Santa Barbara — SC-6039

Source: https://www.santabarbara.courts.ca.gov/system/files/forms-and-filings/sc-6039.pdf

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ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME, STATE BAR NUMBER AND ADDRESS): FOR COURT USE ONLY

EMAIL ADDRESS (Optional): TELEPHONE NO.:

ATTORNEY FOR (NAME): FAX NO. (Optional):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA BARBARA STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME:

GUARDIANSHIP OF:

HEARING DATE: TIME: DEPARTMENT:

CASE NUMBER:
PETITION FOR VISITATION

1. Petitioner (name): is the minor’s (relationship)
and requests the following visitation schedule with the minor
(name):

OR

Specified in Attachment 1

2. The guardian of the minor is (name):
The guardian was appointed on (date):

3. Petitioner and the guardian have have not attended Mediation at Family Court
Services.

If the parties have attended Mediation:

Date of attendance: _________________ Was an agreement reached? Yes No

Optional Form SC-6039 [Adopted 1/1/2013] PETITION FOR VISITATION Probate Code § 2350, 2351, 2102 (GUARDIANSHIP)

GUARDIANSHIP OF: CASE NUMBER:

4. Petitioner should be granted visitation for the reasons specified in Attachment 4.

5. The names and residence addresses of the guardian, minor, and minor’s parents, brothers,
sisters, and grandparents are as follows:

a. Guardian: f. Maternal Grandfather:

b. Minor: g. Maternal Grandmother:

c. Father: h. Paternal Grandfather:

d. Mother: i. Paternal Grandmother:

e. Brother(s) or Sisters(s) (12 j. Additional names and addresses
years or older): continued in Attachment 5.

Optional Form SC-6039 [Adopted 1/1/2013] PETITION FOR VISITATION Probate Code § 2350, 2351, 2102 (GUARDIANSHIP)

GUARDIANSHIP OF: CASE NUMBER:

6. Notice to the persons identified in Attachment 6 should be dispensed with because:

they cannot with reasonable diligence be given notice (specify names and efforts to
locate them in Declaration of Due Diligence, Local Form SC-6014).

other good cause exists to dispense with notice (specify names and reasons in
Attachment 6.)

SIGN

Date: ________________________ ________________________________
(Signature of Attorney)

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

Date: ________________________

SIGN

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(Type or Print Name) (Signature of Petitioner)

Date: ________________________

SIGN

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(Type or Print Name) (Signature of Guardian)

Optional Form SC-6039 [Adopted 1/1/2013] PETITION FOR VISITATION Probate Code § 2350, 2351, 2102 (GUARDIANSHIP)

GUARDIANSHIP OF: CASE NUMBER:

Attachment 1
Visitation Schedule Attachment

1. Weekends starting (date):________________________________

(The first weekend of the month is the first weekend with a Saturday.)

1st 2nd 3rd 4th 5th weekend of every month

from ________________________ at _______________ a.m. p.m.
(day of week) (time)

to ________________________ at _______________ a.m. p.m.
(day of week) (time)

The parties will alternate the fifth weekends, with the

party with visitation guardian

having the initial fifth weekend, which starts (date): ________________________.

2. Alternate weekends starting (date): _____________________________

from ________________________ at _______________ a.m. p.m.
(day of week) (time)

to ________________________ at _______________ a.m. p.m.
(day of week) (time)

3. Weekdays starting (date): _________________________________

from ________________________ at _______________ a.m. p.m.
(day of week) (time)

to ________________________ at _______________ a.m. p.m.
(day of week) (time)

(Continued)

Optional Form SC-6039 [Adopted 1/1/2013] PETITION FOR VISITATION Probate Code § 2350, 2351, 2102 (GUARDIANSHIP)

GUARDIANSHIP OF: CASE NUMBER:

4. Other (specify days and times as well as any additional restrictions):

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5. Transportation for visitation:

a. Transportation to the visits will be provided by the party with visitation
guardian other (specify): _________________________________________.

b. Drop-off of the children will be at
(address):___________________________________.

c. Pick-up of the children will be at
(address):___________________________________.

d. The children will be driven only be a licensed and insured driver. The car or truck
must have legal child restraint devices.

e. During the exchanges, the party driving the children will wait in the car and the
other party will wait in his or her home while the children go between the car and the
home.

f. Other(specify):

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6. Travel with children. The party with visitation must have written permission from the
guardian or a Court Order to take the children out of the State of California Santa
Barbara County.

7. Holiday Schedule. See Children’s Holiday Schedule Attachment.

Optional Form SC-6039 [Adopted 1/1/2013] PETITION FOR VISITATION Probate Code § 2350, 2351, 2102 (GUARDIANSHIP)

GUARDIANSHIP OF: CASE NUMBER:

CHILDREN’S HOLIDAY SCHEDULE ATTACHMENT

Holiday Visitation

The following table shows the holiday visitation schedules. Write “GD” (guardian) or “PV” (Party with visitation) to specify parties years – odd, even, or both (“every year”)- and under “Time” specify the starting and ending days and times.

Time Every Year Even Years Odd Years
(from when to when) Guardian/Party with Guardian/Party with Guardian/Party with
visitation visitation visitation HOLIDAY (Unless otherwise noted,
all single day holidays start
at _____ a.m. and end at
______p.m.)

January 1 (New Years Day) Martin Luther King’s Birthday (weekend) Lincoln’s Birthday President’s Day (weekend) Spring Break, first half Spring Break, second half Mother’s Day Memorial Day (weekend) Father’s Day July 4th Labor Day (weekend) Columbus Day (weekend) Halloween Veteran’s Day (weekend) Thanksgiving Day Thanksgiving weekend Winter Break, first half Winter Break, second half New Year’s Eve Child’s Birthday Mother’s Birthday Father’s Birthday Breaks for year-round schools Summer Break, first half Summer Break, second half Other (specify):

Any three-day weekend not specified above will be spent with the party who would normally have that weekend.

Optional Form SC-6039 [Adopted 1/1/2013] PETITION FOR VISITATION Probate Code § 2350, 2351, 2102 (GUARDIANSHIP)

GUARDIANSHIP OF: CASE NUMBER:

Attachment 4

Why Visitation Should be Granted

Optional Form SC-6039 [Adopted 1/1/2013] PETITION FOR VISITATION Probate Code § 2350, 2351, 2102 (GUARDIANSHIP)

GUARDIANSHIP OF: CASE NUMBER:

Attachment 6

(Attach a Declaration of Due Diligence, Local Form SC-6014, if you cannot locate an individual entitled to notice. If your request to dispense with notice is based on other reasons, please state why.)

Optional Form SC-6039 [Adopted 1/1/2013] PETITION FOR VISITATION Probate Code § 2350, 2351, 2102 (GUARDIANSHIP) CLEAR FIELDS PRINT FORM