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):

FAX NO:

SUPERIOR COURT OF CALIFORNIA COUNTY OF YUBA 215 FIFTH STREET, SUITE 200 MARYSVILLE, CA 95901 (530) 749-7600 Guardianship/Conservatorship of: Minor/Conservatee.

PETITION FOR:

VISITATION

REVIEW HEARING

OTHER

CASE NUMBER:

I, ___________________________, hereby petition the Court for the following:

My relationship to the minor/conservatee is: mother other (specify) _____.

father

grandparent

aunt/uncle

sibling

My petition is based on the following reasons (explain in detail):

Continued on attachment. I declare under penalty of perjury that the foregoing is true and correct, and that this petition was executed on _____________________, 20____, at , State of California. _________________________________
Type or Print Name

_________________________________________
Signature of Petitioner

_________________________________
Type or Print Name Yuba County Superior Court Effective 11/29/04

_________________________________________
Signature of Petitioner

PETITION IN GUARDIANSHIP/CONSERVATORSHIP

PR04009 Page ___ of ___

SHORT TITLE:

CASE NUMBER:

Petition in Guardianship/Conservatorship Attachment.

Yuba County Superior Court Effective 11/29/04

PETITION IN GUARDIANSHIP/CONSERVATORSHIP

PR04009 Page ___ of ___