Santa Clara — PB-4011 - Visitation Order

Source: https://santaclara.courts.ca.gov/system/files/forms/pb-4011_rem.pdf

ATTACHMENT PB-4011

ATTORNEY OR PARTY WITHOUT AN ATTORNEY (Name, State bar number, and address) FOR COURT USE ONLY

To keep other people

TELEPHONE NO.: FAX NO.: from seeing what you ATTORNEY FOR (Name): entered on your form, please press the Clear SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA This Form button at PROBATE DIVISION 191 NORTH FIRST STREET the end of the form SAN JOSE, CA 95113 when finished.

GUARDIANSHIP OF:

MINOR CASE NUMBER

VISITATION ORDER

1. The petition to grant visitation came on for hearing as follows (check boxes c, d, e, f, g, h to indicate personal presence): a. Judge (name): b. Hearing date: Time: Dept: c. Petitioner (name): d. Attorney for petitioner (name): e. Minor: f. Attorney for minor (name): g. Guardian(s): h. Attorney for guardian(s): i. Other(s):

THE COURT FINDS

2. a. All notices required by law have been given
   b. Notice of hearing to the following persons has been should be dispensed with (names):

   c. Visitation by the petitioner is in the best interest of the child.

THE COURT ORDERS

3. Parties are ordered to orientation and mediation at Family Court Services (408) 534-5760 to determine a

   visitation schedule. a. Parties are ordered to appear for a review hearing: Date: Time: Dept:

4. Parties are ordered to follow the attached visitation schedule.

5. Other (specify):

Date: _________________________________________________ JUDGE OF THE SUPERIOR COURT

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VISITATION ORDER Page 1 of 1
(PROBATE) PB-4011

REV. 01/01/04