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SB-13546fillable SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO

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CONFIDENTIAL
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO
REFERRAL FOR CII/CARPOS/ICMS REPORT
(Family Law)
Form A
This form is required with any filing where Child Custody and Visitation Orders are at issue and in all Domestic Violence
Restraining Order Request.
SB-13546 (Rev. 01/18/13)
Case Number
Date Referred
Department Referring
Date Report Due
Report to Department
Petitioner Name:
Respondent Name:
Petitioner: (Please mark one)
Male Female
Respondent: (please mark one)
Male Female
Petitioner AKAs, if any:
Respondent AKAs, if any:
Petitioner Date of Birth:
Respondent Date of Birth:
Petitioner SSN:
Respondent SSN:
COURT ORDER:
■ This matter is referred to Family Law Processing for a CARPOS (CLETS) history
report and a Criminal History Inquiry (CII) pursuant to Family Code 6306 and/or
California Rule of Court 5.445.
■ This matter is referred to Family Law Processing for a search of the Superior
Court of California, County of San Bernardino Integrated Case Management
System for a history report regarding existing custody and visitation orders
pursuant to CRC 5.445.
Notes:
ڤ Special Order
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Completed 3 July 2020

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