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In the blank space in the middle of the page the Court’s address may already appear. If not, print the following information:

Superior Court, County of Imperial 939 W. Main St. El Centro, CA 92243

In the space below the Court’s address print your full name, address and telephone number. If your spouse is also joining you in this case, print his or her full name. If your spouse has a different address or telephone number from you, include that information as well.

Check the box next to the number 1 at the bottom of the page.

Leave the remainder of the form blank. The Clerk of Court will complete the form at the time you file it.

If both parents are living, complete the second copy of the Summons the same as you completed the first, except print the full name of the child’s other parent at the top of the page.

Completing the Petition for Grandparent Visitation, Form FL-15

In the top left box of the form print your full name (and your spouse’s name if applicable), mailing address and telephone number. In the space next to where it says "ATTORNEY FOR" print “Self.” This means that you are acting as your own attorney in this case.

In the second box down, the court’s name and address may already appear. If not, print the following information:

Superior Court, County of Imperial 939 W. Main St. El Centro, CA 92243

In the third box down print the full name of the parties next to the words “Petitioner” and “Respondent.” You (and your spouse, if applicable) are the Petitioner(s) and the living parents of your grandchild are the Respondents.

Item 1. Check the boxes that describe your relationship to the child(ren). For example, if you are seeking visitation with your son’s children, check the boxes for “paternal” and “grandmother” or “grandfather” (or both if you and your spouse are petitioning together). List the child(ren) and complete all of the requested information for each child listed in the space provided.

Item 2. Check the appropriate box(es) to show the marital status of your grandchild’s parents with respect to one another. If you did not check box 2a, check all of the boxes following 2b that apply.

FL-15-INFO ($1.00 includes FL-15, SUM-100, Page 2 of 6 FL-330, FL-105) (Adopted 1/1/11, Last Revised 07/01/20) GRANDPARENT VISITATION