Placer — Petition for Joinder (Custody & Visitation)

Source: https://www.placer.courts.ca.gov/sites/default/files/PL-FL036%20-%20Petition%20for%20Joinder_Eff.%20Nov.%2010%2C%202022%20%28Final%29.pdf

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

TELEPHONE NO.: FAX NO.: EMAIL ADDRESS: SUPERIOR COURT OF CALIFORNIA, COUNTY OF PLACER 10820 Justice Center Drive 2501 N. Lake Blvd. P.O. Box 619072 P.O. Box 5669 Roseville, CA 95661-9072 Tahoe City, CA 96145

PETITIONER:

RESPONDENT: CLAIMANT: CASE NUMBER: PETITION FOR JOINDER (CUSTODY & VISITATION)

Claimant alleges as follows:

1. Claimant is the (specify relationship) _______________________________ of the minor child(ren) below:

   Child’s Name Birthdate Age Sex

2. Each minor child named in Item 1 is currently living with the Petitioner Respondent Other: _______________________________in the following county (specify): ___________________________.

3. Claimant requests that the court grant the following relief:

   Reasonable visitation with the child(ren) named in Item 1 as determined by the court.

   Custody of the child(ren) named in Item 1 as determined by the court.

   Other:

   Such other relief as the court may deem appropriate.

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

Date: ____________

Name: ____________________________________ Signature: ____________________________________

Form Adopted for Optional Use www.placer.courts.ca.gov Superior Court of California, County of Placer Fam. Code §§ 3020, 3040 Form No. PL-FL036 Cal. Rules of Court 5.24 Effective 11-10-2022