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.
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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