ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS): TELEPHONE NO.:
ATTORNEY FOR (NAME):
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA
STREET ADDRESS: 201 North First Street, San José, CA 95113
MAILING ADDRESS: 191 North First Street
CITY AND ZIP CODE:
San José, California 95113
BRANCH NAME: Family Justice Center Courthouse
IN THE MATTER OF:
REQUEST TO DISPENSE WITH NOTICE
CASE NUMBER:
1. I am the minor’s parent grandparent other:
2. I should not have to give notice to the following people (child if over 12, parents, grandparents, child’s
brothers/sisters over 12 only, or person with court ordered visitation or custody) because I have not been
able to find them:
a. Name: Relation to child:
This person’s last known address is:
I last knew of this person living at that address on (date):
I have tried to find this person by doing these things:
I cannot get this person’s new address because:
b. Name: Relation to child:
This person’s last known address is:
I last knew of this person living at that address on (date):
PB-4068 REV 07/01/18
For Mandatory Use
REQUEST TO DISPENSE WITH NOTICE
Page 1 of 2
ATTACHMENT PB-4068
IN THE MATTER OF: CASE NUMBER:
I have tried to find this person by doing these things:
I cannot get this person’s new address because:
c. Name: Relation to child:
This person’s last known address is:
I last knew of this person living at that address on (date):
I have tried to find this person by doing these things:
I cannot get this person’s new address because:
3. Check here if you need more space. Label a piece of paper “Request to Dispense with Notice
Attachment 2” and write the additional information on it.
I declare under penalty of perjury under the laws of the State of California that the above information is true and
correct.
Date: My Signature:
PB-4068 REV 07/01/18
For Mandatory Use
REQUEST TO DISPENSE WITH NOTICE
Page 2 of 2
ATTACHMENT PB-4068
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