Tuolumne — TUO-FL-225

Source: https://www.tuolumne.courts.ca.gov/system/files/tuo-fl-225.pdf

TUO-FL-225 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, Address, Bar No., Telephone No.): FOR COURT USE ONLY

Self Represented Attorney for: SUPERIOR COURT OF CALIFORNIA COUNTY OF TUOLUMNE 12855 Justice Center Drive, Sonora, CA 95370 Phone: (209) 533-5555

PETITIONER:

RESPONDENT:

CASE NUMBER:

PETITION FOR GRANDPARENT VISITATION

1. Petitioner's relationship to minor child(ren) listed below: grandmother grandfather My son (name) is the parent of the child(ren). My daughter (name) is the parent of the child(ren).

   Child’s Name Birthdate Currently Residing With Other Parent’s Name
   Relationship/County

2. The parents of the child(ren) [mark all boxes and fill in all spaces which apply]: a. Are currently married or have a domestic partnership and living together b. Are divorced. A Judgment of Dissolution of Marriage or Domestic Partnership was entered on: (Specify date) , in County, State: c. Are currently involved in a divorce proceeding in County, Case No. d. Are currently married or have a domestic partnership, and one of the parents has been absent for more than one month without the other parent knowing the whereabouts of the absent parent. e. Have never been married or in a domestic partnership. f. Are currently living separately and apart from each other on a permanent or indefinite basis. g. The mother father of the minor child(ren) is deceased. h. The child(ren) is/are not residing with either parent. i. The child(ren) has/have been adopted by a stepparent; grandparent; other: specify the name and relationship:

Approved for Optional Use PETITION FOR GRANDPARENT VISITATION Family Code §§ 3102, 3103, 3104 TUO-FL-225 (Revised Aug., 2021) Page 1 of 2

TUO-FL-225

Case Name: _____________________________________________________ Case Number: ___________________

3. Describe the relationship between each child and the petitioner(s). Explain the reason why grandparent visitation is in the best interest of each child:

_____ continued in attached declaration.

4. Describe the duration and frequency of visitation that is being requested:

_____ continued in attached declaration.

5. A completed declaration under the Uniform Child Custody Jurisdiction and Enforcement Act, form FL-105, is attached. (Not required if the Petition is filed with an open Family Law case.)

6. Petitioner(s) is/are requesting the court to grant reasonable visitation with the above-named child(ren), and such

other relief as the court may deem appropriate pursuant to Family code §§ 3100, 3102, 3103, and 3104.

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

Dated: ______________________________________ Dated: ____________________________________________

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Signature of Petitioner or Attorney for Petitioner Signature of Petitioner or Attorney for Petitioner

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Type or Print Name Type or Print Name

VERIFICATION

The statements in the above Petition are true of my own knowledge, except as to those matters that are therein stated on my information and belief, and as to those matters, I believe them to be true. Executed on this day of (month), (year) at (city or town), California. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Signature of Petitioner Signature of Petitioner

Type or Print Name Type or Print Name

PARENT CONSENT TO PETITIONER'S REQUEST FOR GRANDPARENT VISIATION

Mother Father hereby consents to and joins in this petition for grandparent visitation.

Dated:

Signature of Parent Type or Print Name

Approved for Optional Use PETITION FOR GRANDPARENT VISITATION Family Code §§ 3102, 3103, 3104 TUO-FL-225 (Revised Aug., 2021) Page 2 of 2