Free ATTORNEY OR PARTY WITHOUT AN ATTORNEY (Name, State bar number, and address) - California

ATTORNEY OR PARTY WITHOUT AN ATTORNEY (Name, State bar number, and address)

FOR COURT USE ONLY

TELEPHONE NO.: ATTORNEY FOR (Name):

FAX NO.:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CRUZ 701 Ocean Street Room 110 SANTA CRUZ, CA 95060 GUARDIANSHIP OF: MINOR

PETITION FOR 1 VISITATION

1OTHER CONTACT 1MODIFICATION OF VISITATION ORDER

CASE NUMBER

1. I (name) _________________________________ request the following 1 Visitation 1 Other contact such as mail, phone, e-mail (write in type of contact):___________________________________________ with the minor child or children: ____________________________________________________________ based on the following schedule (be specific with times, dates, and duration of visit):

2. I am the minor's

Parent

Grandparent

Guardian

Other ___________________

3. Name(s): _______________________________________________________________________ was appointed guardian of the PERSON on (date):____________________________________________ 4. I should be granted visitation for the reasons specified below specified in Attachment 4.

5.

Notice to the persons identified in Attachment 5 should be dispensed with because They cannot with reasonable diligence be given notice (specify names and efforts to locate them in Attachment 5). Other good cause exists to dispense with notice (specify names and reasons in Attachment 5).

Santa Cruz Superior Court Adopted for Optional Use New January 1, 2009

PETITION FOR VISITATION GUARDIANSHIP (Probate)

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SUP CV 1074

GUARDIANSHIP OF THE

PERSON OF (Name): MINOR

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: b. Minor: c. Father: d. Mother: e. Brother(s) or Sister(s): (12 years old or older) 7. Number of pages attached: _____________ f. Maternal grandfather: g. Maternal grandmother: h. Paternal grandfather: i. Paternal grandmother: j. Additional names and addresses continued in Attachment 6.

This form must be filed with the- Notice of Hearing-Guardianship or Conservatorhsip, GC-020
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)

Consent to Visitation and Waiver of Notice
I consent to the attached visitation schedule and waive notice of the petition: ___________
(DATE)

............................................................
(TYPE OR PRINT NAME)

____________________________________
(SIGNATURE)

___________
(DATE)

............................................................
(TYPE OR PRINT NAME)

____________________________________
(SIGNATURE)

___________
(DATE)

............................................................
(TYPE OR PRINT NAME)

____________________________________
(SIGNATURE)

___________
(DATE)

............................................................
(TYPE OR PRINT NAME)

____________________________________
(SIGNATURE)

Santa Cruz Superior Court Adopted for Optional Use New January 1, 2009

PETITION FOR VISITATION GUARDIANSHIP (Probate)

Page 2 of 2

SUP CV 1074