Riverside local form RI-CI040

Source: https://www.riverside.courts.ca.gov/system/files/2023-11/RI-CI040.pdf

SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE

BLYTHE 265 N. Broadway, Blythe, CA 92225 MORENO VALLEY 13800 Heacock St., Ste. D201, Moreno Valley CA 92563 CORONA 505 S. Buena Vista, Rm 201, Corona, CA 92282 MURRIETA 30755-D Auld Rd., Ste. 1226, Murrieta, CA 92563 MENIFEE 27401 Menifee Center Dr., Menifee, CA 92584 PALM SPRINGS 3255 Tahquitz Canyon Way, Palm Springs, CA 92262

RI-CI040

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):

PETITION OF (name of each petitioner):

CASE NUMBER:

NOTICE OF RELATED CASES (Name Change for Minor)

NOTICE: This form must be submitted in conjunction with the Petition for Change of Name (NC-100) and Name and Information about the Person Whose Name is to be Changed (NC-110) forms.

Provide the following case information if there is an existing family law case, guardianship case, or other case concerning the custody of the minor.

a. Family Law

Case Number: Court (name, state, location): Court order or judgment date: Name of each child: Your connection to this case: Case status:

b. Guardianship

Case Number: Court (name, state, location): Court order or judgment date: Name of each child: Your connection to this case: Case status:

Adopted for Mandatory Use NOTICE OF RELATED CASES Local Rule 3175 Riverside Superior Court riverside.courts.ca.gov Form RI-CI040 [New 01/01/24] (Name Change for Minor) (Reformatted 07/08/24)

PETITION OF (Name of petitioner or petitioners): CASE NUMBER:

c. Other

Case Number: Court (name, state, location): Court order or judgment date: Name of each child: Your connection to this case: Case status:

d. Juvenile Delinquency

Juvenile Dependency

Case Number: Court (name, state, location):

e. Adoption

Case Number: Court (name, state, location):

(If petitioner is represented by an attorney, the attorney’s signature follows):

Date:

(TYPE OR PRINT NAME) (SIGNATURE OF ATTORNEY)

(Each petitioner must sign this petition in the space provided below or, if additional pages are attached, at the end of the last attachment.)

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

Date:

(TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER)

Date:

(TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER)

ADD ADDITIONAL SIGNATURE LINES FOR ADDITIONAL PETITIONERS SIGNATURE OF PEITIONERS FOLLOWS LAST ATTACHMENT

Adopted for Mandatory Use NOTICE OF RELATED CASES Local Rule 3175 Riverside Superior Court riverside.courts.ca.gov Form RI-CI040 [New 01/01/24] (Name Change for Minor) (Reformatted 07/08/24)