Free Petition for Grandparent Visitation (FL\E-LP-606) - California

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address): TELEPHONE NO:

For Court Use Only

ATTORNEY FOR (NAME): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SACRAMENTO STREET ADDRESS: 3341 POWER INN ROAD MAILING ADDRESS: SAME CITY AND ZIP CODE: SACRAMENTO, 95826 PETITIONER/PLAINTIFF:

RESPONDENT/DEFENDANT:

PETITION FOR GRANDPARENT VISITATION (Family Codes 3102, 3103, & 3104)

CASE NUMBER:

Petitioner(s) allege(s): 1. Petitioner(s) is (are) (specify):

maternal paternal / grandfather grandmother of the minor child(ren) listed below: Gender (M/F) Currently living with (person/s) County

Child's name

Birth date and Age

2.

The parents of the child(ren) (mark as many boxes and complete any spaces which apply): a. are currently married and living together. b. are divorced. A Judgment for Dissolution of Marriage was entered on: , in County, Case Number (specify date) c. are currently involved in a divorce proceeding in ________ County, Case Number ___ d. are currently married and one of the parents has been absent for more than one month without the other spouse knowing the whereabouts of the absent spouse. e. have never been married. f. are currently living separate and apart on a permanent or indefinite basis. g. The child is not residing with either parent. h. The child has been adopted by a stepparent. a. b. The mother father of the minor child(ren) is deceased. The child(ren) has (have) been adopted by a stepparent grandparent Other (specify relationship and name) _________________________ Relationship _________________________

. ____ .

3.

FL/E-LP-606 (Rev. 1/29/09) MANDATORY

Petition for Grandparent Visitation

Page 1 of 2 FAMILY LAW CODES 3102, 3103, 3104

Name c. The child(ren) has/ have NOT been adopted and no adoption is pending.
CASE NUMBER:

PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT:

4. There is a pre-existing relationship and bond between the grandparent(s) and the grandchild(ren) such that visitation is in the best interest of the child(ren). Describe the relationship between the child(ren) and the grandparent(s), explain why visitation is in the child(ren)'s best interest, and include all facts supporting the requested visitation orders below:

continued in the attached declaration.

5.

One of the parents hereby joins in this petition. PARENT CONSENT TO PETITIONER'S REQUEST FOR GRANDPARENT VISITATION I consent to and join in this Petition for Grandparent Visitation. Date: ____________________

Type or print name 6. 7.

Signature of parent of minor child(ren)

A completed declaration under the Uniform Child Custody Jurisdiction and Enforcement Act is attached. Petitioner(s) request(s) that the court grant reasonable visitation with the above named child(ren), and such other relief as the court may deem appropriate, pursuant to Family Code Sections 3100, 3102, 3103, and 3104. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: ____________________

Type or print name

Signature of Petitioner

Type or print name

Signature of Petitioner

NOTICE:

The court in deciding this matter will balance the interest of the child(ren) in having visitation with the grandparent(s) against the right of the parents to exercise their parental authority.
Petition for Grandparent Visitation Page 2 of 2 FAMILY LAW CODES 3102, 3103, 3104

FL/E-LP-606 (Rev. 1/29/09) MANDATORY