Santa Clara — PB-4068*

Source: https://santaclara.courts.ca.gov/system/files/forms/pb-4068_rem.pdf

ATTACHMENT PB-4068 ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS): TELEPHONE NO.: FOR COURT USE ONLY

ATTORNEY FOR (NAME):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA STREET ADDRESS: 201 North First Street, San José, CA 95113

MAILING ADDRESS: 191 North First Street

CITY AND ZIP CODE: San José, California 95113

BRANCH NAME: Family Justice Center Courthouse

IN THE MATTER OF:

CASE NUMBER:
REQUEST TO DISPENSE WITH NOTICE

1. I am the minor’s parent grandparent other:

2. I should not have to give notice to the following people (child – if over 12, parents, grandparents, child’s

   brothers/sisters – over 12 only, or person with court ordered visitation or custody) because I have not been able to find them:

   a. Name: Relation to child:

   This person’s last known address is:

   I last knew of this person living at that address on (date):

   I have tried to find this person by doing these things:

   I cannot get this person’s new address because:

   b. Name: Relation to child:

   This person’s last known address is:

   I last knew of this person living at that address on (date):

PB-4068 REV 07/01/18 REQUEST TO DISPENSE WITH NOTICE Page 1 of 2 For Mandatory Use

ATTACHMENT PB-4068 IN THE MATTER OF: CASE NUMBER:

I have tried to find this person by doing these things:

I cannot get this person’s new address because:

c. Name: Relation to child:

This person’s last known address is:

I last knew of this person living at that address on (date):

I have tried to find this person by doing these things:

I cannot get this person’s new address because:

3. Check here if you need more space. Label a piece of paper “Request to Dispense with Notice – Attachment 2” and write the additional information on it.

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

Date: My Signature:

Reset Form

PB-4068 REV 07/01/18 REQUEST TO DISPENSE WITH NOTICE Page 2 of 2 For Mandatory Use