San Bernardino — SB-11290

Source: https://sanbernardino.courts.ca.gov/system/files/sb-11290.pdf

PARTY WITHOUT ATTORNEY OR PARTY STATE BAR NUMBER: NAME: FIRM NAME: STREET ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE NO.: FAX NO.: E-MAIL ADDRESS: ATTORNEY FOR (name): SUPERIOR COURTS OF CALIFORNIA, COUNTY OF SAN BERNARDINO STREET ADDRESS: MAILING ADDRESSS: CITY AND ZIP CODE: BRANCH NAME: PETITIONER: RESPONDENT: OTHER PARENT/PARTY: CASE NUMBER: PETITION FOR GRANDPARENT VISITATION

1. Petitioner is the □ Maternal - □ grandmother □ grandfather of the minor child(ren) listed below. □ Paternal - □ grandmother □ grandfather of the minor child(ren) listed below.

   Name of child Date of Person child lives with/ Other parent’s name birth County of residence

   □ Additional children named on “Attachment, No. 1” (or form _________)

2. An action is currently pending in (County) ______, (State) __________________ involving child custody and visitation in case number: _____________________________ a. □ No judgment has been entered; or b. □ A judgment was entered on (date)

3. Petitioner is bringing this petition forth because (mark all that apply): a. □ The parents are not married to each other or in a registered domestic partnership, or □ The parents of the child(ren) are divorced. b. □ The parents are married to each other and one or more of the following exist: □ The parents are currently involved in a divorce proceeding in ________________ County. □ The parents are currently living separately and apart on a permanent or indefinite basis. □ One of the parents has been absent for more than one month without the other parent knowing the whereabouts of the absent parent. □ One of the parents joins in this petition with the grandparent(s) as shown by the signature of the parent below. □ The child(ren) are not residing with either parent. □ The child(ren) have been adopted by a stepparent. □ One of the parents of the child(ren) is incarcerated or involuntarily institutionalized.

Form No. SB-11290 PETITION FOR GRANDPARENT VISITATION Page 1 of 2 Adopted for Optional Use Family Code, §§3100-3104 www.sb-court.org Revised August 2020

4. There is a preexisting relationship and bond between the child(ren) and grandparent(s). Explain the reason why grandparent visitation is in the best interest of each child: _____________________

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□ See “Attachment, No. 4” (or form _________)

5. Describe the proposed visitation schedule:_____ _________________________________________

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□ See “Attachment, No. 5” (or form _________)

6. □ A completed Declaration Under the Uniform Child Custody Jurisdiction and Enforcement Act (FL-105) form is submitted as there is no existing family law case. This petition shall start a new matter.

7. Petitioner requests that the Court grant reasonable visitation with the above-named child(ren) and such other relief as the Court deems appropriate pursuant to Family Code sections 3100 through 3104. □ A Request for Order (FL-300 form) is concurrently filed with this petition in order to request a hearing date. (Note: A Request for Order cannot be filed until after a party has been joined to the case)

I declare under penalty of perjury under the laws of the State of California that the foregoing and all attachments are true and correct. Date:

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TYPE OR PRINT NAME SIGNATURE OF PETITIONER

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TYPE OR PRINT NAME SIGNATURE OF PETITIONER

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TYPE OR PRINT NAME SIGNATURE OF ATTORNEY FOR PETITIONER(S)

PARENT’S CONSENT TO PETITION FOR GRANDPARENT VISITATION I hereby consent to and join this Petition for Grandparent Visitation. Date:

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TYPE OR PRINT NAME SIGNATURE OF □MOTHER □ FATHER OF CHILD(REN)

NOTICE: The Court shall balance the interests of the child in having grandparent visits against the rights of the parents. A rebuttable presumption against best interests/visitation is created: 1. If the parents agree that visitation is not in the best interests of the child(ren), or 2. If the parent awarded sole legal and physical custody (or with whom the child resides if no custody order) objects.

SERVICE: Personal service is required unless this petition is filed in an existing case. If filed in an existing case, service is completed by certified mail, return receipt to the last known address of parents, stepparent or person with physical custody of the child(ren). (See Family Code sections 3103(c) and 3104(c).)

Form No. SB-11290 PETITION FOR GRANDPARENT VISITATION Page 2 of 2 Adopted for Optional Use Family Code, §§3100-3104 www.sb-court.org Revised August 2020