San Luis Obispo — PR016

Source: https://www.slo.courts.ca.gov/documents/san-luis-obispo/PR_016_SLO.pdf

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

TELEPHONE NUMBER: FAX NO. (Optional):

EMAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN LUIS OBISPO

STREET ADDRESS: 1035 Palm Street, Room 385 MAILING ADDRESS: Same as above CITY AND ZIP CODE: San Luis Obispo, CA 93408 BRANCH NAME: San Luis Obispo Division

GUARDIANSHIP OF: CASE NUMBER:

Date: Time: Dept:

PETITION FOR VISITATION-GUARDIANSHIP

*(Use only attachments as needed or indicated as necessary for your particular matter. Not every Petition for Visitation will use every attachment below).

1. Petitioner (name)________________________ is the minor’s (relationship) ____________________ and requests the following visitation schedule with the minor (name): ____________, birthdate.

Describe proposed visitation schedule (days, times, etc.):

---

---

---

__________________________________________________________________.

OR Specified in Attachment 1

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

Form Adopted for Optional Use PETITION FOR VISITATION-GUARDIANSHIP Probate Code § 2350, 2351, 2102San Luis Obispo Superior Court Local Form PR016 Rev. 1/1/15

GUARDIANSHIP OF: CASE NUMBER

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

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

5. The guardian consents to the proposed visitation plan, does not consent to
the proposed visitation plan, or it is unknown if the guardian consents to the
visitation plan.

6. 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) and the j. Additional names and addresses
names of their legal guardians: continued in Attachment 6.

Form Adopted for Optional Use PETITION FOR VISITATION-GUARDIANSHIP Probate Code § 2350, 2351, 2102San Luis Obispo Superior Court Local Form PR016 Rev. 1/1/15

GUARDIANSHIP OF: CASE NUMBER

7. Notice to the persons identified in Attachment 7 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 PR019).

Other good cause exists to dispense with notice (specify names and reasons
in Attachment 7.)

Date: ______________________________________
(Signature of Attorney or party without Attorney)

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

Date: _______________

____________________________________
(Signature of Petitioner 1)

____________________________________
(Print Name)

____________________________________
(Signature of Petitioner 2 (if needed))

____________________________________
(Print Name (if needed))

Form Adopted for Optional Use PETITION FOR VISITATION-GUARDIANSHIP Probate Code § 2350, 2351, 2102San Luis Obispo Superior Court Local Form PR016 Rev. 1/1/15

GUARDIANSHIP OF: CASE NUMBER

Attachment 1—Visitation Schedule Attachment (Sample Plans)

1. Weekends starting (date):________________________________

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

1 st 2 nd 3 rd 4 th 5 th 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 Or 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) Page 1 of 3

Form Adopted for Optional Use PETITION FOR VISITATION-GUARDIANSHIP Probate Code § 2350, 2351, 2102San Luis Obispo Superior Court Local Form PR016 Rev. 1/1/15

GUARDIANSHIP OF: CASE NUMBER

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

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________.

Continued on Attachment 1.a.(4).

5. Transportation for visitation:

a. Transportation to the visits will be provided by the party with
visitation, guardian Or, 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):
___________________________________________________________

__________________________________________________________.

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 San Luis Obispo County.

7. Holiday Schedule. See Children’s Holiday Schedule Attachment on following
page:

Form Adopted for Optional Use PETITION FOR VISITATION-GUARDIANSHIP Probate Code § 2350, 2351, 2102San Luis Obispo Superior Court Local Form PR016 Rev. 1/1/15

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. Holiday Time (from when to Every Year Even Years Odd Years when) Guardian/Party with Guardian/Party Guardian/Party visitation with visitation with visitation (Unless 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, 1st half Winter Break, 2nd 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.

Form Adopted for Optional Use PETITION FOR VISITATION-GUARDIANSHIP Probate Code § 2350, 2351, 2102 San Luis Obispo Superior Court
Local Form PR016
Rev. 1/1/15

GUARDIANSHIP OF: CASE NUMBER

Attachment 4

Why Visitation Should be Granted

Form Adopted for Optional Use PETITION FOR VISITATION-GUARDIANSHIP Probate Code § 2350, 2351, 2102San Luis Obispo Superior Court Local Form PR016 Rev. 1/1/15

GUARDIANSHIP OF: CASE NUMBER

Attachment 7

(Attach a Declaration of Due Diligence, Local Form PR019 if you cannot locate an individual entitled to notice. If your request to dispense with notice is based on other reasons, please state why.)

Form Adopted for Optional Use PETITION FOR VISITATION-GUARDIANSHIP Probate Code § 2350, 2351, 2102San Luis Obispo Superior Court Local Form PR016 Rev. 1/1/15