Free Microsoft Word - FAM-03~1.DOC - California

To keep other people from seeing what you entered on your form, please press the Clear This Form button at the end of this form when finished.
Short Title Case Number

Child's Name Residence information is the same as given above for child a. (IF NOT the same, provide the information below.) Period of Residence Address To present

Place of Birth

Date of Birth

Sex

Person Child Lived With(Name and Present Address)

Relationship

Confidential

To

To

To Child's Name Residence information is the same as given above for child a. (IF NOT the same, provide the information below.) Period of Residence Address To present

Place of Birth

Date of Birth

Sex

Person Child Lived With(Name and Present Address)

Relationship

Confidential

To

To

To Child's Name

Place of Birth

Date of Birth

Sex

Residence information is the same as given above for child a. (IF NOT the same, provide the information below.) Period of Residence Address To present

Person Child Lived With(Name and Present Address)

Relationship

Confidential

To

To

To

FAM-038 Rev 12-06

ATTACHMENT 3C TO DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION AND ENFORCEMENT ACT (UCCJEA)
To protect your privacy, please press the Clear This Form button after you have printed this form.

Family Code §3400

Print This Form

Clear This Form