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

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

FOR COURT USE ONLY

TELEPHONE NO: ATTORNEY FOR (NAME):

Attorney Bar No.

SUPERIOR COURT OF CALIFORNIA COUNTY OF YUBA 215 FIFTH STREET, SUITE 200 MARYSVILLE, CA 95901 (530) 749-7600 IN THE MATTER OF THE PETITION OF:

Grandparent(s)

PETITION FOR GRANDPARENT VISITATION
(No Dissolution Action Filed)

CASE NUMBER:

Petitioner(s) allege: 1. Petitioner(s) is/are the grandparent(s) of the following minor child(ren):__________________________ __________________________________________________________________________________. 2. There is a pre-existing relationship between the grandparent(s) and the grandchild(ren) that has engendered a bond such that visitation is in the best interest of the child(ren). 3. The interest of the child(ren) in having visitation with the grandparent(s) will be balanced against the right of the parents to exercise their parental authority. Check applicable items: 4. The parents of the child(ren) are not married, OR The parents of the child(ren) are married but: The parents are currently living separate and apart on a permanent or indefinite basis. One of the parents has been absent for more than one month without the other spouse knowing the whereabouts of the absent spouse. One of the parents joins in this petition with the grandparent(s). The child(ren) is/are not residing with either parent. WHEREFORE, petitioner(s) request(s) that the Court grant visitation rights to said petitioner(s), and such other relief as the Court may deem appropriate. I/We declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Dated:____________ Dated:____________
Form Adopted for Mandatory Use Yuba County Superior Court Effective 7/1/03

____________________________________ Signature of Petitioner ____________________________________ Signature of Petitioner
PETITION FOR GRANDPARENT VISITATION
(No Dissolution Action Filed) FL03015

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

FOR COURT USE ONLY

TELEPHONE NO: ATTORNEY FOR (NAME):

Attorney Bar No.

SUPERIOR COURT OF CALIFORNIA COUNTY OF YUBA 215 FIFTH STREET, SUITE 200 MARYSVILLE, CA 95901 (530) 749-7600 IN THE MATTER OF THE PETITION OF:

Grandparent(s)

NOTICE OF HEARING RE PETITION FOR GRANDPARENT VISITATION
(No Dissolution Action Filed)

CASE NUMBER:

NOTICE IS HEREBY GIVEN that the following persons: , grandparent(s) of the following minor child(ren): , have filed a Petition for Grandparent Visitation, which as been set for hearing as follows: DATE: TIME: DEPARTMENT:

LOCATION: Yuba County Courthouse, 215 Fifth Street, Marysville, CA 95901
YOU ARE ALSO REQUIRED TO APPEAR FOR MANDATORY MEDIATION as follows:

MANDATORY MEDIATION: Date:_______________ Time:______________

Location: Yuba County Annex 120 Fifth Street Marysville CA 95901 (530) 749-7685

Dated: Dated:

_________________________________________ Signature of Petitioner _________________________________________ Signature of Petitioner

Form Adopted for Mandatory Use Yuba County Superior Court Effective 7/1/03

NOTICE OF HEARING RE PETITION FOR GRANDPARENT VISITATION
(No Dissolution Action Filed)

FL03015 Page 1 of 2

SHORT TITLE:

CASE NUMBER:

PROOF OF SERVICE BY MAIL [CCP §1013 a(3)] I am over the age of 18, not a party to this matter, and a resident or employed in the county where the mailing took place. My residence/business address is _____________________________________. I served copies of this notice by enclosing them in a sealed envelope with postage fully prepaid, and depositing them in the United States mail addressed as follows:

Papers Served: Petition for Grandparent Visitation Notice of Hearing of Grandparent Visitation Other (specify)_________________________________________________________________________

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Dated:____________ ________________________
Type or Print Name

_______________________________
Signature of Declarant

Form Adopted for Mandatory Use Yuba County Superior Court Effective 7/1/03

NOTICE OF HEARING RE PETITION FOR GRANDPARENT VISITATION
(No Dissolution Action Filed)

FL03015 Page 2 of 2