Fillable SB-11292 Attorney or Party Without An Attorney (Name, State Bar No

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SB-11292 Attorney or Party Without An Attorney (Name, State Bar No

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_______________________________________________________________________
SB-11292 Petition for Family Visitation Page 1 of 2
03/12/13 rev. optional use Family Code, Section 3102
Attorney or Party Without An Attorney (Name, State Bar No. & Address)
Telephone No.
Attorney for:
For Court Use Only
Superior Court of California, County of San Bernardino
Petitioner:
Respondent:
PETITION FOR FAMILY VISITATION
CASE NUMBER
1. Parent ____________________________ of the below-listed minor child(ren) is deceased. Petitioner is related to the
deceased parent as follows:
child of deceased parent sibling of deceased parent grandparent of deceased parent
Name of Child
Birthdate
Identify Person Living With
& County of Residence
Other Parent’s Name
2. Describe the relationship and the bonding between each child and the petitioner(s). Explain the reason why family
visitation is in the best interest of each child: See attachment
_______________________________________________________________________
SB-11292 Petition for Family Visitation Page 2 of 2
03/12/13 rev. optional use Family Code, Section 3102
3. Describe the duration and frequency of visitation that is being requested: See attachment
4. 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.
5. Petitioner(s) request 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 3102. A Request for Order is being concurrently
filed in order to request a hearing date on the request for visitation.
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)
Petitioner:
Respondent:
Case Number
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SB-11292 Attorney or Party Without An Attorney (Name, State Bar No

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Completed 3 July 2020

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