Free Petition for Visitation (PR-E-LP-016) - California

PR-E-LP-016

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, Address, Fax, Telephone & State Bar Number):

Attorney for: (Name) Superior Court of California, County of Sacramento STREET ADDRESS: 3341 Power Inn Road MAILING ADDRESS: Same CITY & ZIP CODE: Sacramento, California 95826 GUARDIANSHIP OF THE PERSON ESTATE (Name) , a Minor(s) PETITION FOR VISITATION

OF:

Hearing Date: Time: Dept. Probate Case Number:

1. Petitioner (name): _______________________________________ (address) _______________________________________ (Telephone No) _______________________________________ (Relationship to Minor) ______________________________________, requests a visitation order regards the following minor(s): Child's 1. 2. 3. Address Telephone No. Date of Birth

2. Date of last Mediation (if applicable):

3.

Petitioner is the

minor

minor's guardian

minor's parent

other (Indicate relationship: ___________________

4. Visitation is requested as follows: Reasonable Modify existing order: 1. Filed on (date): 2. Case #: Other(specify visitation requested):

1 PR-E- P-016 (formerly Local #82) PETITION FOR VISITATION (Continued on Reverse Side) 06/09/08

PR-E-LP-016

GUARDIANSHIP OF: 5. The facts in support of the requested visitation are as follows:

Case Number:

6.

The names and residence addresses of the guardian, minor, and minor's parents, brothers, sisters, and grandparents are as follows: a. Guardian: g. Brother or sister

b. Minor:

h. Maternal grandfather

c. Father:

i. Maternal grandmother

d. Mother

j. Paternal grandfather

e. Brother or sister

k. Paternal grandmother

f. Brother or sister

l. Additional names and addresses continued in attachment b.

7. Number of pages attached: _____ Date: _________________________ _____________________________________ (Signature of Attorney)

*(Signature of all petitioners also required (Prob. Code, 1020)) 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)

2 PR-E- P-016 (formerly Local #82) PETITION FOR VISITATION (Continued on Reverse Side) 06/09/08