ATTACHMENT PB-4011
VISITATION ORDER Page 1 of 1
(PROBATE) PB-4011
REV. 01/01/04
ATTORNEY OR PARTY WITHOUT AN ATTORNEY (Name, State bar number, and address)
TELEPHONE NO.: FAX NO.:
ATTORNEY FOR (Name):
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA
PROBATE DIVISION
191 NORTH FIRST STREET
SAN JOSE, CA 95113
GUARDIANSHIP OF:
MINOR
VISITATION ORDER
CASE NUMBER
1. The petition to grant visitation came on for hearing as follows (check boxes c, d, e, f, g, h to indicate personal
presence):
a. Judge (name):
b. Hearing date: Time: Dept:
c.
Petitioner (name):
d.
Attorney for petitioner (name):
e.
Minor:
f.
Attorney for minor (name):
g.
Guardian(s):
h.
Attorney for guardian(s):
i.
Other(s):
THE COURT FINDS
2. a. All notices required by law have been given
b. Notice of hearing to the following persons has been should be dispensed with (names):
c. Visitation by the petitioner is in the best interest of the child.
THE COURT ORDERS
3.
Parties are ordered to orientation and mediation at Family Court Services (408) 534-5760 to determine a
visitation schedule.
a. Parties are ordered to appear for a review hearing:
Date: Time: Dept:
4.
Parties are ordered to follow the attached visitation schedule.
5.
Other (specify):
Date: _________________________________________________
JUDGE OF THE SUPERIOR COURT
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