Riverside local form RI-PR109

Source: https://www.riverside.courts.ca.gov/system/files/2024-06/RI-PR109.pdf

SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE

MURRIETA 30755-D Auld Rd., Murrieta, CA 92563 RIVERSIDE 4050 Main St., Riverside, CA 92501 PALM SPRINGS 3255 E. Tahquitz Canyon Wy., Palm Springs, CA 92262

RI-PR109

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address) FOR COURT USE ONLY

TELEPHONE NO.: FAX NO. (Optional):

E-MAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

IN THE MATTER OF:

CASE NUMBER:

DPSS – GUARDIANSHIP INFORMATION SHEET (CONFIDENTIAL)

Notice to Party: Please complete the form with the information as you know it, and then return it for filing to the Riverside County Superior Court Clerk’s Office together with the filing of your Petition for Appointment of Guardian.

Child(ren) Name(s):

1. DOB:

2. DOB:

3. DOB:

Current Address:

Name of person with whom Child is currently residing:

Your relationship to Child:

PROPOSED GUARDIAN(S)

Name: DOB:

Address:

Phone Number: Cell Number: Work Number:

PARENT(S)

Mother’s Name: DOB:

Address:

Phone Number: Cell Number: Work Number:

Approved for Optional Riverside Superior Court Use DPSS – GUARDIANSHIP INFORMATION SHEET https://riverside.courts.ca.govLocal Rule 7301 Form RI-PR109 [Rev. 07/01/26] (CONFIDENTIAL)

IN THE MATTER OF: CASE NUMBER:

Father of Child 1 Name: DOB:

Address:

Phone Number: Cell Number: Work Number:

Father of Child 2 Name: DOB:

Address:

Phone Number: Cell Number: Work Number:

Father of Child 3 Name: DOB:

Address:

Phone Number: Cell Number: Work Number:

Approved for Optional Riverside Superior Court Use DPSS – GUARDIANSHIP INFORMATION SHEET https://riverside.courts.ca.govLocal Rule 7301 Form RI-PR109 [Rev. 07/01/26] (CONFIDENTIAL)