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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): SUPERIOR COURT OF CALIFORNIA, COUNTY OF IMPERIAL 939 W. Main Street El Centro, CA 92243 PETITIONER:

RESPONDENT:

CASE NUMBER:

PETITION FOR JOINDER (Custody/Visitation)

Claimant alleges as follows: 1. Claimant’s relationship to the following minor child(ren) is: ________________________ Child’s Name Birth Date Age Gender a.

b.

c.

d.

To list any other minor child(ren), attach form MC-020 or attach a sheet of paper and write Additional Minor Child(ren). Check here if you attach another page

2. Each child named above is currently living with:
Petitioner
Respondent
Other (specify) ______________________________ in ________________County.

3. Claimant requests that the court grant the following orders:
a. Reasonable visitation with the following children as set forth on Child Custody and
Visitation Application Attachment – Judicial Council Form (FL-311).
b. Custody of the following children as set forth on Child Custody and Visitation
Application Attachment – Judicial Council Form (FL-311).
c. Other:__________________________________________________________________
________________________________________________________________________
4. A completed Declaration Under Uniform Child Custody Jurisdiction & Enforcement Act –
Judicial Council Form (FL-105) is attached.

I declare under penalty of perjury, under the laws of the State of California, that the foregoing is
true and correct, and that this declaration was signed at_____________, California.

Date: _________________ Signature: _______________________________

Print Name:______________________________

Form Adopted for Optional Use PETITION FOR JOINDER FL-13 (Adopted 1/1/11, Revised 01/01/12, 01/01/13) (CUSTODY/VISITATION)