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SB-11290 Petition for Grandparent Visitation Page 2 of 2
03/12/13 rev. optional use Family Code, Sections 3100 through 3104
Personal Service is required except when this Petition is filed in a dissolution, nullity, legal separation or exclusive custody
case. That type of filing requires service by certified mail, return receipt to the last known address of the parents, stepparent,
or person with physical custody of the child. (See Family Code §3104subsection (c), §3103subsection (c).)
are currently married or have a registered domestic partnership and one of the parents joins in this petition with
the grandparent, as shown by the signature of the parent below.
are currently married or have a registered domestic partnership and the child(ren) is not residing with either
parent.
are currently married or have a registered domestic partnership and the child(ren) has been adopted by a
stepparent.
4. Describe the relationship and the bonding between each child and the petitioner(s). Explain the reason why grandparent
visitation is in the best interest of each child: See attachment
5. Describe the duration and frequency of visitation that is being requested: See attachment
6. A completed Declaration under the Uniform Child Custody Jurisdiction and Enforcement Act (Form FL-105) is attached,
as there is no existing Family Law Case and this Petition shall start a new matter.
7. Petitioner(s) requests that the court grant reasonable visitation with the above-named child(ren), and such other relief as the
court may deem appropriate, pursuant to Family Code Section 3100 through 3104. A Request for Order is concurrently
filed with this Petition in order to request a hearing date.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
__________________________________________ ____________________________________
(Type or Print Name Here) (Sign Name Here)
__________________________________________ ____________________________________
(Type or Print Name Here) (Sign Name Here)
PARENT’S CONSENT to Petition for Grandparent Visitation
Mother Father hereby consents to and joins in this Petition for Grandparent Visitation.
Date:
__________________________________________ ____________________________________
(Type or Print Name Here) (Sign Name Here)
NOTICE: The Court shall balance the interests of the child in having grandparent visits against the rights of the parents.
In the following circumstances, a rebuttable presumption against best interests/visitation is created:
1. If the parents agree that visitation is not in the best interests of the child.
2. If the parent awarded sole legal and physical custody (or the parent with whom the child resides if no custody order) objects.
