SUPERIOR COURT OF CALIFORNIA COUNTY OF ORANGE SELF-HELP CENTER www.occourts.org PETITION TO ESTABLISH A PARENTAL RELATIONSHIP All documents must be typed or printed neatly. Please use black ink. Self Help Center Locaons: Lamoreaux Jusce Center 1 st Floor 341 The City Drive Orange, CA Central Jusce Center Room G 100 700 Civic Center Drive Santa Ana, CA West Jusce Center 1 st Floor 8141 13th Street Westminster, CA Harbor Jusce Center Room 202 4601 Jamboree Rd Newport Beach, CA North Jusce Center Room 360 1275 N. Berkeley Ave. Fullern, CA SHC-P-01 (Rev. 03/11/2014)
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address) : FOR COURT USE ONLY FL-200 TELEPHONE NO.(Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PETITIONER: RESPONDENT: FAX NO.(Optional): ORANGE 341 The City Drive Post Office Box 14710 Orange, California 92868-1570 LAMOREAUX JUSTICE CENTER PETITION TO ESTABLISH PARENTAL RELATIONSHIP Child Support Child Cusdy Visitation Other (specify) : 1. Petitioner is a. the mother. b. the father. c. the child or the child's personal representative (specify court and date of appointment) : d. other (specify) : 2. The children are a. Child's name Date of birth Age Sex b. a child who is not yet born. 3. The court has jurisdiction over the respondent because the respondent a. resides in this state. b. had sexual intercourse in this state, which resulted in conception of the children listed in item 2. c. other (specify) : 4. The action is brought in this county because (you must check one or more file in this county) : a. the child resides or is found in the county. b. a parent is deceased and proceedings for administration of the estate have been or could be started in this county. 5. Petitioner claims (check all that apply) : a. respondent is the child's mother. b. respondent is the child's father. c. parentage has been established by Voluntary Declaration of Paternity (attach copy). d. respondent who is child's parent has failed support the child. e. (name) : has furnished or is furnishing the following reasonable expenses of pregnancy and birth for which the respondent as parent of the child is obligated: Amount Payable For (specify) : f. public assistance is being provided the child. g. other (specify) : 6. A completed Declaration Under Uniform Child Cusdy Jurisdiction and Enforcement Act (UCCJEA) (form FL-105) is attached. Page 1 of 2 Form Approved for Optional Use PETITION TO ESTABLISH PARENTAL RELATIONSHIP Family Code, 7630 Judicial Council of California FL-200 [Rev. January 1, 2003] (Uniform Parentage) www.courtinfo.ca.gov
PETITIONER: RESPONDENT: Petitioner requests the court make the determinations indicated below. 7. PARENT-CHILD RELATIONSHIP a. Respondent b. Petitioner c. Other (specify) : is the parent of the children listed in item 2. 8. CHILD CUSTODY AND VISITATION Petitioner Respondent Joint Other a. Legal cusdy of children b. Physical cusdy of children c. Visitation of children: (1) None (2) Reasonable visitation. (3) Petitioner Respondent should have the right visit the children as follows: (4) Visitation with the following restrictions (specify) : d. Facts in support of the requested cusdy and visitation orders are (specify) : Contained in the attached declaration. e. I request mediation work out a parenting plan. 9. REASONABLE EXPENSES OF PREGNANCY AND BIRTH: Reasonable expenses of pregnancy Petitioner Respondent Joint and birth be paid by as follows: 10. FEES AND COSTS OF LITIGATION Petitioner Respondent Joint a. Atrney fees be paid by b. Expert fees, guardian ad litem fees, and other costs of the action or pretrial proceedings be paid by 11. NAME CHANGE Children's names be changed, pursuant Family Code section 7638, as follows (specify) : 12. CHILD SUPPORT The court may make orders for support of the children and issue an earnings assignment without further notice either party. 13. I have read the restraining order on the back of the Summons (FL-210) and I understand it applies me when this Petition is filed. 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) A blank Response Petition Establish Parental Relationship (form FL-220) must be served on the Respondent with this Petition. NOTICE: If you have a child from this relationship, the court is required order child support based upon the income of both parents. Support normally continues until the child is 18. You should supply the court with information about your finances. Otherwise, the child support order will be based upon information supplied by the other parent. Any party required pay child support must pay interest on overdue amounts at the "legal" rate, which is currently 10 percent. FL-200 [Rev. January 1, 2003] PETITION TO ESTABLISH PARENTAL RELATIONSHIP Page 2 of 2 (Uniform Parentage)
SUMMONS-UNIFORM PARENTAGE-PETITION FOR CUSTODY AND SUPPORT NOTICE TO RESPONDENT (Name): AVISO AL DEMANDADO (Nombre): FL-210 CITACION JUDICIAL-DERECHO DE FAMILIA FOR COURT USE ONLY (SOLO PARA USO DE LA CORTE) You are being sued. A usted le estan demandando. PETITIONER'S NAME IS: EL NOMBRE DEL DEMANDANTE ES: (Número del Caso) You have 30 CALENDAR DAYS after this Summons and Petition are served on you file a Response Petition Establish Parental Relationship (form FL-220) or Response Petition for Cusdy and Support of Minor Children (form FL-270) at the court and serve a copy on the petitioner. A letter or phone call will not protect you. If you do not file your Response on time, the court may make orders affecting cusdy of your children. You may be ordered pay support and atrney fees and costs. If you cannot pay the filing fee, ask the clerk for a fee waiver form. If you want legal advice, contact a lawyer immediately. Usted tiene 30 DIAS CALENDARIOS después de recibir oficialmente esta citación judicial y petición, para completar y presentar su formulario de Respuesta (Response form FL-220) ante la corte. Una carta o una llamada telefónica no le ofrecerá protección. Si usted no presenta su Respuesta a tiempo, la corte puede expedir órdenes que afecten la custadia de sus hijos ordenen que usted pague manutención, honorarios de abogado y las costas. Si no puede pagar las costas por la presentación de la demanda, pida al actuario de la corte que le dé un formulario de exoneración de las mismas (Waiver of Court Fees and Costs). Si desea obtener consejo legal, comuníquese de inmedia con un abogado. NOTICE The restraining order on the back is effective against both mother and father until the petition is dismissed, a judgment is entered, or the court makes further orders. This order is enforceable anywhere in California by any law enforcement officer who has received or seen a copy of it. AVISO Las prohibiciones judiciales que aparecen al reverso de esta citación son efectivas para ambos cónyuges, madre el esposo como la esposa, hasta que la petición sea rechazada, se dicte una decisión final o la corte expida instrucciones adicionales. Dichas prohibiciones pueden hacerse cumplir en cualquier parte de California por cualquier agente del Orden público que las haya recibido o que haya vis una copia de ellas. 1. The name and address of the court is: (El nombre y dirección de la corte es) SUPERIOR COURT FOR THE COUNTY OF ORANGE 341 The City Drive Orange, California 92868-1570 LAMOREAUX JUSTICE CENTER 2. The name, address, and telephone number of petitioner's atrney, or petitioner without an atrney, is: (El nombre, la dirección y el número de teléfono del abogado del demandante, o del demandante que no tiene abogado, es) [SEAL] Date (Fecha) : Clerk (Actuario), by, Deputy NOTICE TO THE PERSON SERVED: You are served a. as an individual. b. on behalf of respondent under: Code Civ. Proc., 416.60 (minor) Code Civ. Proc., 416.90 Code Civ. Proc., 416.70 (ward or (individual) conservatee) other: c. by personal delivery on (date): (Read the reverse for important information) (Lea el reverso para obtener información de importancia) Page 1 of 2 Form Adopted for Mandary Use SUMMONS Family Code, 232, 233, 2040, 7700; Judicial Council of California Cal. Rules of Court, rule 5.110 FL-210 [Rev. January 1, 2007] (Uniform Parentage-Petition for Cusdy and Support) www.courtinfo.ca.gov
FL-210 STANDARD RESTRAINING ORDER-SUMMONS Uniform Parentage Act, Petition for Cusdy PROHIBICION JUDICIAL ESTANDARE-Ley Uniforme de Paternidad STANDARD RESTRAINING ORDER You and the other party are restrained from removing from the state the minor child or children for whom this action seeks establish a parent-child relationship without the prior written consent of the other party or an order of the court. This restraining order is effective against petitioner upon filing a petition and against respondent on personal service of the summons and petition or on waiver and acceptance of service by respondent. This restraining order is effective until the judgment is entered, the petition is dismissed, or the court makes a further order. This order is enforceable anywhere in California by any law enforcement officer who has received or seen a copy of it. PROHIBICIONES JUDICIALES ESTANDARES A partir de este momen, a usted y a la otra parte se les prohibe que saquen del estado al hijo o hijos menores de las partes, para quienes esta acción judicial procura establecer una relación entre hijo y padres, sin el consentimien previo por escri de la otra parte o sin una orden de la corte. Esta prohibicion judicial entrará en vigencia para el demandante una vez presentada la petición, y para el demandado una vez que éste reciba la notificación personal de la citación judicial y petición, o una vez que renuncie su derecho a recibir dicha notificación y se dé por notificado. Esta prohibicion judicial continuará en vigencia hasta que se dicte la decisión final, la petición sea rechazada o la corte expida instrucciones adicionales. Podrán hacerse cumplir en cualquier parte de California por cualquier agente del orden público que las haya recibido o que haya vis una copia de ellas. FL-210 [Rev. January 1, 2007] STANDARD RESTRAINING ORDER-SUMMONS Page 2 of 2 (Uniform Parentage-Petition for Cusdy and Support)
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY FL-105/GC-120 TELEPHONE NO.: E-MAIL ADDRESS (Optional): FAX NO.(Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PETITIONER: RESPONDENT: OTHER PARTY: GUARDIANSHIP OF (Name): ORANGE 341 The City Drive Post Office Box 14710 Orange, California 92868-1570 LAMOREAUX JUSTICE CENTER (This section applies only family law cases.) (This section applies only guardianship cases.) DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION AND ENFORCEMENT ACT (UCCJEA) 1. I am a party this proceeding determine cusdy of a child. 2. My present address and the present address of each child residing with me is confidential under Family Code section 3429 as I have indicated in item 3. 3. There are (specify number): minor children who are subject this proceeding, as follows: (Insert the information requested below. The residence information must be given for the last FIVE years.) a. Child's name Place of birth Date of birth Sex Minor Period of residence Address Relationship present Confidential Confidential b. Child's name Place of birth Date of birth Sex Residence information is the same as given above for child a. (If NOT the same, provide the information below.) Period of residence Address Relationship present Confidential Confidential c. Additional residence information for a child listed in item a or b is continued on attachment 3c. d. Additional children are listed on form FL-105(A)/GC-120(A).(Provide all requested information for additional children.) Page 1 of 2 Form Adopted for Mandary Use DECLARATION UNDER UNIFORM CHILD CUSTODY Family Code, 3400 et seq.; Judicial Council of California Probate Code, 1510(f), 1512 FL-105/GC-120 [Rev. January 1, 2009] JURISDICTION AND ENFORCEMENT ACT (UCCJEA) www.courtinfo.ca.gov
SHORT TITLE: FL-105/GC-120 4. Do you have information about, or have you participated as a party or as a witness or in some other capacity in, another court case or cusdy or visitation proceeding, in California or elsewhere, concerning a child subject this proceeding? Yes No (If yes, attach a copy of the orders (if you have one) and provide the following information): Proceeding a. Family b. Guardianship c. Other Case number Court (name, state, location) Court order or judgment (date) Name of each child Your connection the case Case status d. e. Proceeding Juvenile Delinquency/ Juvenile Dependency Adoption Case Number Court (name, state, location) 5. One or more domestic violence restraining/protective orders are now in effect. (Attach a copy of the orders if you have one and provide the following information): Court a. Criminal County State Case number (if known) Orders expire (date) b. Family c. d. Juvenile Delinquency/ Juvenile Dependency Other 6. Do you know of any person who is not a party this proceeding who has physical cusdy or claims have cusdy of or visitation rights with any child in this case? Yes No (If yes, provide the following information) : a. Name and address of person b. Name and address of person c. Name and address of person Has physical cusdy Has physical cusdy Has physical cusdy Claims cusdy rights Claims cusdy rights Claims cusdy rights Claims visitation rights Claims visitation rights Claims visitation rights Name of each child Name of each child Name of each child 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 DECLARANT) 7. Number of pages attached: NOTICE TO DECLARANT: You have a continuing duty inform this court if you obtain any information about a cusdy proceeding in a California court or any other court concerning a child subject this proceeding. FL-105/GC-120 [Rev. January 1, 2009] DECLARATION UNDER UNIFORM CHILD CUSTODY Page 2 of 2 JURISDICTION AND ENFORCEMENT ACT (UCCJEA)
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address) : FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): FAX NO.(Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE JUSTICE CENTER: Central - 700 Civic Center Dr. West, Santa Ana, CA 92701-4045 Lamoreaux - 341 The City Drive, Orange, CA 92868-3205 PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: FAMILY LAW NOTICE RE RELATED CASE The parties must file this form with the Superior Court of Orange County, when a family law case is filed with the Court and when a party discovers that there is a related case. A related case means one or both parties and/or minor children of the parties are involved in other cases. Examples of related cases include another family law case, a domestic violence case, a child support collection case, a criminal case, and a juvenile case involving a minor child of one or both of the parties. Fill in the requested information: 1. I also used the name(s): 2. The other party's name is: He/She has also used the name(s): ; 3. a. b. c. d. Other court cases involving either party or a child of either party: (If known, please include the case numbers) Court Location/ Case Number Case Name Justice Center Person Involved 4. There are no other court cases involving either party or a child of either party. Date: (SIGNATURE OF PARTY OR ATTORNEY) Approved for Optional Use FAMILY LAW NOTICE RE RELATED CASE Superior Court of Orange County Form # L-1120 Rev. May 5, 2010 (TYPE OR PRINT NAME OF PARTY OR ATTORNEY) Page 1 of 1 Local Rule 701.5 www.occourts.org
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY FL-115 TELEPHONE NO.: FAX NO. (Optional): E MAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PETITIONER: ORANGE 341 The City Drive Post Office Box 14710 Orange, California 92868-1570 LAMOREAUX JUSTICE CENTER RESPONDENT: PROOF OF SERVICE OF SUMMONS 1. At the time of service I was at least 18 years of age and not a party this action. I served the respondent with copies of: a. Family Law Marriage: Petition Marriage (form FL-100), Summons (form FL-110), and blank Response Marriage (form FL-120) -orb. Family Law Domestic Partnership: Petition Domestic Partnership (form FL-103), Summons (form FL-110), and blank Response Domestic Partnership (form FL-123) -orc. Uniform Parentage: Petition Establish Parental Relationship (form FL-200), Summons (form FL-210), and blank Response Petition Establish Parental Relationship (form FL-220) -ord. Cusdy and Support: Petition for Cusdy and Support of Minor Children (form FL-260), Summons (form FL-210), and blank Response Petition for Cusdy and Support of Minor Children (form FL-270) and e. (1) Completed and blank Declaration Under (5) Completed and blank Financial Statement Uniform Child Cusdy Jurisdiction and (Simplified) (form FL-155) Enforcement Act (form FL-105) (6) Completed and blank Property (2) Completed and blank Declaration of Declaration (form FL-160) Disclosure (form FL-140) (7) Request for Order (form FL-300), and blank (3) Completed and blank Schedule of Assets Responsive Declaration Request for Order and Debts (form FL-142) (form FL-320) (4) Completed and blank Income and (8) Other (specify): Expense Declaration (form FL-150) 2. Address where respondent was served: Family Law Notice re: Related Cases 3. I served the respondent by the following means (check proper box): a. Personal service. I personally delivered the copies the respondent (Code Civ. Proc., 415.10) on (date): at (time): b. Substituted service. I left the copies with or in the presence of (name): who is (specify title or relationship respondent): (1) (Business) a person at least 18 years of age who was apparently in charge at the office or usual place of business of the respondent. I informed him or her of the general nature of the papers. (2) (Home) a competent member of the household (at least 18 years of age) at the home of the respondent. I informed him or her of the general nature of the papers. Page 1 of 2 Form Approved for Optional Use PROOF OF SERVICE OF SUMMONS Code of Civil Procedure, 417.10 Judicial Council of California www.courts.ca.gov FL-115 [Rev. July 1, 2012] (Family Law-Uniform Parentage-Cusdy and Support)
PETITIONER: RESPONDENT: 3. b. (cont.) on (date): at (time): I thereafter mailed additional copies (by first class, postage prepaid) the respondent at the place where the copies were left (Code Civ. Proc., 415.20b) on (date): A declaration of diligence is attached, stating the actions taken first attempt personal service. c. Mail and acknowledgment service. I mailed the copies the respondent, addressed as shown in item 2, by first-class mail, postage prepaid, on (date): from (city): (1) with two copies of the Notice and Acknowledgment of Receipt (form FL-117) and a postage-paid return envelope addressed me. (Attach completed Notice and Acknowledgment of Receipt (form FL-117).) (Code Civ. Proc., 415.30.) (2) an address outside California (by registered or certified mail with return receipt requested). (Attach signed return receipt or other evidence of actual delivery the respondent.) (Code Civ. Proc., 415.40.) d. Other (specify code section): Continued on Attachment 3d. 4. The "NOTICE TO THE PERSON SERVED" on the Summons was completed as follows (Code Civ. Proc., 412.30, 415.10, 474): a. As an individual or b. On behalf of respondent who is a (1) minor. (Code Civ. Proc., 416.60.) (2) ward or conservatee. (Code Civ. Proc., 416.70.) (3) other (specify): 5. Person who served papers Name: Address: Telephone number: This person is a. exempt from registration under Business and Professions Code section 22350(b). b. not a registered California process server. c. a registered California process server: an employee or an independent contracr (1) Registration no.: (2) County: d. The fee for service was (specify): $ 6. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. 7. I am a California sheriff, marshal, or constable, and I certify that the foregoing is true and correct. -or- Date: (NAME OF PERSON WHO SERVED PAPERS) (SIGNATURE OF PERSON WHO SERVED PAPERS) FL-115 [Rev. July 1, 2012] PROOF OF SERVICE OF SUMMONS Page 2 of 2 (Family Law-Uniform Parentage-Cusdy and Support)