ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
TELEPHONE NO.: FAX NO.:
EMAIL ADDRESS:
ATTORNEY FOR (Name):
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
IN THE MATTER OF THE PETITION OF:
DECLARATION AND ORDER DISPENSING WITH NOTICE TO ALLEGED
FATHER
CASE NUMBER:
Name of Natural Father or indicate unknown: _____________________________________________________________
Address of Natural Father or indicate unknown: ___________________________________________________________
__________________________________________________________________________________________________
Declaration of Efforts to Locate
I/We have made the following attempts to locate:
I/We have made inquiries as to the alleged natural father’s whereabouts from the natural mother. The details of my/our inquiry
are: ________________________________________________________________________________________________________
I/We checked the telephone directories for listings. The details of my/our attempts are: ________________________________
____________________________________________________________________________________________________________
I/We have checked directory assistance. The details of my/our attempts are: __________________________________________
____________________________________________________________________________________________________________
I/We have checked last known residence address. The details of my/our attempts are: _________________________________
____________________________________________________________________________________________________________
I/We have checked voter registration records. The details of my attempts are: ________________________________________
____________________________________________________________________________________________________________
Other efforts: _____________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
13-21905-360 DECLARATION AND ORDER DISPENSING WITH Family Code 7666
Revised 8/10/2016 NOTICE TO ALLEGED FATHER Page 1 of 2
IN THE MATTER OF THE PETITION OF:
CASE NUMBER:
REQUEST:
Despite my/our efforts, I/we have not been able to find the alleged natural father and therefore ask that the Court
dispense with notice to this person and/or unknown natural father.
I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT THE FOREGOING IS
TRUE AND CORRECT.
Date: ___________________________ _____________________________________________
(Signature)
Date: ___________________________ _____________________________________________
(Signature)
ORDER OF THE COURT
It is the order of the Court that notice to the alleged natural father (named above) or unknown natural father
is dispensed with.
Date: ___________________ __________________________________________
Judge/Commissioner of Superior Court
13-21905-360 DECLARATION AND ORDER DISPENSING WITH Page 2 of 2
Revised 8/10/2016 NOTICE TO ALLEGED FATHER
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