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.
form FL-311 form FL-312 form FL-341(C)
form FL-341(D) form FL-341(E) Attachment 6c(1)
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