Santa Clara — JV-2004*

Source: https://santaclara.courts.ca.gov/system/files/jv-2004_0.pdf

ATTACHMENT JV-2004 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address): TELEPHONE NUMBER: FOR COURT USE ONLY

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ATTORNEY FOR: (Name): This Form button at the end of the form when finished. SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA STREET ADDRESS:

MAILING ADDRESS: 191 North First Street CITY AND ZIP CODE: San José, CA 95113 BRANCH:

In the Matter of (Name of Child), a Minor, [D.O.B. ]

CASE NUMBER:

APPLICATION AND ORDER RE APPOINTMENT OF COURT DESIGNATED CHILD ADVOCATE

Court Designated Child Advocates applies to the Court for the appointment of

as the Child Advocate in behalf of the Minor.

(Check one:)

This case was referred by the Court to Court Designated Child Advocates for a determination whether the Child Advocate program can undertake the case.

The Child Advocate designated above is currently serving as the Court Appointed Child Advocate in behalf of the Minor in a proceeding brought pursuant to Welfare & Institutions Code section 300.

Date: COURT DESIGNATED CHILD ADVOCATES

By:

Type / Print Name:

COURT ORDER

The Application is granted.

The Application is set for hearing on: . Applicant shall give ten days’ notice of

hearing date to:

District Attorney Attorney for child

Parent(s) or Guardian(s) Probation Department

Child Other:

The Application is denied.

Additional Orders:

Date: Judicial Officer Clear This Form JV-2004 REV 7/01/08 APPLICATION AND ORDER RE APPOINTMENT OF COURT Page 1 of 1 DESIGNATED CHILD ADVOCATE