the applicant or the applicant’s child or ward as a victim of domestic violence, a sexual offense, stalking or human trafficking.
(h) A sworn statement by the applicant that to the best of the applicant’s knowledge the information contained in the application is true.
(i) A recommendation by an application assistant that the applicant be a participant in the Address Confidentiality Program.
(4) Upon the filing of a properly completed application and upon approval by the Attorney General, the Attorney General shall certify the applicant as a program participant.
(5) Upon certification, the Attorney General shall issue an Address Confidentiality Program authorization card to the program participant. The Address Confidentiality Program authorization card is valid as long as the program participant remains certified under the program.
(6) The term of certification shall be for a period of time determined by the Attorney General by rule, unless prior to the end of the period one of the following occurs:
(a) The program participant withdraws the certification by filing with the Attorney General a request for withdrawal signed by the program participant and acknowledged in writing by a notary public or an application assistant; or
(b) The Attorney General cancels the certification under ORS 192.834.
(7) A program participant may renew the certification by filing an application for renewal with the Attorney General at least 30 days prior to expiration of the current certification. [2005 c.821 §3; 2009 c.468 §3]
Note: See note under 192.820.
Structure 2021 Oregon Revised Statutes
Volume : 05 - State Government, Government Procedures, Land Use
Chapter 192 - Records; Public Reports and Meetings
Section 192.001 - Policy concerning public records.
Section 192.005 - Definitions for ORS 192.005 to 192.170.
Section 192.170 - Disposition of materials without authorization.
Section 192.173 - Records and reports required by law to be in English; penalty.
Section 192.180 - Coordination of executive department response to public records request.
Section 192.183 - Compiling public records stored in electronic form; rules.
Section 192.191 - Department of Justice information sharing guide.
Section 192.210 - Definitions for ORS 192.210 and 192.220.
Section 192.220 - Standardized report forms; exemptions.
Section 192.230 - Definitions for ORS 192.235 to 192.245.
Section 192.235 - Policy for ORS 192.230 to 192.250.
Section 192.240 - Duties of state agency issuing report.
Section 192.243 - Availability of report on Internet; rules.
Section 192.245 - Form of report to legislature.
Section 192.270 - Definitions for ORS 192.270 and 192.275.
Section 192.275 - Notice when report required; content; effect.
Section 192.311 - Definitions for ORS 192.311 to 192.478.
Section 192.314 - Right to inspect public records; notice to public body attorney.
Section 192.318 - Functions of custodian of public records; rules.
Section 192.329 - Public body’s response to public records request.
Section 192.340 - Attorney General catalog of exemptions from disclosure.
Section 192.345 - Public records conditionally exempt from disclosure.
Section 192.355 - Public records exempt from disclosure.
Section 192.363 - Contents of certain requests for disclosure.
Section 192.371 - Nondisclosure of public employee identification badge or card.
Section 192.377 - Required redaction of certain personal information.
Section 192.385 - Nondisclosure of certain public safety officer investigation records; exceptions.
Section 192.390 - Inspection of records more than 25 years old.
Section 192.395 - Health services costs.
Section 192.401 - Records of health professional regulatory boards, Health Licensing Office.
Section 192.422 - Petition form; procedure when petition received.
Section 192.461 - Public Records Advocate.
Section 192.464 - Facilitated dispute resolution services of Public Records Advocate.
Section 192.475 - Public records request training.
Section 192.477 - Public Records Advocate Fund.
Section 192.481 - Public Records Advisory Council.
Section 192.483 - Duties of Public Records Advisory Council; rules.
Section 192.485 - Definitions for ORS 192.485 to 192.513.
Section 192.488 - Open government impact statement.
Section 192.492 - Notification of change to public records laws.
Section 192.499 - Public records subcommittee.
Section 192.511 - Oregon Sunshine Committee; membership; duties; rules.
Section 192.513 - Review of exemptions from disclosure by Oregon Sunshine Committee.
Section 192.515 - Definitions for ORS 192.515 and 192.517.
Section 192.517 - Access to records of individual with disability or individual with mental illness.
Section 192.531 - Definitions for ORS 192.531 to 192.549.
Section 192.533 - Legislative findings; purposes.
Section 192.535 - Informed consent for obtaining genetic information.
Section 192.538 - Notice by health care provider regarding anonymous or coded research.
Section 192.539 - Disclosure of genetic information; exceptions.
Section 192.540 - Use of deceased individual’s DNA sample or genetic information for research.
Section 192.541 - Private right of action; remedies; affirmative defense; attorney fees.
Section 192.543 - Criminal penalty.
Section 192.545 - Enforcement; Attorney General or district attorney; intervention.
Section 192.547 - Oregon Health Authority rules; procedures.
Section 192.549 - Advisory Committee on Genetic Privacy and Research.
Section 192.551 - Health care records at colleges, universities.
Section 192.553 - Policy for protected health information.
Section 192.556 - Definitions for ORS 192.553 to 192.581.
Section 192.558 - Use or disclosure by health care provider or state health plan.
Section 192.561 - Disclosure by health care provider in coordinated care organization.
Section 192.563 - Health care provider and state health plan charges.
Section 192.566 - Authorization form.
Section 192.567 - Disclosure without authorization form.
Section 192.568 - Confidentiality; use and disclosure.
Section 192.571 - No right of action.
Section 192.573 - Personal representative of deceased individual.
Section 192.576 - Disclosure to individual appealing denial of Social Security benefits.
Section 192.579 - Allowed disclosure for coordinating care.
Section 192.581 - Allowed retention or disclosure of genetic information.
Section 192.582 - Confidentiality of bedbug infestation reports.
Section 192.583 - Definitions for ORS 192.583 to 192.607.
Section 192.586 - Disclosure of financial records prohibited; exceptions.
Section 192.591 - Disclosure to state court; procedure; limitations.
Section 192.593 - Authorization by customer for disclosure.
Section 192.596 - Disclosure under summons or subpoena; procedure.
Section 192.597 - Disclosure pursuant to abuse investigation; procedure; liability; affidavit.
Section 192.598 - Disclosure under search warrant.
Section 192.600 - Liability of financial institution for disclosure.
Section 192.602 - Time for compliance; reimbursement; exceptions.
Section 192.603 - Procedure for disclosure to law enforcement agency.
Section 192.610 - Definitions for ORS 192.610 to 192.690.
Section 192.650 - Recording or written minutes required; content; fees.
Section 192.670 - Meetings by means of telephone or electronic communication.
Section 192.685 - Additional enforcement of alleged violations of ORS 192.660.
Section 192.690 - Exceptions to ORS 192.610 to 192.690.
Section 192.695 - Prima facie evidence of violation required of plaintiff.
Section 192.715 - Short title.
Section 192.720 - Definitions for ORS 192.715 to 192.760.
Section 192.725 - Electronic record as official record.
Section 192.730 - Authentication of electronic official record.
Section 192.735 - Evidentiary rules concerning authenticated electronic record.
Section 192.740 - Preservation and security of electronic official record.
Section 192.745 - Availability for public use.
Section 192.750 - Implementation; considerations.
Section 192.755 - Uniform construction.
Section 192.760 - Relationship of ORS 192.715 to 192.760 to federal law.
Section 192.800 - Definitions for ORS 192.800 to 192.810.
Section 192.805 - Reimbursement required prior to disclosure; charges.
Section 192.820 - Definitions for ORS 192.820 to 192.868.
Section 192.822 - Address Confidentiality Program; substitute addresses.
Section 192.828 - Prohibitions; civil penalty.
Section 192.832 - Notice of change in name, address or telephone number.
Section 192.834 - Cancellation of certification.
Section 192.836 - Use of substitute address; waiver of requirement.
Section 192.842 - Use of actual or substitute address in specified circumstances.
Section 192.844 - Prohibition on disclosure of actual address or telephone number by public body.
Section 192.846 - Records of Department of Transportation; substitute address.
Section 192.848 - When Attorney General may disclose actual address or telephone number.
Section 192.854 - Application assistants; application assistance not legal advice.
Section 192.856 - Additional response time for notice or other paper.
Section 192.858 - Disclosures to participants.