Appellant (name):
Name, address, and phone number of person to be contacted (if different from appellant):
4. Items 5 through 7 on the reverse are
Form Approved for Optional Use
Judicial Council of California
JV-800 [Rev. Jan 1, 2016]
2. This appeal is filed by
Page 1 of 2
Cal. Rules of Court, rule 8.400, 8.401, 8.405, 8.406
www.courts.ca.gov
NOTICE OF APPEAL—JUVENILE
3.
the superior court.
Address:
Phone number:
JV-800
TELEPHONE NO.: FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
BRANCH NAME:
CITY AND ZIP CODE:
STREET ADDRESS:
MAILING ADDRESS:
CHILD'S NAME:
FOR COURT USE ONLY
CASE NUMBER:
NOTICE OF APPEAL—JUVENILE
ATTORNEY OR PARTY WITHOUT ATTORNEY:
STATE: ZIP CODE:CITY:
STREET ADDRESS:
FIRM NAME:
NAME:
STATE BAR NO.:
NOTICE
You or your attorney must fill in items 1 and 2 and sign this form at the bottom of the page. If possible, to help
process your appeal, fill in items 4–6 on the reverse of this form.
Rule 8.406 says that to appeal from an order or judgment, you must file a written notice of appeal within 60
days after rendition of the judgment or the making of the order being appealed or, in matters heard by a
referee, within 60 days after the order of the referee becomes final.
You are advised that if you wish to file an appeal of the order for transfer to a tribal court, you (1) may ask the
juvenile court to stay (delay the effective date of) the transfer order and (2) must file the appeal before the
transfer to tribal jurisdiction is finalized. Read rule 5.483 and the advisory committee comment.
a.
b.
c.
d.
I request that the court appoint an attorney on appeal.
was was not
SIGNATURE OF
Date:
TYPE OR PRINT NAME
APPELLANT
ATTORNEY
completed
not completed.
I
represented by an appointed attorney in
1. I appeal from the findings and orders of the court (specify date of order or describe order):
5. Appellant is the
f.a.
g.
b.
h.
c.
i.
d.
7. The order appealed from was made under Welfare and Institutions Code (check all that apply):
b.
Dates of hearing (specify):
c.
e.
f.
g.
h.
JV-800 [Rev. Jan 1, 2016]
d.
Page 2 of 2
6. This notice of appeal pertains to the following child or children (specify number of children included):
a.
b.
c.
d.
NOTICE OF APPEAL—JUVENILE
Name of child:
Child's date of birth:
Name of child:
Child's date of birth:
Name of child:
Child's date of birth:
Name of child:
Child's date of birth:
Other appealable orders relating to dependency (specify):
Other appealable orders relating to wardship (specify):
JV-800
CASE NUMBER:
CHILD'S NAME:
child
mother
father
guardian
e.
de facto parent
county welfare department
district attorney
child's tribe
other (state relationship to child or interest in the case):
Continued in Attachment 5.
Section 360 (declaration of dependency)
Removal of custody from parent or guardian
Other orders
with review of section 300 jurisdictional findings
a.
Section 305.5 (transfer to tribal court)
Granting transfer to tribal court
Section 366.26 (selection and implementation of permanent plan in which a petition for extraordinary writ review that
substantively addressed the specific issues to be challenged was timely filed and summarily denied or otherwise not
decided on the merits)
Termination of parental rights
Appointment of guardian
Planned permanent living arrangement
Dates of hearing (specify):
Section 366.28 (order designating a specific placement after termination of parental rights in which a petition for
extraordinary writ review that substantively addressed the specific issues to be challenged was timely filed and summarily
denied or otherwise not decided on the merits)
Dates of hearing (specify):
Dates of hearing (specify):
Section 725 (declaration of wardship and other orders)
with review of section 601 jurisdictional findings
with review of section 602 jurisdictional findings
Dates of hearing (specify):
Dates of hearing (specify):
Other (specify):
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