HOW TO BEGIN YOUR ACTION TO
ESTABLISH PARENTAGE
If you and the other parent were never married you will need to open a case in order to
request and obtain orders for custody, visitation or child support. If there is an open
child support case with the Department of Child Support Services you may be able to
bring your request for custody in that case. If there is no case with the Department
of Child Support Services then you need to file a Petition to Establish a Parental
Relationship. This will only open the case. You may need to file a Request for Order to
get custody or support orders if the other party files a Response to this Petition. You
MUST file the judgment forms in the Paternity (Judgment) Packet to
finalize your case.
1. COMPLETE THE FORMS
(Type
or print in ink)
Summons
Petition with Declaration under the UCCJEA attached
2. MAKE COPIES
You will need to make two copies of each form, front and back.
3. FILE THE PAPERS
Take the originals and copies to the Clerk’s Office, in Ventura, Room
208. You will have to pay a filing fee. The Fee Schedule may be
obtained from the Clerk. If you cannot afford the fee, you may be able
to have that fee “waived”. You will need to complete the FEE WAIVER
PACKET. The clerk will keep the originals and return both copies to
you, stamped to show that they have been “filed”. One copy is for you
and one copy is to be “served” on the other party.
4. “SERVE” THE PAPERS
“Service” means that someone other than you, over the age of 18,
must personally deliver a copy of the filed papers to the other party.
The other party also gets a package of blank forms so that they can file
their Response. Those blank forms are in this packet after the Petition.
If you wish you can arrange for the Sheriff to serve the other party. If
the other party is out of state or if you don’t know their whereabouts,
you may want to speak to the Family Law Facilitator about other ways
to serve the papers.
5. FILE THE PROOF OF SERVICE
The person who “serves” the papers must complete and sign the “Proof
of Service”. That paper must then be filed with the court.
YOU MUST FINALIZE YOUR CASE WITH THE JUDGMENT FORMS IN THE
PATERNITY (JUDGMENT) PACKET.
G:\Common\Admin\!Projects\Local
Forms\Packet Inserts\PI.01.doc (Rev. 10/17)
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address) Telephone Number
E-MAIL ADDRESS
ATTORNEY FOR (Name):
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF VENTURA
800 SOUTH VICTORIA AVE. VENTURA, CA 93009
PETITIONER:
RESPONDENT:
CONSENT FOR COURT ASSIGNMENT
(FAMILY LAW)
CASE NUMBER:
The undersigned hereby consents that the cause titled and numbered above may be tried by ____________________,
Court Commissioner of the Ventura County Superior Court, as temporary judge, in accordance with Article 6, Section 21
of the Constitution of the State of California.
It is understood by the undersigned that by order of the Presiding Judge of the Ventura County Superior Court,
Commissioner ______________________ has been appointed to act as temporary judge to try the above referenced
case, hear and decide all motions and make any orders including sentencing connected with this case. It is understood
that Commissioner ______________________, has been appointed to try the case referred to, and has taken the
necessary oath of office to try the case as temporary judge.
Dated: _____________________ Signature of litigant or attorney
___________________________________
___________________________________
___________________________________
___________________________________
VN189
CONSENT FOR COURT ASSIGNMENT
(FAMILY LAW)
Mandatory Form
VN189 (Rev. 07/12)
FL-210
SUMMONS
(Parentage—Custody and Support)
CITACIÓN (PaternidadCustodia y Manutención)
NOTICE TO RESPONDENT (Name):
FOR COURT USE ONLY
(SOLO PARA USO DE LA CORTE)
You have been sued. Read the information below and on the next page.
Lo han demandado. Lea la información a continuación y en la página siguiente.
Petitioner's name:
CASE NUMBER: (Número de caso)
AVISO AL DEMANDADO (Nombre):
El nombre del demandante:
You have 30 calendar days after this Summons and Petition
are served on you to file a Response (form FL-220 or FL-270)
at the court and have a copy served on the petitioner. A
letter, phone call, or court appearance will not protect you.
If you do not file your Response on time, the court may make
orders affecting your right to custody of your children. You
may also be ordered to pay child support and attorney fees
and costs.
For legal advice, contact a lawyer immediately. Get help
finding a lawyer at the California Courts Online Self-Help
Center (www.courts.ca.gov/selfhelp), at the California Legal
Services website (www.lawhelpca.org), or by contacting your
local bar association.
Tiene 30 dias de calendario después de habir recibido la entrega legal
de esta Citación y Petición para presentar una Respuesta (formulario
FL-220 o FL-270) ante la corte y efectuar la entrega legal de una copia
al demandante. Una carta o llamada telefónica o una audiencia de la
corte no basta para protegerlo.
Si no presenta su Respuesta a tiempo, la corte puede dar órdenes que
afecten la custodia de sus hijos. La corte también le puede ordenar que
pague manutención de los hijos, y honorarios y costos legales.
Para asesoramiento legal, póngase en contacto de inmediato con un
abogado. Puede obtener información para encontrar un abogado en el
Centro de Ayuda de las Cortes de California (www.sucorte.ca.gov), en
el sitio web de los Servicios Legales de California (www.lawhelpca.org),
o poniéndose en contacto con el colegio de abogados de su condado.
NOTICE: The restraining order on page 2 remains in effect
against each parent until the petition is dismissed, a judgment
is entered, or the court makes further orders. This order is
enforceable anywhere in California by any law enforcement
officer who has received or seen a copy of it.
AVISO: La órden de protección que aparecen en la pagina 2
continuará en vigencia en cuanto a cada parte hasta que se emita un
fallo final, se despida la petición o la corte dé otras órdenes. Cualquier
agencia del orden público que haya recibido o visto una copia de estas
orden puede hacerla acatar en cualquier lugar de California.
, Deputy (Asistente)
Clerk, by (Secretario, por)
[SEAL]
Page 1 of 2
Family Code, §§ 232, 233, 7700;
Cal. Rules of Court, rule 5.50
www.courts.ca.gov
Form Adopted for Mandatory Use
Judicial Council of California
FL-210 [Rev. January 1, 2015]
SUMMONS
(ParentageCustody and Support)
Date (Fecha):
1.
2.
The name and address of the court are: (El nombre y dirección de la corte son:)
The name, address, and telephone number of petitioner’s attorney, or petitioner without an
attorney, are: (El nombre, la dirección y el número de teléfono del abogado del demandante, o del
demandante si no tiene abogado, son:)
FEE WAIVER: If you cannot pay the filing fee, ask the clerk
for a fee waiver form. The court may order you to pay back all
or part of the fees and costs that the court waived for you or
the other party.
EXENCIÓN DE CUOTAS: Si no puede pagar la cuota de presentación,
pida al secretario un formulario de exención de cuotas. La corte puede
ordenar que usted pague, ya sea en parte o por completo, las cuotas y
costos de la corte previamente exentos a petición de usted o de la otra
parte.
ORDEN DE RESTRICCIÓN ESTÁNDAR
(Paternidad—Custodia y Manutención)
Starting immediately, you and every other party are restrained from removing from the state, or applying for a
passport for, the minor child or children for whom this action seeks to establish a parent-child relationship or
a custody order without the prior written consent of every other party or an order of the court.
This restraining order takes effect against the petitioner when he or she files the petition and against the respondent
when he or she is personally served with the Summons and Petition OR when he or she waives and accepts service.
This restraining order remains in effect until the judgment is entered, the petition is dismissed, or the court makes
other orders.
This order is enforceable anywhere in California by any law enforcement officer who has received or seen a copy of it.
En forma inmediata, usted y cada otra parte tienen prohibido llevarse del estado a los hijos menores para
quienes esta acción judicial procura establecer una relación entre hijos y padres o una orden de custodia, ni
pueden solicitar un pasaporte para los mismos, sin el consentimiento previo por escrito de cada otra parte o
sin una orden de la corte.
Esta orden de restricción entrará en vigencia para el demandante una vez presentada la petición, y para el
demandado una vez que éste reciba la notificación personal de la Citación y Petición, o una vez que renuncie su
derecho a recibir dicha notificación y se dé por notificado.
Esta orden de restricción continuará en vigencia hasta que se emita un fallo final, se despida la petición o la corte dé
otras órdenes.
Cualquier agencia del orden público que haya recibido o visto una copia de esta orden puede hacerla acatar en
cualquier lugar de California.
Page 2 of 2
SUMMONS
(Parentage—Custody and Support)
FL-210 [Rev. January 1, 2015]
STANDARD RESTRAINING ORDER
(Parentage—Custody and Support)
FL-210
NOTICEACCESS TO AFFORDABLE HEALTH
INSURANCE Do you or someone in your household need
affordable health insurance? If so, you should apply for
Covered California. Covered California can help reduce the
cost you pay toward high-quality, affordable health care.
For more information, visit www.coveredca.com. Or call
Covered California at 1-800-300-1506.
AVISO
ACCESO A SEGURA DE SALUD MÁS
ECONOMICO Necessita seguro de salud a un costo
asequible, ya sea para usted o alguien en su hogar? Si es
asi, puede presentar una solicitud con Covered California.
Covered California lo puede ayudar a reducir al costo que
paga por seguro de salud asequible y de alta calidad. Para
obtener más información, visite www.coveredca.com. O
llame a Covered California al 1-800-300-0213.
wants to be determined as not a parent of the children listed in item 2 because (specify):
respondent is the parent of the children listed in item 2 above.
respondent is the children's parent and has failed to support the children.
the children live or are found in this county.
parentage has been determined by a voluntary declaration of parentage or paternity. (Attach a copy if available.)
a.
PETITION TO DETERMINE PARENTAL RELATIONSHIP
(Uniform Parentage)
gave birth to the children listed in item 2.
e.
d.
c.
is the child or the child's personal representative
b.
wants to be determined as a parent of the children in item 2 because (specify):
PETITION TO DETERMINE PARENTAL RELATIONSHIP
FOR COURT USE ONLY
ATTORNEY FOR (name):
E-MAIL ADDRESS:
FAX NO.:TELEPHONE NO.:
ZIP CODE:STATE:CITY:
STREET ADDRESS:
FIRM NAME:
NAME:
PARTY WITHOUT ATTORNEY OR ATTORNEY
STATE BAR NUMBER:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
BRANCH NAME:
CITY AND ZIP CODE:
STREET ADDRESS:
MAILING ADDRESS:
PETITIONER:
RESPONDENT:
CASE NUMBER:
FL-200
1. The petitioner
(specify court and date of appointment):
Other
Other
public assistance is being provided to the children.
(specify):
(name):
(specify):
Other
(specify):
2.
a child who is not yet born.
Child's name
Birthdate Age
b.
The children are
a.
3. The court has jurisdiction over the respondent because the respondent:
The action is brought in this county because (you must check one or more to file in this county):
Petitioner claims
(check all that apply):
6.
5.
4.
a.
b.
a.
b.
c.
a.
b.
c.
d. has furnished or is furnishing the following reasonable expenses
of pregnancy and birth for which the respondent as parent of the children should pay:
Amount Payable to
For (specify):
f.
A completed Declaration Under Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) (form FL-105) is attached.
e.
had sexual intercourse in this state, which resulted in conception of the children listed in item 2.
lives in this state.
a parent is deceased and proceedings for administration of the estate have been or could be started in this county.
Form Approved for Optional Use
Judicial Council of California
FL-200 [Rev. January 1, 2020]
Family Code, § 7630
www.courts.ca.gov
Page 1 of 2
OTHER ORDERS REQUESTED
Petitioner
Petitioner requests genetic testing to determine whether the
The facts in support of the requested custody and visitation (parenting time) orders are
e.
FL-200 [Rev. January 1, 2020]
Page 2 of 2
PETITION TO DETERMINE PARENTAL RELATIONSHIP
(Uniform Parentage)
Date:
RESPONDENT:
PETITIONER:
CASE NUMBER:
FL-200
(TYPE OR PRINT NAME)
Petitioner asks the court to make the determinations indicated below.
CHILD CUSTODY AND VISITATION (PARENTING TIME)
PARENT-CHILD RELATIONSHIP (check all that apply):
7.
8.
is the parent of the children listed in item 2.
is found to be the parent of the children listed in item 2.a. If
CHILD SUPPORT
The court may make orders for support of the children and issue an earnings assignment without further notice to either party.
12.
REASONABLE EXPENSES OF PREGNANCY AND BIRTH
9.
NAME CHANGE11.
FEES AND COSTS OF LITIGATION
10.
a.
b.
Attorney fees to be paid by
Expert fees, guardian ad litem fees, and other costs of
the action or pretrial proceedings to be paid by
I have read the restraining order on the back of the
Summons
(FL-210) and I understand it applies to me when this Petition is filed.
14.
13.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Petitioner
Respondent Joint
Petitioner
Respondent Joint
Reasonable expenses of pregnancy
and birth to be paid by
a. Petitioner
Respondent
Respondent
children listed in item 2.
c. Petitioner
Respondent
is not the parent of the children listed in item 2.
b. Petitioner
Respondent
Contained in the attached declaration.
Children's names be changed, according to Family Code section 7638, as follows (specify old and new names):
(SIGNATURE OF PETITIONER)
A blank Response to Petition to Determine Parental Relationship (form FL-220) must be served on the respondent with this petition.
NOTICE: If you have a child from this relationship, the court is required to order child support based upon the income of
both parents. Support normally continues until the child is 18. You should supply the court with information about your
finances. Otherwise, the child support order will be based upon information supplied by the other parent. Any party
required to pay child support must pay interest on overdue amounts at the "legal" rate, which is currently 10 percent.
(specify):
as follows:
is the parent of the
(specify):
Legal custody of children to
.........................................................
....................................................
Physical custody of children to
Child visitation (parenting time) be granted to
.............................
As requested in
Petitioner Respondent Joint Other
c.
d.
b.
IRUP)/ IRUP)/ IRUP)/&
IRUP)/' IRUP)/( Attachment 6c(1)
American LegalNet, Inc.
www.FormsWorkflow.com
Person child lived with (name and complete current address)
Person child lived with (name and complete current address)
Person child lived with (name and complete current address)
Person child lived with (name and complete current address)
Person child lived with (name and complete current address)
Person child lived with (name and complete current address)
Person child lived with (name and complete current address)
Person child lived with (name and complete current address)
Additional children are listed on form FL-105(A)/GC-120(A). (Provide all requested information for additional children.)
FL-105/GC-120
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
CASE NUMBER:
DECLARATION UNDER UNIFORM CHILD CUSTODY
JURISDICTION AND ENFORCEMENT ACT (UCCJEA)
1. I am a party to this proceeding to determine custody of a child.
2. My present address and the present address of each child residing with me is confidential under Family Code section 3429 as
I have indicated in item 3.
3. There are (specify number):
(Insert the information requested below. The residence information must be given for the last FIVE years.)
a. Child’s name
Place of birth Date of birth Sex
Period of residence
Address
Relationship
Confidentialto present
to
to
to
b. Child’s name
Place of birth Date of birth Sex
Residence information is the same as given above for child a.
(If NOT the same, provide the information below.)
Period of residence
Address
Relationship
Confidential
to present
to
to
to
Additional residence information for a child listed in item a or b is continued on attachment 3c.
c.
Page 1 of 2
Family Code, § 3400 et seq.; Form Adopted for Mandatory Use
Judicial Council of California
FL-105/GC-120 [Rev. January 1, 2009]
DECLARATION UNDER UNIFORM CHILD CUSTODY
JURISDICTION AND ENFORCEMENT ACT (UCCJEA)
Probate Code, §§ 1510(f), 1512
minor children who are subject to this proceeding, as follows:
www.courtinfo.ca.gov
TELEPHONE NO.:
FAX NO. (Optional):
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
PETITIONER:
RESPONDENT:
GUARDIANSHIP OF (Name):
Minor
OTHER PARTY:
Child's residence (City, State)
Child's residence (City, State)
Child's residence (City, State)
d.
Child's residence (City, State)
Child's residence (City, State)
Child's residence (City, State)
(This section applies only to family law cases.)
(This section apples only to guardianship cases.)
Confidential
Confidential
To keep other people from
seeing what you entered on
your form, please press the
Clear This Form button at the
end of the form when finished.
Juvenile Delinquency/
Juvenile Dependency
and provide the following information):
5. One or more domestic violence restraining/protective orders are now in effect. (Attach a copy of the orders if you have one
a. Criminal
b. Family
d. Other
Court State Case number (if known) County Orders expire (date)
Court
(name, state, location)
Court order
or judgment
(date)
Case status
b. Guardianship
c. Other
Name of each child
a. Family
Case number
Court (name, state, location)
e. Adoption
Juvenile Delinquency/
Juvenile Dependency
Case Number
Your
connection to
the case
CASE NUMBER:
SHORT TITLE:
Do you have information about, or have you participated as a party or as a witness or in some other capacity in, another court case
or custody or visitation proceeding, in California or elsewhere, concerning a child subject to this proceeding?
Yes
(If yes, attach a copy of the orders (if you have one) and provide the following information):
Do you know of any person who is not a party to this proceeding who has physical custody or claims to have custody of or
visitation rights with any child in this case?
(If yes, provide the following information):Yes
a. Name and address of person
b. Name and address of person
c. Name and address of person
Has physical custody
Has physical custody
Has physical custody
Claims custody rights
Claims custody rights
Claims custody rights
Claims visitation rights
Claims visitation rights
Claims visitation rights
Name of each child Name of each child Name of each child
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT)
7. Number of pages attached:
NOTICE TO DECLARANT: You have a continuing duty to inform this court if you obtain any information about a custody
FL-105/GC-120 [Rev. January 1, 2009]
Page 2 of 2
DECLARATION UNDER UNIFORM CHILD CUSTODY
JURISDICTION AND ENFORCEMENT ACT (UCCJEA)
4.
6.
No
proceeding in a California court or any other court concerning a child subject to this proceeding.
No
FL-105/GC-120
Proceeding
Proceeding
c.
d.
Print This Form
Clear This Form
For your protection and privacy, please press the Clear This Form
button after you have printed the form.
Page 1 of 2
Form Approved for Optional Use
Judicial Council of California
FL-115 [Rev. January 1, 2021]
PROOF OF SERVICE OF SUMMONS
(Family Law—Uniform Parentage—Custody and Support)
Code of Civil Procedure, § 417.10
FL-115
PROOF OF SERVICE OF SUMMONS
FOR COURT USE ONLY
CASE NUMBER:
PARTY WITHOUT ATTORNEY or ATTORNEY STATE BAR NO.:
NAME:
FIRM NAME:
STREET ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
FAX NO.:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
BRANCH NAME:
CITY AND ZIP CODE:
STREET ADDRESS:
MAILING ADDRESS:
PETITIONER:
RESPONDENT:
1.
At the time of service I was at least 18 years of age and not a party to this action. I served the respondent with copies of:
a.
Family Law: Petition—Marriage/Domestic Partnership (form ), Summons (form ), and blank Response—
Marriage/Domestic Partnership (form )
–or–
b.
Uniform Parentage: Petition to Determine Parental Relationship (form ), Summons (form ), and blank
Response to Petition to Determine Parental Relationship (form )
–or–
c.
Custody and Support: Petition for Custody and Support of Minor Children (form ), Summons (form ), and
blank Response to Petition for Custody and Support of Minor Children (form )
and
d.
(1)
Completed and blank Declaration Under
Uniform Child Custody Jurisdiction and
Enforcement Act (UCCJEA) (form )
(2)
Completed and blank Declaration of
Disclosure (form )
(3)
Completed and blank Schedule of Assets
and Debts (form )
(4)
Completed and blank Income and
Expense Declaration (form )
(5)
Completed and blank Financial Statement
(Simplified) (form )
(6)
Completed and blank Property
Declaration (form )
(7)
Request for Order (form ), and blank
Responsive Declaration to Request for Order
(form )
(8)
2WKHUVSHFLI\
2.
Address where respondent was served:
3.
I served the respondent by the following means (check proper boxes):
a.
Personal service. I personally delivered the copies to the respondent (Code Civ. Proc., § 415.10)
on (date): at (time):
b.
Substituted service. I left the copies with or in the presence of
(name):
who is (specify title or relationship to respondent):
(1)
(Business) a person at least 18 years of age who was apparently in charge at the office or usual place of
business of the respondent. I informed the person of the general nature of the papers.
(2)
(Home) a competent member of the household (at least 18 years of age) at the home of the respondent. I
informed the person of the general nature of the papers.
on (date):
at (time):
I thereafter mailed additional copies (by first class, postage prepaid) to the respondent at the place where the
copies were left (Code Civ. Proc., § 415.20b) on
(date):
A declaration of diligence is attached, stating the actions taken to first attempt personal service.
www.courts.ca.
g
o
v
FL-100
FL-110
FL-120
FL-200
FL-210
FL-220
FL-210
FL-260
FL-270
FL-105
FL-140
FL-142
FL-150
FL-155
FL-160
FL-300
FL-320
FL-115 [Rev. January 1, 2021]
PROOF OF SERVICE OF SUMMONS
(Family Law—Uniform Parentage—Custody and Support)
Page 2 of 2
FL-115
RESPONDENT:
PETITIONER:
CASE NUMBER:
3.
c.
Mail and acknowledgment service. I mailed the copies to the respondent, addressed as shown in item 2, by
first-class mail, postage prepaid, on
(date):
from (city):
(2)
to an address outside California (by registered or certified mail with return receipt requested). (Attach signed
return receipt or other evidence of actual delivery to the respondent.) (Code Civ. Proc., §§ 415.40, 417.20.)
(1)
with two copies of the Notice and Acknowledgment of Receipt (form FL-117) and a postage-paid return
envelope addressed to me. (Attach completed Notice and Acknowledgment of Receipt (form ).)
(Code Civ. Proc., § 415.30.)
d.
Other
(specify code section):
Continued on Attachment 3d.
4.
Person who served papers
Name:
Address:
Telephone number:
This person is
a.
exempt from registration under Business and Professions Code section 22350(b).
b.
not a registered California process server.
c.
a registered California process server:
an employee or an independent contractor
(2) County:
(3)
The fee for service was (specify): $
(1)
Registration no.:
5.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
–or–
6.
I am a California sheriff, marshal, or constable, and I certify that the foregoing is true and correct.
Date:
(NAME OF PERSON WHO SERVED PAPERS)
(SIGNATURE OF PERSON WHO SERVED PAPERS)
FL-117
NOTICE
ALL OF THE FOLLOWING FORMS ARE LEFT
BLANK AND MUST BE SERVED
ON THE RESPONDENT
ALONG WITH A COPY OF THE DOCUMENTS
YOU HAVE FILED
G:\COMMON\Admin\Family Law\Packet Instructions & Forms\NOTICE.doc
HOW TO RESPOND TO AN ACTION TO
ESTABLISH PARENTAGE
1. COMPLETE THE FORMS
(Type or print in black ink)
Response to Petition to Establish a Parental Relationship
Declaration under the UCCJEA
Proof of Service
2. MAKE A COPY OF ALL FORMS AND HAVE THEM SERVED
The copy is to be “served” on the other party, the Petitioner.
Service means the
copy
must be mailed to the Petitioner by
someone over the age of 18 other than you. You cannot “serve”
it yourself.
3. HAVE THE PROOF OF SERVICE SIGNED
The person who mailed the copy to Petitioner must sign the Proof
of Service. Once the Proof of Service has been signed, make one
additional copy of all the forms.
4. FILE THE PAPERS
Take the original and one copy to the Clerk’s Office, in Ventura,
Room 208. You will have to pay a filing fee. The Fee Schedule
may be obtained from the Clerk. If you cannot afford the fee,
you may be able to have that fee “waived”. You will need to
complete the FEE WAIVER PACKET. The clerk will keep the
original and return the copy to you, stamped to show that it has
been “filed”. That copy is for your records.
THESE PAPERS ONLY BEGIN THE ACTION. THE RESPONSE
SHOWS THE COURT THAT YOU ARE A PARTICIPANT IN THE
ACTION. ADDITIONAL FORMS ARE NEEDED TO GET CUSTODY OR
SUPPORT ORDERS AND TO GET A FINAL JUDGMENT
G:\COMMON\Admin\Family Law\Packet Instructions & Forms\HOW TO RESPOND TO PARENTAGE.doc
lives in the state of California.
not the parent of the children listed in item 2 above.
is not a parent of the children in item 2.
was in California when the children listed in item 2 were conceived.
was not in California when the children listed in item 2 were conceived.
not certain if the respondent is the parent of the children listed in item 2 above.
Parentage has been established in another case governmental child support
c.
b.
a.
Public assistance is being provided to the children.
RESPONSE TO PETITION TO DETERMINE PARENTAL RELATIONSHIP
(Uniform Parentage)
RESPONSE TO PETITION TO DETERMINE PARENTAL RELATIONSHIP
FOR COURT USE ONLY
ATTORNEY FOR (name):
E-MAIL ADDRESS:
FAX NO.:TELEPHONE NO.:
ZIP CODE:STATE:CITY:
STREET ADDRESS:
FIRM NAME:
NAME:
PARTY WITHOUT ATTORNEY OR ATTORNEY
STATE BAR NUMBER:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
BRANCH NAME:
CITY AND ZIP CODE:
STREET ADDRESS:
MAILING ADDRESS:
PETITIONER:
RESPONDENT:
CASE NUMBER:
FL-220
Other
(specify):
The children
The respondent is
6.
7.
5.
4.
a.
b.
a.
b.
c.
d.
A completed Declaration Under Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) (form FL-105) is attached.
are children of a parent who is deceased, and proceedings for administration of the estate have been or could be started
in this county.
live or are found in this county.
the parent of the children listed in item 2 above.
Form Approved for Optional Use
Judicial Council of California
FL-220 [Rev. January 1, 2020]
Family Code, § 7630
www.courts.ca.gov
Page 1 of 2
Other (specify):
(specify):
Other
The respondent3.
b.
d.
e.
c. does not live in the state of California.
a.
b.
d.
c. is the child or the child's personal representative
a. is a parent of the children in item 2.
1. The petitioner
(specify court and date of appointment):
Other
(specify):
Additional statements
Parentage has been determined by a voluntary declaration of parentage or paternity. (Attach a copy if available.)
2.
a child who is not yet born.
Child's name
Birthdate Age
b.
The children are
a.
Respondent requests genetic testing to determine whether the
FL-220 [Rev. January 1, 2020]
Page 2 of 2
RESPONSE TO PETITION TO DETERMINE PARENTAL RELATIONSHIP
(Uniform Parentage)
Date:
RESPONDENT:
PETITIONER:
CASE NUMBER:
FL-220
(TYPE OR PRINT NAME)
CHILD CUSTODY AND VISITATION (PARENTING TIME)
PARENT-CHILD RELATIONSHIP (check all that apply):
8.
9.
is the parent of the children listed in item 2.
CHILD SUPPORT
The court may make orders for support of the children and issue an earnings assignment without further notice to either party.
14.
REASONABLE EXPENSES OF PREGNANCY AND BIRTH:
10.
NAME CHANGE
OTHER ORDERS REQUESTED (specify):
12.
FEES AND COSTS OF LITIGATION
11.
a.
b.
Attorney fees to be paid by
Expert fees, guardian ad litem fees, and other costs
of the action or pretrial proceedings to be paid by
I have read the restraining order on the back of the Summons (FL-210) and I understand it applies to me.
13.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Petitioner
Respondent Joint
Petitioner
Respondent Joint
Reasonable expenses of pregnancy
and birth to be paid by
as follows:
a.
Petitioner
Respondent
children listed in item 2.
c. Petitioner
Respondent
is not the parent of the children listed in item 2.
b.
Petitioner
Respondent
Children's names be changed, according to Family Code section 7638, as follows (specify old and new names):
(SIGNATURE OF RESPONDENT)
NOTICE: If you have a child from this relationship, the court is required to order child support based upon the income of
both parents. Support normally continues until the child is 18. You should supply the court with information about your
finances. Otherwise, the child support order will be based upon information supplied by the other parent. Any party
required to pay child support must pay interest on overdue amounts at the "legal" rate, which is currently 10 percent.
The respondent asks that the court make the determinations listed below.
is the parent of the
The facts in support of the requested custody and visitation (parenting time) orders are
d.
Contained in the attached declaration.
(specify):
Legal custody of children to
.........................................................
....................................................
Physical custody of children to
Child visitation (parenting time) be granted to
.............................
As requested in
Petitioner Respondent Joint Other
b.
c.
a.
IRUP)/ IRUP)/ IRUP)/&
IRUP)/' IRUP)/( Attachment 6c(1)
American LegalNet, Inc.
www.FormsWorkflow.com
Person child lived with (name and complete current address)
Person child lived with (name and complete current address)
Person child lived with (name and complete current address)
Person child lived with (name and complete current address)
Person child lived with (name and complete current address)
Person child lived with (name and complete current address)
Person child lived with (name and complete current address)
Person child lived with (name and complete current address)
Additional children are listed on form FL-105(A)/GC-120(A). (Provide all requested information for additional children.)
FL-105/GC-120
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
CASE NUMBER:
DECLARATION UNDER UNIFORM CHILD CUSTODY
JURISDICTION AND ENFORCEMENT ACT (UCCJEA)
1. I am a party to this proceeding to determine custody of a child.
2. My present address and the present address of each child residing with me is confidential under Family Code section 3429 as
I have indicated in item 3.
3. There are (specify number):
(Insert the information requested below. The residence information must be given for the last FIVE years.)
a. Child’s name
Place of birth Date of birth Sex
Period of residence
Address
Relationship
Confidentialto present
to
to
to
b. Child’s name
Place of birth Date of birth Sex
Residence information is the same as given above for child a.
(If NOT the same, provide the information below.)
Period of residence
Address
Relationship
Confidential
to present
to
to
to
Additional residence information for a child listed in item a or b is continued on attachment 3c.
c.
Page 1 of 2
Family Code, § 3400 et seq.; Form Adopted for Mandatory Use
Judicial Council of California
FL-105/GC-120 [Rev. January 1, 2009]
DECLARATION UNDER UNIFORM CHILD CUSTODY
JURISDICTION AND ENFORCEMENT ACT (UCCJEA)
Probate Code, §§ 1510(f), 1512
minor children who are subject to this proceeding, as follows:
www.courtinfo.ca.gov
TELEPHONE NO.:
FAX NO. (Optional):
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
PETITIONER:
RESPONDENT:
GUARDIANSHIP OF (Name):
Minor
OTHER PARTY:
Child's residence (City, State)
Child's residence (City, State)
Child's residence (City, State)
d.
Child's residence (City, State)
Child's residence (City, State)
Child's residence (City, State)
(This section applies only to family law cases.)
(This section apples only to guardianship cases.)
Confidential
Confidential
To keep other people from
seeing what you entered on
your form, please press the
Clear This Form button at the
end of the form when finished.
Juvenile Delinquency/
Juvenile Dependency
and provide the following information):
5. One or more domestic violence restraining/protective orders are now in effect. (Attach a copy of the orders if you have one
a. Criminal
b. Family
d. Other
Court State Case number (if known) County Orders expire (date)
Court
(name, state, location)
Court order
or judgment
(date)
Case status
b. Guardianship
c. Other
Name of each child
a. Family
Case number
Court (name, state, location)
e. Adoption
Juvenile Delinquency/
Juvenile Dependency
Case Number
Your
connection to
the case
CASE NUMBER:
SHORT TITLE:
Do you have information about, or have you participated as a party or as a witness or in some other capacity in, another court case
or custody or visitation proceeding, in California or elsewhere, concerning a child subject to this proceeding?
Yes
(If yes, attach a copy of the orders (if you have one) and provide the following information):
Do you know of any person who is not a party to this proceeding who has physical custody or claims to have custody of or
visitation rights with any child in this case?
(If yes, provide the following information):Yes
a. Name and address of person
b. Name and address of person
c. Name and address of person
Has physical custody
Has physical custody
Has physical custody
Claims custody rights
Claims custody rights
Claims custody rights
Claims visitation rights
Claims visitation rights
Claims visitation rights
Name of each child Name of each child Name of each child
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT)
7. Number of pages attached:
NOTICE TO DECLARANT: You have a continuing duty to inform this court if you obtain any information about a custody
FL-105/GC-120 [Rev. January 1, 2009]
Page 2 of 2
DECLARATION UNDER UNIFORM CHILD CUSTODY
JURISDICTION AND ENFORCEMENT ACT (UCCJEA)
4.
6.
No
proceeding in a California court or any other court concerning a child subject to this proceeding.
No
FL-105/GC-120
Proceeding
Proceeding
c.
d.
Print This Form
Clear This Form
For your protection and privacy, please press the Clear This Form
button after you have printed the form.
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address) Telephone Number
ATTORNEY FOR (Name):
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF VENTURA
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
SHORT TITLE OF CASE:
PROOF OF SERVICE
CASE NUMBER:
1. At the time of service, I was at least 18 years of age and not a party to this action.
2. I served the following documents:
Summons
Petition
Responsive Declaration to Requesf for Order
Income & Expense Declaration
Response Order After Hearing
Complaint Blank Response
Answer Blank Answer
UCCJEA Declaration Blank Responsive Declaration
Notice of Motion Blank Income and Expense Declaration
Request for Order OTHER _______________________________________
Temporary Restraining Order
______________________________________________
Mediation/Orientation Appointment
______________________________________________
Fact Sheet
3. Party served:
4. Address:
5. Method of service:
Personal service: By personal delivery to the person identified in paragraph 3.
Date of Service:
Time of Service:
By Mail: By mailing copies to the person identified in paragraph 3, with postage fully prepaid, by
first class mail as follows:
Date of Mailing:
Place of Deposit:
With two copies of the Notice and Acknowledgment of Receipt and stamped return envelope
addressed to me. (Attach signed Notice & Acknowledgment of Receipt)
To an address outside of California with return receipt requested (Attach Returned Receipt)
PROOF OF SERVICE
VN120
Optional Form
VN120 (Rev. 07/13)
Page 1 of 2
6. Person Serving (name, address and telephone number):
7. Person serving, additional information
Fee for service
Not a registered California process server.
Exempt from registration under B & P section 22350(b)
Registered California process server:
Employee or independent contractor
Registration Number:
County of Registration:
I declare under the penalty of perjury and pursuant to the laws of the State of California that the
foregoing is true and correct. Executed on _________________ at ____________________________.
_________________________________________
Signature of Declarant
I am a California sheriff, marshall or constable, and I certify that the foregoing is true and correct.
Executed on ___________________ at ___________________________________________________.
_________________________________________
Signature
PROOF OF SERVICE
PROOF OF SERVICE
VN120
Page 2 of 2
Optional Form
VN120 (Rev. 07/13)
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address) Telephone Number
E-MAIL ADDRESS
ATTORNEY FOR (Name):
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF VENTURA
800 SOUTH VICTORIA AVE. VENTURA, CA 93009
3855 – F ALAMO ST. SIMI VALLEY, CA 93063-2110
PETITIONER:
RESPONDENT:
CONSENT FOR COURT ASSIGNMENT
(FAMILY LAW)
CASE NUMBER:
The undersigned hereby consents that the cause titled and numbered above may be tried by ____________________,
Court Commissioner of the Ventura County Superior Court, as temporary judge, in accordance with Article 6, Section 21
of the Constitution of the State of California.
It is understood by the undersigned that by order of the Presiding Judge of the Ventura County Superior Court,
Commissioner ______________________ has been appointed to act as temporary judge to try the above referenced
case, hear and decide all motions and make any orders including sentencing connected with this case. It is understood
that Commissioner JoAnn Johnson, has been appointed to try the case referred to, and has taken the necessary oath of
office to try the case as temporary judge.
Dated: _____________________ Signature of litigant or attorney
___________________________________
___________________________________
___________________________________
___________________________________
VN189
CONSENT FOR COURT ASSIGNMENT
(FAMILY LAW)
Mandatory Form
VN189 (Rev. 07/12)