Free JV-222 v9 101007 mc.ofm - California

JV-222

Opposition to Application Regarding Psychotropic Medication

Clerk stamps date here when form is filed.

If you do not agree that the child should take the recommended psychotropic medication and/or continue the psychotropic medication that the child is currently taking, you must complete this form and file it with the court within two court days of receiving notice of the application for psychotropic medication. Read JV-219-INFO, Information About Psychotropic Medication Forms, for more information about the required forms and the application. 1 1 Your information: a. Name: b. Address: c. Phone: Fax:
Fill in court name and street address:

Superior Court of California, County of

d. If you are not an attorney filling out this form for a client, your relationship to the child is: e. If you are an attorney filling out this form for a client, provide the following information about your client: Your client's name: Your client's relationship to the child: 2 The application is opposed because:
Fill in child's name and date of birth:

Child's Name: Date of Birth:
Fill in case number when form is filed.

Case Number:

Date: Type or print name
Judicial Council of California, www.courtinfo.ca.gov New January 1, 2008, Mandatory Form Welfare and Institution Code, § 369.5 California Rules of Court, rule 5.640

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Opposition to Application Regarding Psychotropic Medication

JV-222, Page 1 of 1

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