San Bernardino — 13-19816-360

Source: https://sanbernardino.courts.ca.gov/system/files/13-19816-360petitionforvisitation.pdf

NAME, ADDRESS, AND TELEPHONE NUMBER OF ATTORNEY OR PARTY WITHOUT ATTORNEY: Reserved for Clerk’s File Stamp State Bar No.:

ATTORNEY FOR:

SUPERIOR COURT OF CALIFORNIA COUNTY OF SAN BERNARDINO STREET ADDRESS: 247 W. 3rd Street, 2nd Floor MAILING ADDRESS: CITY AND ZIP CODE: San Bernardino, CA 92415 BRANCH NAME: Probate Division In re Guardianship of: Minor Minors

HEARING DATE:

TIME:
PETITION FOR VISITATION DEPT:
(GUARDIANSHIP CASES ONLY) Case Number:

I am related to the child as the mother father stepparent grandparent
other relative friend

I believe that visitation between myself and the minor(s) is in the best interests of the

minor(s) because:

My previous contacts with the minor(s) are as follows:

PETITION FOR VISITATION

13-19816-360 (New 09/12/19) GUARDIANSHIP CASES Optional

I request that the Court order visitation between myself and the minor(s). I request visitation as follows:

The reason I have not been able to reach an agreement with the guardian/proposed guardian over visitation is:

I declare under penalty of perjury of the laws of the State of California that the foregoing is

true and correct of my own knowledge.

(Sign) (Date)

PETITION FOR VISITATION

13-19816-360 (New 09/12/19) GUARDIANSHIP CASES Optional