PETITION TO ESTABLISH PARENTAL RELATIONSHIP
Petitioner requests the court to make the determinations indicated below.
CHILD CUSTODY AND VISITATION
FL-200 [Rev. January 1, 2003]
Page 2 of 2
is the parent of the children listed in item 2.
Legal custody of children to
Physical custody of children to
Petitioner Respondent OtherJoint
Visitation of children:
Facts in support of the requested custody and visitation orders are (specify):
Visitation with the following restrictions (specify):
Contained in the attached declaration.
I request mediation to work out a parenting plan.
The court may make orders for support of the children and issue an earnings assignment without further notice to either party.
REASONABLE EXPENSES OF PREGNANCY AND BIRTH:
Children's names be changed, according to Family Code section 7638, as follows (specify):
FEES AND COSTS OF LITIGATION
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.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
(SIGNATURE OF PETITIONER)(TYPE OR PRINT NAME)
A blank Response to Petition to Establish 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
Reasonable expenses of pregnancy
and birth be paid by
Respondent should have the right to visit the children as follows:
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