Mariposa — Petition for Visitation - PRO-001

Source: https://www.mariposa.courts.ca.gov/system/files/forms-and-filings/petition-visitation-pro-001.pdf

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): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME:

GUARDIANSHIP OF:

MINOR(S) CASE NUMBER:

PETITION FOR VISITATION - GUARDIANSHIP

1. Petitioner (name): requests

   the following specific visitation schedule for the minor:

2. Petitioner is the minor’s □ Parent □ Grandparent □ Other:

3. □ Name(s): was appointed guardian of the PERSON on (date):

4. Petitioner should be granted visitation for reasons □ specified below □ specified in Attachment 4

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

Local Form for Optional Use Mariposa Superior Court PRO-001 [New August 31, 2017]

GUARDIANSHIP OF THE PERSON OF (Name): CASE NUMBER:

MINOR

6. The names and residence addresses of the guardian, minor and minor’s parents, brothers, sisters and grandparents are as follows:

   a. Guardian: f. Maternal Grandfather:

   b. Minor: g. Maternal Grandmother:

   c. Father: h. Paternal Grandfather:

   d. Mother: i. Paternal Grandmother:
   e. Brother(s) or Sister(s): (12 years or older) j. □ Additional names and addresses continued in
   Attachment 6.

7. Number of pages attached: _____

Date: __________________________________________ (SIGNATURE OF ATTORNEY OR PETITIONER WITHOUT AN ATTORNEY)

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

Date:

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(TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER)

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(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:

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(DATE) (TYPE OR PRINT NAME) (SIGNATURE OF GUARDIAN)

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(DATE) (TYPE OR PRINT NAME) (SIGNATURE OF GUARDIAN)

PETITION FOR VISITATION - GUARDIANSHIP

Local Form for Optional Use Mariposa Superior Court PRO-001 [New August 31, 2017]