OTHER ORDERS REQUESTED
Petitioner requests genetic testing to determine whether the
The facts in support of the requested custody and visitation (parenting time) orders are
FL-200 [Rev. January 1, 2020]
Page 2 of 2
PETITION TO DETERMINE PARENTAL RELATIONSHIP
(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):
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
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
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
(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.
Reasonable expenses of pregnancy
and birth to be paid by
children listed in item 2.
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.
is the parent of the
Legal custody of children to
Physical custody of children to
Child visitation (parenting time) be granted to
As requested in
Petitioner Respondent Joint Other
form FL-311 form FL-312 form FL-341(C)
form FL-341(D) form FL-341(E) Attachment 6c(1)
For your protection and privacy, please press the Clear
This Form button after you have printed the form.