STARTING THE CASE – PACKET #1
NOTICE: THESE FORMS ONLY START YOUR CASE. YOU MUST TAKE MORE
STEPS TO BE DIVORCED OR LEGALLY SEPARATED.
1. FILE: The completed forms and 2 copies at the Clerk’s office.
2. SERVE: Have a copy and BLANK
RESPONSE served personally on the RESPONDENT.
3. WAIT: 30 DAYS from date of Service
4. COMPLETE: The Preliminary Declaration of Disclosure (Packet #2)
5. SUBMIT: Your FINAL JUDGMENT to finish up your case. You must fill out and file these
judgment papers to receive your divorce. (Packet #3)
YOU MAY RECEIVE ASSISTANCE AT THE LOCATIONS ON THE BACK OF THE FORM
RECOMMENDED: Attend the INITIAL DISSOLUTION WORKSHOP on
THURSDAYS, 8:30 A.M., at the FAMILY LAW SELF HELP CENTER in the Ventura
Courthouse or TUESDAYS at 8:30 A.M. in Simi to understand the legal process for
obtaining a Divorce or Separation.
En Español:
AVISO: Estas formas solamente comienzan su caso. Es necesario de completar y
archivar mas formas para finalizar su divorcio o separación legal.
1. Archivar: Llene y complete sus formas y haga 2 copias y archive en el Tribunal (Packet #1)
2. Entregar: Efectuar la entrega legal de una copia al Demandado (Respondent). Cualquier
persona mayor de la edad de 18 años puede entregarle la demanda al Demandado. Usted no
puede hacerlo. Archivar el “Proof of Service” con el tribunal.
3. Esperar: 30 días después del día que se le entrego la demanda al Demandado.
4. Completar: Documents titulados ‘Preliminary Declaration of Disclosure - Packet #2
5. Resolver: Completar documentos titulados “Final Judgment – Packet #3” para poder
finalizar su accion. Si no llena y archiva estos documentos SU DIVORICIO NO ESTA FINALIZADO.
PUEDE RECIBIR ASISTENCIA EN LOS LOCALES DETRÁS DE ESTA FORMA
Recomendamos: Atender a la clase todos los miércoles a las 9:00 a.m. en el
Tribunal Juvenil localizado en 4353 Vineyard Ave. Room 206, Oxnard, CA 93036 para
poder entender la ley sobre el divoricio y el proceso legal.
You may obtain assistance at the following locations:
Usted puede recibir ayuda en los siguiente lugares:
Family Law Workshops:
Tuesdays in East County Courthouse /Thursdays in Ventura Main Courthouse:
Step 1 Starting your case ……………...8:30 -10:15
Order to Show Cause ……….. 10:30 - noon
Step 2 Disclosures........................1:30 2:30
Step 3 Final Judgment …………………..2:30 – 4:30
[Las clases que se ofrecen los jueves son solamente en inglés]
In Ventura:
Family Law Facilitator/ Self Help Tues/Weds/Fri:
Superior Court Hall of Justice Martes/Miércoles/Viernes:
Edificio del Tribunal Superior 8:00- noon and 1:30-4:00
800 South Victoria Ave. Room 30 (Limit 40 people per day /Limite 40 personas)
Ventura Monday document review 1:30-4:30
In Simi Valley:
Family Law Facilitator/ Self Help Thursdays/ Jueves:
East County Courthouse 8:00- noon and 1:30-4:00
Edificio del Tribunal Superior (Limit 35 people per day /Limite 35 personas)
3855-F Alamo Street, upstairs
Simi Valley Monday document review 1:30-4:30
In Oxnard (La Colonia):
Family Law Facilitator/ Self Help Tuesdays/ Martes:
Oxnard Center 8:30 - noon and 1:30 -4:30
1500 Colonia Road #20 (Limit 25 people per day)
Oxnard (Limite 25 personas por día)
Thursdays by appointment only Call 805-483-4842
Jueves solamente con cita Llame 805- 483-4842
In Santa Paula:
Mobile Self Help / Centro Movil Mondays / Lunes
Job & Career Center /Centro Laboral 1:30 – 4:30
725 E. Main Street
Santa Paula
In Oxnard (Juvenile Courthouse):
Family Resource Center: Mondays / Lunes
4353 Vineyard Ave Room 206 1:00 – 4:00
Oxnard (El Río) Tues / Thurs Martes y Jueves
9:00 – 4:00
Attorney assistance is not available except during workshops, see schedule below.
Ayuda de Abogado solamente estará disponible durante las clases, revise el horario.
Workshops at Juvenile Courthouse Start at 9:00 Am / Comienzan a las 9:00 A.m.
Domestic Violence Restraining Orders / Orden de Restricción………………………Monday / Lunes
Starting a Divorce / Legal Separation / Comenzar Divorcio /Sep. Legal……..Weds / Miércoles
[This workshop is in Spanish only – Esta clase es en español solamente]
Guardianship Orientation / Orientación de Tutela …………………… ……………… Friday / Viernes
Classes are in English and Spanish (except Weds class) and start at 9:00 a.m. You will receive
instructions and forms at the workshop. Bring a black pen and information about any case you already
have on file. Clases son en español e inglés y comienzan a las 9:00. Usted recibirá instrucciones y
formas durante la clase. Traiga una pluma, tinta negra y cual quiere información que tenga en su caso
(ejemplo: #de caso, documentos archivados etc.)
PI.06
Rev 1/09
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address) Telephone Number
E-MAIL ADDRESS
ATTORNEY FOR (Name):
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF VENTURA
800 SOUTH VICTORIA AVE. VENTURA, CA 93009
3855 – F ALAMO ST. SIMI VALLEY, CA 93063-2110
PETITIONER:
RESPONDENT:
CONSENT FOR COURT ASSIGNMENT
(FAMILY LAW)
CASE NUMBER:
The undersigned hereby consents that the cause titled and numbered above may be tried by ____________________,
Court Commissioner of the Ventura County Superior Court, as temporary judge, in accordance with Article 6, Section 21
of the Constitution of the State of California.
It is understood by the undersigned that by order of the Presiding Judge of the Ventura County Superior Court,
Commissioner ______________________ has been appointed to act as temporary judge to try the above referenced
case, hear and decide all motions and make any orders including sentencing connected with this case. It is understood
that Commissioner JoAnn Johnson, has been appointed to try the case referred to, and has taken the necessary oath of
office to try the case as temporary judge.
Dated: _____________________ Signature of litigant or attorney
___________________________________
___________________________________
___________________________________
___________________________________
VN189
CONSENT FOR COURT ASSIGNMENT
(FAMILY LAW)
Mandatory Form
VN189 (Rev. 07/12)
FL-103
FOR COURT USE ONLYATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
TELEPHONE NO. : FAX NO. (Optional):
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
DOMESTIC PARTNERSHIP OF
PETITIONER:
RESPONDENT:
CASE NUMBER:
STATISTICAL FACTS
Time from date of registration of domestic partnership to date of separation (specify):
Registration date of domestic partnership with the California Secretary of State or other state equivalent:
Years Months
DECLARATION REGARDING MINOR CHILDREN (include children of this relationship born or adopted prior to or during this
domestic partnership or marriage)
There are no minor children.
The minor children are
Child’s
name Birthdate SexAge
Continued on Attachment 3b.
If there are minor children of the petitioner and respondent, a completed Declaration Under Uniform Child Custody Jurisdiction
and Enforcement Act (UCCJEA) (form FL-105) must be attached.
Page 1 of 2
Form Adopted for Mandatory Use
Judicial Council of California
FL-103 [Rev. January 1, 2013]
PETITION—DOMESTIC PARTNERSHIP/MARRIAGE
Family Code, §§ 297, 299, 2320, 2330
(Family Law)
www.courts.ca.gov
1.
(1)
(2)
Date of separation:
3.
b.
a.
c.
Our domestic partnership was established in California. Neither of us has to be a resident or have a domicile in California
to dissolve our partnership here.
a.
RESIDENCE (check all that apply)
2.
county for at least three months immediately preceding the filing of this Petition.
a.
Date of marriage:
(1)
(3)
Time from date of marriage to date of separation (specify):
b.
Years Months
We are the same sex and are married.
c.
We are the same sex and were married in California but are not residents of California. Neither of us lives in a state or
nation that will dissolve the marriage. This case is filed in the county in which we married.
Petitioner's residence (state or nation): Respondent's residence (state or nation):
d.
NOTICE: You may redact (black out) social security numbers from any written material filed with the court in this case
other than a form used to collect child or partner support.
MARRIAGE OF
(2)
Date of separation:
(3)
been a resident of the state of California for at least six months and of this county for at least three months immediately
preceding the filing of this Petition.
b.
Our domestic partnership was established in a place other than California.
Petitioner
Respondent has
Respondent has been a resident of the state of California for at least six months and of this
We are the opposite sex and are married. We are also domestic partners.
Petitioner
PETITION FOR
Dissolution of
Legal Separation of
AMENDED
Nullity of
Marriage
Marriage
Marriage
Domestic Partnership
Domestic Partnership
Domestic Partnership
NOTICE: If petitioner and respondent are of the same sex, use this form. If petitioner and respondent are of the opposite
sex and are not also domestic partners, use form FL-100.
To keep other people from
seeing what you entered on
your form, please press the
Clear This Form button at the
end of the form when finished.
Determination of parentage of any children born to the petitioner and respondent prior to the domestic partnership or
marriage.
incest. (Fam. Code, § 2200.) bigamy. (Fam. Code, § 2201.)
Petitioner:
CASE NUMBER:
DECLARATION REGARDING COMMUNITY AND QUASI-COMMUNITY ASSETS AND DEBTS AS CURRENTLY KNOWN
There are no such assets or debts subject to disposition by the court in this proceeding.
a.
Petitioner requests
dissolution of the domestic partnership marriage based on
nullity of voidable domestic partnership marriage based on
a.
d.
petitioner’s age at time of registration of domestic
partnership or marriage. (Fam. Code, § 2210(a).)
(1)
irreconcilable differences. (Fam. Code, § 2310(a).) incurable insanity. (Fam. Code, § 2310(b).)
(2)
prior existing marriage or domestic partnership.
(Fam. Code, § 2210(b).)
(2)
legal separation of the domestic partnership marriage based on
b.
irreconcilable differences. (Fam. Code, § 2310(a).) incurable insanity. (Fam. Code, § 2310(b).)
(1)
(2)
(3)
unsound mind. (Fam. Code, § 2210(c).)
(4)
c.
(5)
force. (Fam. Code, § 2210(e).)
physical incapacity. (Fam. Code, § 2210(f).)
(6)
Petitioner requests that the court grant the above relief and make injunctive (including restraining) and other orders as follows:
Other
Physical custody of children to
c.
f.
Partner or spousal support payable to
Continued on Attachment 7j.
Child support: If there are minor children who were born to or adopted by the petitioner and respondent before or during this
domestic partnership or marriage, the court will make orders for the support of the children on request and submission of financial
forms by the requesting party. An earnings assignment may be issued without further notice. Any party required to pay support
must pay interest on overdue amounts at the legal rate, which is currently 10 percent.
I HAVE READ THE RESTRAINING ORDERS ON THE BACK OF THE SUMMONS, AND I UNDERSTAND THAT THEY APPLY
TO ME WHEN THIS PETITION IS FILED.
FL-103 [Rev. January 1, 2013]
Page 2 of 2
5.
6.
(1)
fraud. (Fam. Code, § 2210(d).)
nullity of void domestic partnership marriage based on
(1)
(2)
Joint Petitioner Respondent
7.
a.
b.
Legal custody of children to
Child visitation granted to
Attorney fees and costs payable bye.
8.
9.
PETITION—DOMESTIC PARTNERSHIP/MARRIAGE
(Family Law)
.......................................................................................
...............................................................................
....................................................................
........................................................................
d.
Terminate the courts jurisdiction (ability) to award partner or spousal support to respondent.
Determine property rights.
Restore petitioner’s former name (specify):
Other (specify):
b.
....................................................................................
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(SIGNATURE OF PETITIONER)
(TYPE OR PRINT NAME)
Date:
(TYPE OR PRINT NAME) (SIGNATURE OF ATTORNEY FOR PETITIONER)
NOTICE: Dissolution or legal separation may automatically cancel the rights of a domestic partner or spouse under the other
domestic partners or spouses will, trust, retirement plan, power of attorney, pay-on-death bank account, survivorship rights to any
property owned in joint tenancy, and any other similar thing. It does not automatically cancel the right of a domestic partner or
spouse as beneficiary of the other partners or spouses life insurance policy. You should review these matters, as well as any credit
cards, other credit accounts, insurance polices, retirement plans, and credit reports, to determine whether they should be changed
or whether you should take any other actions. However, some changes may require the agreement of your partner or spouse or a
court order (see Fam. Code, §§ 231–235).
FL-103
Respondent:
All such assets and debts are listed in Property Declaration (form FL-160)
Attachment 5b
As requested in form: FL-311 FL-312 FL-341(C) FL-341(D) FL-341(E) Attachment 7c.
and should be divided between petitioner and respondent as indicated in form FL-160 or Attachment 5b.
4.
DECLARATION REGARDING SEPARATE PROPERTY AS CURRENTLY KNOWN
There are no such assets or debts subject to disposition by the court in this proceeding.
a.
b.
All such assets and debts listed are listed in Property Declaration (form FL-160)
Attachment 4b
and should be confirmed as petitioner's or respondent's separate property as indicated in form FL-160 or Attachment 4b.
g.
h.
i.
j.
For your protection and privacy, please press the Clear This Form
button after you have printed the form.
Save This Form
Print This Form
Clear This Form
You have been sued. Read the information below and on the next page.
Lo han demandado. Lea la información a continuación y en la página siguiente.
EXENCIÓN DE CUOTAS: Si no puede pagar la cuota de
presentación, pida al secretario un formulario de exención de
cuotas. La corte puede ordenar que usted pague, ya sea en
parte o por completo, las cuotas y costos de la corte previamente
exentos a petición de usted o de la otra parte.
FL-110
SUMMONS (Family Law)
FOR COURT USE ONLY
(SOLO PARA USO DE LA CORTE)
CASE NUMBER (NÚMERO DE CASO):
You have 30 calendar days after this Summons and
Petition are served on you to file a Response (form
FL-120 or FL-123) at the court and have a copy
served on the petitioner. A letter, phone call, or court
appearance will not protect you.
If you do not file your Response on time, the court
may make orders affecting your marriage or domestic
partnership, your property, and custody of your
children. You may be ordered to pay support and
attorney fees and costs.
For legal advice, contact a lawyer immediately. Get
help finding a lawyer at the California Courts Online
Self-Help Center (www.courts.ca.gov/selfhelp), at the
California Legal Services website (www.lawhelpca.org),
or by contacting your local county bar association.
NOTICE—RESTRAINING ORDERS ARE ON PAGE 2:
These restraining orders are effective against both
spouses or domestic partners until the petition is
dismissed, a judgment is entered, or the court makes
further orders. They are enforceable anywhere in
California by any law enforcement officer who has
received or seen a copy of them.
The name and address of the court are (El nombre y dirección de la corte son):
Date (Fecha):
, Deputy (Asistente)
Form Adopted for Mandatory Use
Judicial Council of California
FL-110 [Rev. January 1, 2014]
SUMMONS
(Family Law)
Family Code, §§ 232, 233, 2024.7, 2040, 7700;
Code of Civil Procedure, §§ 412.20, 416.60–416.90
www.courts.ca.gov
Page 1 of 2
Clerk , by (Secretario, por)
CITACIÓN (Derecho familiar)
Tiene 30 días de calendario después de haber recibido la
entrega legal de esta Citación y Petición para presentar una
Respuesta (formulario FL-120 o FL-123) ante la corte y efectuar
la entrega legal de una copia al demandante. Una carta o
llamada telefónica o una audiencia de la corte no basta para
protegerlo.
Si no presenta su Respuesta a tiempo, la corte puede dar
órdenes que afecten su matrimonio o pareja de hecho, sus
bienes y la custodia de sus hijos. La corte también le puede
ordenar que pague manutención, y honorarios y costos legales.
Para asesoramiento legal, póngase en contacto de inmediato
con un abogado. Puede obtener información para encontrar un
abogado en el Centro de Ayuda de las Cortes de California
(www.sucorte.ca.gov), en el sitio web de los Servicios Legales
de California (www.lawhelpca.org) o poniéndose en contacto
con el colegio de abogados de su condado.
AVISO—LAS ÓRDENES DE RESTRICCIÓN SE
ENCUENTRAN EN LA PÁGINA 2: Las órdenes de restricción
están en vigencia en cuanto a ambos cónyuges o miembros de
la pareja de hecho hasta que se despida la petición, se emita un
fallo o la corte dé otras órdenes. Cualquier agencia del orden
público que haya recibido o visto una copia de estas órdenes
puede hacerlas acatar en cualquier lugar de California.
[SEAL]
1.
2.
FEE WAIVER: If you cannot pay the filing fee, ask the
clerk for a fee waiver form. The court may order you to
pay back all or part of the fees and costs that the court
waived for you or the other party.
NOTICE TO RESPONDENT (Name):
Petitioner's name is:
The name, address, and telephone number of the petitioner’s attorney, or the petitioner without an
attorney, are: (El nombre, dirección y número de teléfono del abogado del demandante, o del
demandante si no tiene abogado, son):
AVISO AL DEMANDADO (Nombre):
Nombre del demandante:
STANDARD FAMILY LAW RESTRAINING ORDERS
Starting immediately, you and your spouse or domestic
partner are restrained from:
removing the minor children of the parties from the state
or applying for a new or replacement passport for those
minor children without the prior written consent of the
other party or an order of the court;
cashing, borrowing against, canceling, transferring,
disposing of, or changing the beneficiaries of any
insurance or other coverage, including life, health,
automobile, and disability, held for the benefit of the
parties and their minor children;
transferring, encumbering, hypothecating, concealing, or in
any way disposing of any property, real or personal,
whether community, quasi-community, or separate, without
the written consent of the other party or an order of the
court, except in the usual course of business or for the
necessities of life; and
You must notify each other of any proposed extraordinary
expenditures at least five business days prior to incurring these
extraordinary expenditures and account to the court for all
extraordinary expenditures made after these restraining orders
are effective. However, you may use community property,
quasi-community property, or your own separate property to
pay an attorney to help you or to pay court costs.
SUMMONS
(Family Law)
FL-110 [Rev. January 1, 2014]
Page 2 of 2
ÓRDENES DE RESTRICCIÓN ESTÁNDAR DE DERECHO
FAMILIAR
En forma inmediata, usted y su cónyuge o pareja de hecho
tienen prohibido:
1.
llevarse del estado de California a los hijos menores de las
partes, o solicitar un pasaporte nuevo o de repuesto para los
hijos menores, sin el consentimiento previo por escrito de la
otra parte o sin una orden de la corte;
2.
cobrar, pedir prestado, cancelar, transferir, deshacerse o
cambiar el nombre de los beneficiarios de cualquier seguro u
otro tipo de cobertura, como de vida, salud, vehículo y
discapacidad, que tenga como beneficiario(s) a las partes y
su(s) hijo(s) menor(es);
3.
transferir, gravar, hipotecar, ocultar o deshacerse de
cualquier manera de cualquier propiedad, inmueble o
personal, ya sea comunitaria, cuasicomunitaria o separada,
sin el consentimiento escrito de la otra parte o una orden de
la corte, excepto en el curso habitual de actividades
personales y comerciales o para satisfacer las necesidades
de la vida; y
4.
crear o modificar una transferencia no testamentaria de
manera que afecte la asignación de una propiedad sujeta a
transferencia, sin el consentimiento por escrito de la otra
parte o una orden de la corte. Antes de que se pueda
eliminar la revocación de una transferencia no
testamentaria, se debe presentar ante la corte un aviso del
cambio y hacer una entrega legal de dicho aviso a la otra
parte.
Cada parte tiene que notificar a la otra sobre cualquier gasto
extraordinario propuesto por lo menos cinco días hábiles antes
de realizarlo, y rendir cuenta a la corte de todos los gastos
extraordinarios realizados después de que estas órdenes de
restricción hayan entrado en vigencia. No obstante, puede usar
propiedad comunitaria, cuasicomunitaria o suya separada para
pagar a un abogado que lo ayude o para pagar los costos de la
corte.
FL-110
1.
4.
3.
2.
creating a nonprobate transfer or modifying a nonprobate
transfer in a manner that affects the disposition of property
subject to the transfer, without the written consent of the
other party or an order of the court. Before revocation of a
nonprobate transfer can take effect or a right of
survivorship to property can be eliminated, notice of the
change must be filed and served on the other party.
WARNING—IMPORTANT INFORMATION
ADVERTENCIA—IMFORMACIÓN IMPORTANTE
De acuerdo a la ley de California, las propiedades adquiridas
por las partes durante su matrimonio o pareja de hecho en
forma conjunta se consideran propiedad comunitaria para
fines de la división de bienes que ocurre cuando se produce
una disolución o separación legal del matrimonio o pareja de
hecho. Si cualquiera de las partes de este caso llega a
fallecer antes de que se divida la propiedad comunitaria de
tenencia conjunta, el destino de la misma quedará
determinado por las cláusulas de la escritura
correspondiente que describen su tenencia (por ej., tenencia
conjunta, tenencia en común o propiedad comunitaria) y no
por la presunción de propiedad comunitaria. Si quiere que la
presunción comunitaria quede registrada en la escritura de
la propiedad, debería consultar con un abogado.
AVISO—ACCESO A SEGURO DE SALUD MÁS ECONÓMICO:
¿Necesita seguro de salud a un costo asequible, ya sea para usted
o alguien en su hogar? Si es así, puede presentar una solicitud con
Covered California. Covered California lo puede ayudar a reducir el
costo que paga por seguro de salud asequible y de alta calidad.
Para obtener más información, visite www.coveredca.com. O llame
a Covered California al 1-800-300-0213.
NOTICE—ACCESS TO AFFORDABLE HEALTH
INSURANCE: Do you or someone in your household need
affordable health insurance? If so, you should apply for
Covered California. Covered California can help reduce the
cost you pay towards high quality affordable health care. For
more information, visit www.coveredca.com. Or call Covered
California at 1-800-300-1506.
California law provides that, for purposes of division of
property upon dissolution of a marriage or domestic
partnership or upon legal separation, property acquired
by the parties during marriage or domestic partnership in
joint form is presumed to be community property. If either
party to this action should die before the jointly held
community property is divided, the language in the deed
that characterizes how title is held (i.e., joint tenancy,
tenants in common, or community property) will be
controlling, and not the community property
presumption. You should consult your attorney if you
want the community property presumption to be written
into the recorded title to the property.
American LegalNet, Inc.
www.FormsWorkflow.com
Person child lived with (name and complete current address)
Person child lived with (name and complete current address)
Person child lived with (name and complete current address)
Person child lived with (name and complete current address)
Person child lived with (name and complete current address)
Person child lived with (name and complete current address)
Person child lived with (name and complete current address)
Person child lived with (name and complete current address)
Additional children are listed on form FL-105(A)/GC-120(A). (Provide all requested information for additional children.)
FL-105/GC-120
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
CASE NUMBER:
DECLARATION UNDER UNIFORM CHILD CUSTODY
JURISDICTION AND ENFORCEMENT ACT (UCCJEA)
1. I am a party to this proceeding to determine custody of a child.
2. My present address and the present address of each child residing with me is confidential under Family Code section 3429 as
I have indicated in item 3.
3. There are (specify number):
(Insert the information requested below. The residence information must be given for the last FIVE years.)
a. Child’s name
Place of birth Date of birth Sex
Period of residence
Address
Relationship
Confidentialto present
to
to
to
b. Child’s name
Place of birth Date of birth Sex
Residence information is the same as given above for child a.
(If NOT the same, provide the information below.)
Period of residence
Address
Relationship
Confidential
to present
to
to
to
Additional residence information for a child listed in item a or b is continued on attachment 3c.
c.
Page 1 of 2
Family Code, § 3400 et seq.; Form Adopted for Mandatory Use
Judicial Council of California
FL-105/GC-120 [Rev. January 1, 2009]
DECLARATION UNDER UNIFORM CHILD CUSTODY
JURISDICTION AND ENFORCEMENT ACT (UCCJEA)
Probate Code, §§ 1510(f), 1512
minor children who are subject to this proceeding, as follows:
www.courtinfo.ca.gov
TELEPHONE NO.:
FAX NO. (Optional):
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
PETITIONER:
RESPONDENT:
GUARDIANSHIP OF (Name):
Minor
OTHER PARTY:
Child's residence (City, State)
Child's residence (City, State)
Child's residence (City, State)
d.
Child's residence (City, State)
Child's residence (City, State)
Child's residence (City, State)
(This section applies only to family law cases.)
(This section apples only to guardianship cases.)
Confidential
Confidential
Juvenile Delinquency/
Juvenile Dependency
and provide the following information):
5. One or more domestic violence restraining/protective orders are now in effect. (Attach a copy of the orders if you have one
a. Criminal
b. Family
d. Other
Court State Case number (if known) County Orders expire (date)
Court
(name, state, location)
Court order
or judgment
(date)
Case status
b. Guardianship
c. Other
Name of each child
a. Family
Case number
Court (name, state, location)
e. Adoption
Juvenile Delinquency/
Juvenile Dependency
Case Number
Your
connection to
the case
CASE NUMBER:
SHORT TITLE:
Do you have information about, or have you participated as a party or as a witness or in some other capacity in, another court case
or custody or visitation proceeding, in California or elsewhere, concerning a child subject to this proceeding?
Yes
(If yes, attach a copy of the orders (if you have one) and provide the following information):
Do you know of any person who is not a party to this proceeding who has physical custody or claims to have custody of or
visitation rights with any child in this case?
(If yes, provide the following information):Yes
a. Name and address of person
b. Name and address of person
c. Name and address of person
Has physical custody
Has physical custody
Has physical custody
Claims custody rights
Claims custody rights
Claims custody rights
Claims visitation rights
Claims visitation rights
Claims visitation rights
Name of each child Name of each child Name of each child
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) (SIGNATURE OF DECLARANT)
7. Number of pages attached:
NOTICE TO DECLARANT: You have a continuing duty to inform this court if you obtain any information about a custody
FL-105/GC-120 [Rev. January 1, 2009]
Page 2 of 2
DECLARATION UNDER UNIFORM CHILD CUSTODY
JURISDICTION AND ENFORCEMENT ACT (UCCJEA)
4.
6.
No
proceeding in a California court or any other court concerning a child subject to this proceeding.
No
FL-105/GC-120
Proceeding
Proceeding
c.
d.
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button after you have printed the form.
At the time of service I was at least 18 years of age and not a party to this action. I served the respondent with copies of:
PROOF OF SERVICE OF SUMMONS
(Family Law—Uniform Parentage—Custody and Support)
Form Approved for Optional Use
Judicial Council of California
FL-115 [Rev. July 1, 2012]
FL-115
PROOF OF SERVICE OF SUMMONS
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PETITIONER:
RESPONDENT:
CASE NUMBER:
ATTORNEY FOR (Name):
TELEPHONE NO.: FAX NO. (Optional):
E–MAIL ADDRESS (Optional):
1.
Uniform Parentage: Petition to Establish Parental Relationship (form FL-200), Summons (form FL-210), and blank
Response to Petition to Establish Parental Relationship (form FL-220)
Family Law—Marriage: Petition—Marriage (form FL-100), Summons (form FL-110), and blank Response—Marriage
(form FL-120)
Custody and Support: Petition for Custody and Support of Minor Children (form FL-260), Summons (form FL-210), and
blank Response to Petition for Custody and Support of Minor Children (form FL-270)
and
a.
(1)
(2)
(3)
Completed and blank Income and
Expense Declaration (form FL-150)
(7)
c.
d.
–or–
–or–
(5)
Completed and blank Declaration Under
Uniform Child Custody Jurisdiction and
Enforcement Act (form FL-105)
(6)
Request for Order (form FL-300), and blank
Responsive Declaration to Request for Order
(form FL-320)
(4)
Completed and blank Property
Declaration (form FL-160)
2. Address where respondent was served:
a.
3. I served the respondent by the following means (check proper box):
Personal service. I personally delivered the copies to the respondent (Code Civ. Proc., § 415.10)
on (date): at (time):
b.
(Business) a person at least 18 years of age who was apparently in charge at the office or usual place of
business of the respondent. I informed him or her of the general nature of the papers.
(1)
(Home) a competent member of the household (at least 18 years of age) at the home of the respondent. I
informed him or her of the general nature of the papers.
(2)
Substituted service. I left the copies with or in the presence of (name):
e.
Completed and blank Declaration of
Disclosure (form FL-140)
Completed and blank Schedule of Assets
and Debts (form FL-142)
Page 1 of 2
(8)
Other (specify):
Completed and blank Financial Statement
(Simplified) (form FL-155)
Code of Civil Procedure, § 417.10
www.courts.ca.gov
who is (specify title or relationship to respondent):
Family Law—Domestic Partnership: Petition—Domestic Partnership (form FL-103), Summons (form FL-110), and
blank Response—Domestic Partnership (form FL-123)
b.
–or–
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button at the end of the form when
finished.
Person who served papers
The fee for service was (specify): $
exempt from registration under Business and Professions Code section 22350(b).
not a registered California process server.
a registered California process server:
a.
b.
c.
an employee or
(1)
Registration no.:
County:
6.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
7.
Date:
(SIGNATURE OF PERSON WHO SERVED PAPERS)
PROOF OF SERVICE OF SUMMONS
(Family Law—Uniform Parentage—Custody and Support)
FL-115 [Rev. July 1, 2012]
CASE NUMBER:
5.
I am a California sheriff, marshal, or constable, and I certify that the foregoing is true and correct.
This person is
(2)
Mail and acknowledgment service. I mailed the copies to the respondent, addressed as shown in item 2, by
first-class mail, postage prepaid,
c.
from (city):
with two copies of the Notice and Acknowledgment of Receipt (form FL-117) and a postage-paid return
envelope addressed to me. (Attach completed Notice and Acknowledgment of Receipt (form FL-117).)
(Code Civ. Proc., § 415.30.)
(1)
(2)
Other (specify code section):
d.
a.
b.
other (specify):
minor. (Code Civ. Proc., § 416.60.)
ward or conservatee. (Code Civ. Proc., § 416.70.)
on (date):
to an address outside California (by registered or certified mail with return receipt requested). (Attach signed
return receipt or other evidence of actual delivery to the respondent.) (Code Civ. Proc., § 415.40.)
Continued on Attachment 3d.
4. The "NOTICE TO THE PERSON SERVED" on the Summons was completed as follows (Code Civ. Proc., §§ 412.30, 415.10, 474):
As an individual or
On behalf of respondent who is a
(NAME OF PERSON WHO SERVED PAPERS)
–or–
Name:
Address:
Telephone number:
d.
Page 2 of 2
on (date):
A declaration of diligence is attached, stating the actions taken to first attempt personal service.
at (time):
I thereafter mailed additional copies (by first class, postage prepaid) to the respondent at the place where the
copies were left (Code Civ. Proc., § 415.20b) on (date):
3. b.
(cont.)
(1)
(2)
(3)
an independent contractor
PETITIONER:
RESPONDENT:
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ALTERNATIVE METHODS OF RESOLVING DISPUTES IN FAMILY LAW CASES
The business of the Ventura County Superior Court, like all court systems, is “dispute resolution”, which includes those
disputes which arise in actions for Dissolution of Marriage, to Establish a Parental Relationship, for Civil Domestic Violence
Restraining Orders, and other Family Law cases. These disputes may center upon the custody and visitation of children; the
division, ownership, and use of personal or real property; and financial support.
As you begin the process of dealing with these kinds of matters in a formal lawsuit, you should be aware that the court
system is a very complex process which is founded on the “adversarial” nature of litigation. While this process works well for
many kinds of disputes, it may not always be the best or easiest or most comfortable way to resolve a very personal dispute
which involves you, your children, your property, and your finances.
Over the past decade, a number of effective, alternative methods of resolving disputes in Family Law matters have arisen and,
undoubtedly, other methods will emerge in the future. While it would be improper to recommend a specific group or individual,
the Court and the Bar Association support the establishment of these new approaches and sincerely endorse the following
alternatives to traditional litigation. Therefore, we invite you to consider the following as potential methods of resolving your
dispute in a way which may make you more comfortable with the process and, therefore, more satisfied with the outcome.
* In the COLLABORATIVE FAMILY LAW process, experienced family lawyers, specially trained in negotiations and
conflict resolution, represent each party, but only for purpose of helping them to settle the case. You, the other party,
and your lawyers agree in writing not to go to court for a trial or hearing. As such, the collaborative lawyers’ only goal is
to help you and the other party settle your case in a way that is mutually satisfactory to both sides.
* The FAMILY LAW FACILITATOR of the Ventura County Superior Court is a “self help center” which provides litigants
with information, forms, and instructions on how to complete their case without going to court. Workshops are available
for help in preparing or responding to the Dissolution or Legal Separation action or an Order to Show Cause and for
completing the Final Judgment. The hours of the center and the schedule for the classes are available at the Clerk’s
Office or on the Court’s website.
* Many attorneys offer “LIMITED SCOPE” or “UNBUNDLED” SERVICES to parties who can do some of the work on
their own but need an attorney for a limited purpose, such as writing up an agreement or appearing in court, if necessary.
You and the attorney will sign a paper stating exactly what the attorney will do for you. The attorney will only do the
agreed upon work and you will only be billed for those services. When the task is over, you will sign another paper
releasing the attorney from the case.
* Together, the parties agree to use a NEUTRAL ARBITRATOR, who is selected and empowered by the parties to
decide the dispute at arranged times and places in a private setting which is not open to the public and which may be far
less formal than a public courtroom.
* Disputes can be resolved by PRIVATE MEDIATION outside of court. Mediation is non-adversarial. You and the other
party will work together with an attorney, counselor, or other specially trained mediator to develop a written agreement
resolving all aspects of the case. Professional counselors in the mental health field can also provide Mediation or
special expertise for child custody and visitation issues or to address the parenting problems of and parenting solutions
for separated and separating families.
More information about these and other alternatives is available in the following locations:
The Ventura Courthouse [ the Clerk’s Office (2
nd
floor), the Mediation Department ( 3
rd
floor), and the Family Law Self Help
Center (4
th
floor) ; the East County Courthouse [ the Clerk’s Office and the Self Help Center]; the Oxnard Self-Help Legal
Access Center [1500 Colonia Road, Suite 20, Oxnard]; the Mobile Self-Help Legal Access Center; and
the Ventura County Bar Association [4475 Market Street, Suite B, Ventura (805-650-7599)].
John R. Smiley Edward T. Buckle
Supervising Judge, Chairman,
Family Law Division Mediation, Arbitration and Collaborative
Ventura County Superior Court Ventura County Bar Association
METODOS ALTERNATIVOS PARA RESOLVER DISPUTAS EN CASOS DE DERECHO DE FAMILIAS.
La función del Tribunal Superior del Condado de Ventura es “resolver disputas”, inclusive las que resultan de las
demandas de Divorcio, Relación entre Padres e Hijos, Ordenes de Alejamiento por Violencia Intra-familiar, y otros
casos de Derecho Familiar. Estas disputas se centran en la tutela de los niños y el derecho a visitarlos, la separación
de bienes personales y propiedad raíz, y la pensión alimenticia.
Cuando usted empiece el proceso para resolver su caso es importante que entienda que el sistema judicial es muy
complicado y que se basa en litigios entre adversarios. Este proceso funciona bien para muchos casos, pero no
siempre es el mejor, el más fácil o el más cómodo para resolver casos tan personales como el suyo, que involucra a
sus hijos, sus bienes y sus asuntos financieros.
En los últimos 10 años han surgido varios métodos alternativos que han resultado efectivos para resolver casos de
Derecho de Familias. El Tribunal y la Asociación de Abogados respaldan los siguientes métodos alternativos y le
invitamos a que los considere para resolver su caso. Al usar un proceso que lo haga sentir más cómodo, quizás usted
se sienta más satisfecho con los resultados.
Colaboración en Derecho de Familias, es un proceso en el que a cada parte la representa un
abogado con mucha experiencia en Derecho Familiar, entrenado para hacer negociaciones y resolver
conflictos, y su único propósito es ayudarlos a que lleguen a un acuerdo en el caso. Usted, la parte
opuesta y sus respectivos abogados dejan constancia por escrito de que están de acuerdo en no pasar
su caso a juicio o a audiencia en el Tribunal
Los Gestores en Derecho de Familias son parte del Centro de Ayuda Legal del Tribunal. Ellos le darán
información, documentos e instrucciones sobre cómo completar su caso sin pasar ante el Juez. Ofrecen
cursos para ayudarlos a preparar o a responder a una demanda de divorcio o de separación legal,
Orden para Fundamentar la Causa, y para completar el Fallo de la demanda. Puede obtener el horario
del Centro de Ayuda y de las clases en la Oficina 208 del Tribunal o en el Website del Tribunal.
Servicios Específicos y con Enfoque Limitado. Muchos abogados ofrecen estos servicios a quienes
necesiten a un abogado únicamente para algunas cosas, tales como redactar un acuerdo o para
presentarse en el tribunal si fuera necesario. Usted y el abogado firman un documento que diga
exactamente lo que el abogado hará por usted. El abogado únicamente hará el trabajo al que se
comprometió por escrito y sólo le cobrará por dichos servicios.
Un Arbitro, a quien lo seleccionan de común acuerdo entre las partes en el caso, y lo autorizan para
tomar las decisiones necesarias para resolver la disputa en un sitio privado, que sea menos formal que
una sala del Tribunal.
Una mediación privada fuera del Tribunal. Usted y la parte opuesta trabajarán en conjunto con un
abogado, un consejero, u otra persona especialmente entrenada como mediador para llegar a un
acuerdo por escrito en el que se resuelven todos los aspectos del caso. Los consejeros profesionales
en el área de salud mental también pueden llevar a cabo mediaciones y otros servicios especializados
en casos de tutela o visitas con los hijos.
Para mayor información sobre estos métodos alternativos y otras opciones diríjase a los siguientes sitios: el
Edificio del Tribunal en Ventura (Oficinas 208 y 210), el Departamento de Mediación (3 piso) y el Centro de
Ayuda Legal (4 piso); el Edificio del Tribunal en Simi Valley; el Centro de Ayuda Legal (1500 Calle Colonia)
el Centro Móvil de Ayuda Legal y la Asociación de Abogados (4475 Calle Market, oficina B en Ventura, 805-
650-7599)
John R. Smiley Edward T. Buckle
Juez Supervisor Director
Departamento de Derecho de Familias Comité de Mediación, Arbitraje y
Tribunal Superior del Condado de Ventura Colaboración - Asociación de Abogados
NOTICE
ALL OF THE FOLLOWING FORMS ARE LEFT
BLANK AND MUST BE SERVED
ON THE RESPONDENT
ALONG WITH A COPY OF THE DOCUMENTS
YOU HAVE FILED
G:\COMMON\Admin\Family Law\Packet Instructions & Forms\NOTICE.doc
RESPONDING – PACKET #1
NOTICE: These forms only respond to the Petition. You must take more steps to be
divorced or legally separated. If you disagree with what has been requested in the
Petition, you must file a Response
.
1. COMPLETE: The forms (Response)
2. SERVE: Have a copy of the completed RESPONSE served on the Petitioner.
3. FILE: The original RESPONSE and PROOF OF SERVICE at the court.
4. COMPLETE: The Preliminary Declaration of Disclosure
5. SUBMIT: Your FINAL JUDGMENT to finish up your case. You must fill out and file more
papers to receive your divorce.
YOU MAY RECEIVE ASSISTANCE AT THE LOCATIONS ON THE BACK OF THE FORM
RECOMMENDED: Attend the INITIAL DISSOLUTION WORKSHOP on
THURSDAYS, 8:30 A.M., at the FAMILY LAW SELF HELP CENTER in the Ventura
Courthouse or TUESDAYS at 8:30 A.M. in SIMI to understand the legal process for
obtaining a Divorce or Separation.
AVISO: Estas formas solamente comienzan su caso. Es necesario de completar y
archivar mas formas para finalizar su divorcio o separación legal. Si no esta de
acuerdo con lo que escrito en la Petición, debe de archivar una Respuesta (Response).
1. Completar: Llene y complete sus formas (Response – Packet #1) y hago 2 copias
2. Entregar: Efectuar la entrega legal de una copia al Demandante (Petitioner). Cualquier
persona mayor de 18 anos puede entregarle la repuesta (Response). Usted no puede
hacerlo.
3. Archivar: Llevar sus formas titulados “Response y Proof of Service” y archivar con el
tribunal.
4. Completar: Documentos titulados “Preliminary Declaration of Disclosure – Packet #2”
5. Resolver: Completar documentos titulados “Final Judgment – Packet #3” . para poder
finalizar su acción. Si no llena y archiva estos documentos SU DIVORICIO NO ESTA FINALIZADO
PUEDE RECIBIR ASISTENCIA EN LOS LOCALES DETRÁS DE ESTA FORMA
Recomendamos: Atender a la clase todos los miércoles a las 9:00 a.m. en el
Tribunal Juvenil localizado en 4353 Vineyard Ave. Room 206, Oxnard, CA 93036 para
poder entender la ley sobre el divoricio y el proceso legal.
You may obtain assistance at the following locations:
Usted puede recibir ayuda en los siguiente lugares:
Family Law Workshops:
Tuesdays in East County Courthouse /Thursdays in Ventura Main Courthouse:
Step 1: Starting your case ……………...8:30 -10:15
Order to Show Cause ……….. 10:30 - noon
Step 2 Disclosures........................1:30 2:30
Step 3 Final Judgment …………………..2:30 – 4:30
[Las clases que se ofrecen los jueves son solamente en inglés]
In Ventura:
Family Law Facilitator/ Self Help Tues/Weds/Fri:
Superior Court Hall of Justice Martes/Miércoles/Viernes:
Edificio del Tribunal Superior 8:00- noon and 1:30-4:00
800 South Victoria Ave. Room 30 (Limit 40 people per day /Limite 40 personas)
Ventura Monday document review 1:30-4:30
In Simi Valley:
Family Law Facilitator/ Self Help Thursdays/ Jueves:
East County Courthouse 8:00- noon and 1:30-4:00
Edificio del Tribunal Superior (Limit 35 people per day /Limite 35 personas)
3855-F Alamo Street, upstairs
Simi Valley Monday document review 1:30-4:30
In Oxnard (La Colonia):
Family Law Facilitator/ Self Help Tuesdays/ Martes:
Oxnard Center 8:30 - noon and 1:30 -4:30
1500 Colonia Road #20 (Limit 25 people per day)
Oxnard (Limite 25 personas por día)
Thursdays by appointment only Call 805-483-4842
Jueves solamente con cita Llame 805- 483-4842
In Santa Paula:
Mobile Self Help / Centro Movil Mondays / Lunes
Job & Career Center /Centro Laboral 1:30 – 4:30
725 E. Main Street
Santa Paula
In Oxnard (Juvenile Courthouse):
Family Resource Center: Mondays / Lunes
4353 Vineyard Ave Room 206 1:00 – 4:00
Oxnard (El Río) Tues / Thurs Martes y Jueves
9:00 – 4:00
Attorney assistance is not available except during workshops, see schedule below.
Ayuda de Abogado solamente estará disponible durante las clases, revise el horario.
Workshops at Juvenile Courthouse Start at 9:00 Am / Comienzan a las 9:00 A.m.
Domestic Violence Restraining Orders / Orden de Restricción………………………Monday / Lunes
Starting a Divorce / Legal Separation / Comenzar Divorcio /Sep. Legal……..Weds / Miércoles
[This workshop is in Spanish only – Esta clase es en español solamente]
Guardianship Orientation / Orientación de Tutela …………………… ……………… Friday / Viernes
Classes are in English and Spanish (except Weds class) and start at 9:00 a.m. You will receive
instructions and forms at the workshop. Bring a black pen and information about any case you already
have on file. Clases son en español e inglés y comienzan a las 9:00. Usted recibirá instrucciones y
formas durante la clase. Traiga una pluma, tinta negra y cual quiere información que tenga en su caso
(ejemplo: #de caso, documentos archivados etc.)
PI.07
Rev 1/09
and REQUEST FOR
STATISTICAL FACTS
RESPONSE—DOMESTIC PARTNERSHIP/MARRIAGE
(Family Law)
Form Adopted for Mandatory Use
Judicial Council of California
FL-123 [Rev. January 1, 2013]
Family Code, §§ 299, 308, 2020
www.courts.ca.gov
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PETITIONER:
FL-123
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
CASE NUMBER:
RESPONDENT:
RESPONSE
1.
The minor children are
There are no minor children.
b.
a.
Age SexBirthdate
If there are minor children of the petitioner and the respondent, a completed Declaration Under Uniform Child Custody
Jurisdiction and Enforcement Act (UCCJEA) (form FL-105) must be attached.
Child's name
c.
Continued on Attachment 3b.
ATTORNEY FOR (Name):
TELEPHONE NO.: FAX NO. (Optional):
E-MAIL ADDRESS (Optional):
Page 1 of 2
AMENDED
DECLARATION REGARDING MINOR CHILDREN (include children of this relationship born or adopted prior to or during this
domestic partnership or marriage)
3.
MARRIAGE OF
DOMESTIC PARTNERSHIP OF
Our domestic partnership was established in California. Neither of us has to be a resident or have a domicile in California
to dissolve our partnership here.
a.
RESIDENCE (check all that apply)
2.
We are the same sex and were married in California but are not residents of California. Neither of us lives in a state or
nation that will dissolve the marriage. This case is filed in the county in which we married.
Petitioner's residence (state or nation): Respondent's residence (state or nation):
d.
been a resident of the state of California for at least six months and of this county for at least three months immediately
preceding the filing of this Petition.
b.
Our domestic partnership was established in a place other than California. Petitioner Respondent has
county for at least three months immediately preceding the filing of this Petition.
We are the same sex and are married.
c.
Respondent has been a resident of the state of California for at least six months and of this
We are the opposite sex and are married. We are also domestic partners.
Petitioner
NOTICE: You may redact (black out) social security numbers from any written material filed with the court in this case
other than a form used to collect child or partner support.
Dissolution of
Legal Separation of
Nullity of
Marriage
Marriage
Marriage
Domestic Partnership
Domestic Partnership
Domestic Partnership
Time from date of registration of domestic partnership to date of separation (specify):
Registration date of domestic partnership with the California Secretary of State or other state equivalent:
Years
Months
(1)
(2)
Date of separation:
a.
Date of marriage:(1)
(3)
Time from date of marriage to date of separation (specify):
b.
Years Months
(2) Date of separation:
(3)
NOTICE: Use this form to respond to Petition—Domestic Partnership/Marriage (form FL-103).
To keep other people from
seeing what you entered on
your form, please press the
Clear This Form button at the
end of the form when finished.
CASE NUMBER:
The original response must be filed in the court with proof of service of a copy on petitioner.
RESPONSE—DOMESTIC PARTNERSHIP/MARRIAGE
(Family Law)
Page 2 of 2
FL-123 [Rev. January 1, 2013]
DECLARATION REGARDING COMMUNITY AND QUASI-COMMUNITY ASSETS AND DEBTS AS CURRENTLY KNOWN
There are no such assets or debts subject to disposition by the court in this proceeding.a.
Respondent requests
Respondent requests that the court grant the above relief and make injunctive (including restraining) and other orders as follows:
Other
Legal custody of children to
Physical custody of children to
Child visitation granted to
Partner or spousal support payable to
Attorney fees and costs payable by
e.
Terminate the court's jurisdiction (ability) to award partner or spousal support to the petitioner.
Determine property rights.
g.
Restore respondent's former name (specify):
Other (specify):
h.
i.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Petitioner Respondent Joint
c.
5.
8.
9.
a.
b.
f.
j.
10.
(SIGNATURE OF RESPONDENT)
Date:
(TYPE OR PRINT NAME)
Date:
(SIGNATURE OF ATTORNEY FOR RESPONDENT)
(TYPE OR PRINT NAME)
7. Respondent denies the grounds stated in item 6 of the petition.
Continued on Attachment 9j.
.......................................................................................
.............................................................................
6.
Respondent contends that there is not a valid domestic partnership, marriage, or equivalent.
Determination of parentage of any children born to the petitioner and respondent prior to the domestic partnership or
marriage.
d.
As requested in form: FL-311 FL-312 FL-341(C) FL-341(D) FL-341(E) Attachment 9c.
All such assets and debts are listed in Property Declaration (form FL-160)
b.
Attachment 5b
incest. (Fam. Code, § 2200.) bigamy. (Fam. Code, § 2201.)
dissolution of the domestic partnership marriage based on
nullity of voidable domestic partnership marriage based on
a.
d.
respondent’s age at time of registration of domestic
partnership or marriage. (Fam. Code, § 2210(a).)
(1)
irreconcilable differences. (Fam. Code, § 2310(a).) incurable insanity. (Fam. Code, § 2310(b).)
(2)
prior existing marriage or domestic partnership.
(Fam. Code, § 2210(b).)
(2)
legal separation of the domestic partnership marriage based on
b.
irreconcilable differences. (Fam. Code, § 2310(a).) incurable insanity. (Fam. Code, § 2310(b).)
(1)
(2)
(3)
unsound mind. (Fam. Code, § 2210(c).)
(4)
c.
(5)
force. (Fam. Code, § 2210(e).)
physical incapacity. (Fam. Code, § 2210(f).)
(6)
(1)
fraud. (Fam. Code, § 2210(d).)
nullity of void domestic partnership marriage based on
(1)
(2)
Child support: If there are minor children who were born to or adopted by the petitioner and respondent before or during this
domestic partnership or marriage, the court will make orders for the support of the children on request and submission of financial
forms by the requesting party. An earnings assignment may be issued without further notice. Any party required to pay support
must pay interest on overdue amounts at the legal rate, which is currently 10 percent.
.........................................................................
...................................................................................
...........................................................................................
FL-123
Petitioner:
Respondent:
and should be divided between petitioner or respondent as indicated in form FL-160 or Attachment 5b.
4.
DECLARATION REGARDING SEPARATE PROPERTY AS CURRENTLY KNOWN
There are no such assets or debts subject to disposition by the court in this proceeding.
a.
b.
All such assets and debts listed are listed in Property Declaration (form FL-160)
Attachment 4b
and should be confirmed as petitioner's or respondent's separate property as indicated in form FL-160 or Attachment 4b.
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Person child lived with (name and complete current address)
Person child lived with (name and complete current address)
Person child lived with (name and complete current address)
Person child lived with (name and complete current address)
Person child lived with (name and complete current address)
Person child lived with (name and complete current address)
Person child lived with (name and complete current address)
Person child lived with (name and complete current address)
Additional children are listed on form FL-105(A)/GC-120(A). (Provide all requested information for additional children.)
FL-105/GC-120
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
CASE NUMBER:
DECLARATION UNDER UNIFORM CHILD CUSTODY
JURISDICTION AND ENFORCEMENT ACT (UCCJEA)
1. I am a party to this proceeding to determine custody of a child.
2. My present address and the present address of each child residing with me is confidential under Family Code section 3429 as
I have indicated in item 3.
3. There are (specify number):
(Insert the information requested below. The residence information must be given for the last FIVE years.)
a. Child’s name
Place of birth Date of birth Sex
Period of residence
Address
Relationship
Confidentialto present
to
to
to
b. Child’s name
Place of birth Date of birth Sex
Residence information is the same as given above for child a.
(If NOT the same, provide the information below.)
Period of residence
Address
Relationship
Confidential
to present
to
to
to
Additional residence information for a child listed in item a or b is continued on attachment 3c.
c.
Page 1 of 2
Family Code, § 3400 et seq.; Form Adopted for Mandatory Use
Judicial Council of California
FL-105/GC-120 [Rev. January 1, 2009]
DECLARATION UNDER UNIFORM CHILD CUSTODY
JURISDICTION AND ENFORCEMENT ACT (UCCJEA)
Probate Code, §§ 1510(f), 1512
minor children who are subject to this proceeding, as follows:
www.courtinfo.ca.gov
TELEPHONE NO.:
FAX NO. (Optional):
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
PETITIONER:
RESPONDENT:
GUARDIANSHIP OF (Name):
Minor
OTHER PARTY:
Child's residence (City, State)
Child's residence (City, State)
Child's residence (City, State)
d.
Child's residence (City, State)
Child's residence (City, State)
Child's residence (City, State)
(This section applies only to family law cases.)
(This section apples only to guardianship cases.)
Confidential
Confidential
Juvenile Delinquency/
Juvenile Dependency
and provide the following information):
5. One or more domestic violence restraining/protective orders are now in effect. (Attach a copy of the orders if you have one
a. Criminal
b. Family
d. Other
Court State Case number (if known) County Orders expire (date)
Court
(name, state, location)
Court order
or judgment
(date)
Case status
b. Guardianship
c. Other
Name of each child
a. Family
Case number
Court (name, state, location)
e. Adoption
Juvenile Delinquency/
Juvenile Dependency
Case Number
Your
connection to
the case
CASE NUMBER:
SHORT TITLE:
Do you have information about, or have you participated as a party or as a witness or in some other capacity in, another court case
or custody or visitation proceeding, in California or elsewhere, concerning a child subject to this proceeding?
Yes
(If yes, attach a copy of the orders (if you have one) and provide the following information):
Do you know of any person who is not a party to this proceeding who has physical custody or claims to have custody of or
visitation rights with any child in this case?
(If yes, provide the following information):Yes
a. Name and address of person
b. Name and address of person
c. Name and address of person
Has physical custody
Has physical custody
Has physical custody
Claims custody rights
Claims custody rights
Claims custody rights
Claims visitation rights
Claims visitation rights
Claims visitation rights
Name of each child Name of each child Name of each child
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) (SIGNATURE OF DECLARANT)
7. Number of pages attached:
NOTICE TO DECLARANT: You have a continuing duty to inform this court if you obtain any information about a custody
FL-105/GC-120 [Rev. January 1, 2009]
Page 2 of 2
DECLARATION UNDER UNIFORM CHILD CUSTODY
JURISDICTION AND ENFORCEMENT ACT (UCCJEA)
4.
6.
No
proceeding in a California court or any other court concerning a child subject to this proceeding.
No
FL-105/GC-120
Proceeding
Proceeding
c.
d.
Print This Form
Clear This Form
For your protection and privacy, please press the Clear This Form
button after you have printed the form.
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address) Telephone Number
ATTORNEY FOR (Name):
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF VENTURA
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
SHORT TITLE OF CASE:
PROOF OF SERVICE
CASE NUMBER:
1. At the time of service, I was at least 18 years of age and not a party to this action.
2. I served the following documents:
Summons
Petition
Responsive Declaration to Requesf for Order
Income & Expense Declaration
Response Order After Hearing
Complaint Blank Response
Answer Blank Answer
UCCJEA Declaration Blank Responsive Declaration
Notice of Motion Blank Income and Expense Declaration
Request for Order OTHER _______________________________________
Temporary Restraining Order
______________________________________________
Mediation/Orientation Appointment
______________________________________________
Fact Sheet
3. Party served:
4. Address:
5. Method of service:
Personal service: By personal delivery to the person identified in paragraph 3.
Date of Service:
Time of Service:
By Mail: By mailing copies to the person identified in paragraph 3, with postage fully prepaid, by
first class mail as follows:
Date of Mailing:
Place of Deposit:
With two copies of the Notice and Acknowledgment of Receipt and stamped return envelope
addressed to me. (Attach signed Notice & Acknowledgment of Receipt)
To an address outside of California with return receipt requested (Attach Returned Receipt)
PROOF OF SERVICE
VN120
Optional Form
VN120 (Rev. 07/13)
Page 1 of 2
6. Person Serving (name, address and telephone number):
7. Person serving, additional information
Fee for service
Not a registered California process server.
Exempt from registration under B & P section 22350(b)
Registered California process server:
Employee or independent contractor
Registration Number:
County of Registration:
I declare under the penalty of perjury and pursuant to the laws of the State of California that the
foregoing is true and correct. Executed on _________________ at ____________________________.
_________________________________________
Signature of Declarant
I am a California sheriff, marshall or constable, and I certify that the foregoing is true and correct.
Executed on ___________________ at ___________________________________________________.
_________________________________________
Signature
PROOF OF SERVICE
PROOF OF SERVICE
VN120
Page 2 of 2
Optional Form
VN120 (Rev. 07/13)
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address) Telephone Number
E-MAIL ADDRESS
ATTORNEY FOR (Name):
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF VENTURA
800 SOUTH VICTORIA AVE. VENTURA, CA 93009
3855 – F ALAMO ST. SIMI VALLEY, CA 93063-2110
PETITIONER:
RESPONDENT:
CONSENT FOR COURT ASSIGNMENT
(FAMILY LAW)
CASE NUMBER:
The undersigned hereby consents that the cause titled and numbered above may be tried by ____________________,
Court Commissioner of the Ventura County Superior Court, as temporary judge, in accordance with Article 6, Section 21
of the Constitution of the State of California.
It is understood by the undersigned that by order of the Presiding Judge of the Ventura County Superior Court,
Commissioner ______________________ has been appointed to act as temporary judge to try the above referenced
case, hear and decide all motions and make any orders including sentencing connected with this case. It is understood
that Commissioner JoAnn Johnson, has been appointed to try the case referred to, and has taken the necessary oath of
office to try the case as temporary judge.
Dated: _____________________ Signature of litigant or attorney
___________________________________
___________________________________
___________________________________
___________________________________
VN189
CONSENT FOR COURT ASSIGNMENT
(FAMILY LAW)
Mandatory Form
VN189 (Rev. 07/12)
ALTERNATIVE METHODS OF RESOLVING DISPUTES IN FAMILY LAW CASES
The business of the Ventura County Superior Court, like all court systems, is “dispute resolution”, which includes those
disputes which arise in actions for Dissolution of Marriage, to Establish a Parental Relationship, for Civil Domestic Violence
Restraining Orders, and other Family Law cases. These disputes may center upon the custody and visitation of children; the
division, ownership, and use of personal or real property; and financial support.
As you begin the process of dealing with these kinds of matters in a formal lawsuit, you should be aware that the court
system is a very complex process which is founded on the “adversarial” nature of litigation. While this process works well for
many kinds of disputes, it may not always be the best or easiest or most comfortable way to resolve a very personal dispute
which involves you, your children, your property, and your finances.
Over the past decade, a number of effective, alternative methods of resolving disputes in Family Law matters have arisen and,
undoubtedly, other methods will emerge in the future. While it would be improper to recommend a specific group or individual,
the Court and the Bar Association support the establishment of these new approaches and sincerely endorse the following
alternatives to traditional litigation. Therefore, we invite you to consider the following as potential methods of resolving your
dispute in a way which may make you more comfortable with the process and, therefore, more satisfied with the outcome.
* In the COLLABORATIVE FAMILY LAW process, experienced family lawyers, specially trained in negotiations and
conflict resolution, represent each party, but only for purpose of helping them to settle the case. You, the other party,
and your lawyers agree in writing not to go to court for a trial or hearing. As such, the collaborative lawyers’ only goal is
to help you and the other party settle your case in a way that is mutually satisfactory to both sides.
* The FAMILY LAW FACILITATOR of the Ventura County Superior Court is a “self help center” which provides litigants
with information, forms, and instructions on how to complete their case without going to court. Workshops are available
for help in preparing or responding to the Dissolution or Legal Separation action or an Order to Show Cause and for
completing the Final Judgment. The hours of the center and the schedule for the classes are available at the Clerk’s
Office or on the Court’s website.
* Many attorneys offer “LIMITED SCOPE” or “UNBUNDLED” SERVICES to parties who can do some of the work on
their own but need an attorney for a limited purpose, such as writing up an agreement or appearing in court, if necessary.
You and the attorney will sign a paper stating exactly what the attorney will do for you. The attorney will only do the
agreed upon work and you will only be billed for those services. When the task is over, you will sign another paper
releasing the attorney from the case.
* Together, the parties agree to use a NEUTRAL ARBITRATOR, who is selected and empowered by the parties to
decide the dispute at arranged times and places in a private setting which is not open to the public and which may be far
less formal than a public courtroom.
* Disputes can be resolved by PRIVATE MEDIATION outside of court. Mediation is non-adversarial. You and the other
party will work together with an attorney, counselor, or other specially trained mediator to develop a written agreement
resolving all aspects of the case. Professional counselors in the mental health field can also provide Mediation or
special expertise for child custody and visitation issues or to address the parenting problems of and parenting solutions
for separated and separating families.
More information about these and other alternatives is available in the following locations:
The Ventura Courthouse [ the Clerk’s Office (2
nd
floor), the Mediation Department ( 3
rd
floor), and the Family Law Self Help
Center (4
th
floor) ; the East County Courthouse [ the Clerk’s Office and the Self Help Center]; the Oxnard Self-Help Legal
Access Center [1500 Colonia Road, Suite 20, Oxnard]; the Mobile Self-Help Legal Access Center; and
the Ventura County Bar Association [4475 Market Street, Suite B, Ventura (805-650-7599)].
John R. Smiley Edward T. Buckle
Supervising Judge, Chairman,
Family Law Division Mediation, Arbitration and Collaborative
Ventura County Superior Court Ventura County Bar Association
METODOS ALTERNATIVOS PARA RESOLVER DISPUTAS EN CASOS DE DERECHO DE FAMILIAS.
La función del Tribunal Superior del Condado de Ventura es “resolver disputas”, inclusive las que resultan de las
demandas de Divorcio, Relación entre Padres e Hijos, Ordenes de Alejamiento por Violencia Intra-familiar, y otros
casos de Derecho Familiar. Estas disputas se centran en la tutela de los niños y el derecho a visitarlos, la separación
de bienes personales y propiedad raíz, y la pensión alimenticia.
Cuando usted empiece el proceso para resolver su caso es importante que entienda que el sistema judicial es muy
complicado y que se basa en litigios entre adversarios. Este proceso funciona bien para muchos casos, pero no
siempre es el mejor, el más fácil o el más cómodo para resolver casos tan personales como el suyo, que involucra a
sus hijos, sus bienes y sus asuntos financieros.
En los últimos 10 años han surgido varios métodos alternativos que han resultado efectivos para resolver casos de
Derecho de Familias. El Tribunal y la Asociación de Abogados respaldan los siguientes métodos alternativos y le
invitamos a que los considere para resolver su caso. Al usar un proceso que lo haga sentir más cómodo, quizás usted
se sienta más satisfecho con los resultados.
Colaboración en Derecho de Familias, es un proceso en el que a cada parte la representa un
abogado con mucha experiencia en Derecho Familiar, entrenado para hacer negociaciones y resolver
conflictos, y su único propósito es ayudarlos a que lleguen a un acuerdo en el caso. Usted, la parte
opuesta y sus respectivos abogados dejan constancia por escrito de que están de acuerdo en no pasar
su caso a juicio o a audiencia en el Tribunal
Los Gestores en Derecho de Familias son parte del Centro de Ayuda Legal del Tribunal. Ellos le darán
información, documentos e instrucciones sobre cómo completar su caso sin pasar ante el Juez. Ofrecen
cursos para ayudarlos a preparar o a responder a una demanda de divorcio o de separación legal,
Orden para Fundamentar la Causa, y para completar el Fallo de la demanda. Puede obtener el horario
del Centro de Ayuda y de las clases en la Oficina 208 del Tribunal o en el Website del Tribunal.
Servicios Específicos y con Enfoque Limitado. Muchos abogados ofrecen estos servicios a quienes
necesiten a un abogado únicamente para algunas cosas, tales como redactar un acuerdo o para
presentarse en el tribunal si fuera necesario. Usted y el abogado firman un documento que diga
exactamente lo que el abogado hará por usted. El abogado únicamente hará el trabajo al que se
comprometió por escrito y sólo le cobrará por dichos servicios.
Un Arbitro, a quien lo seleccionan de común acuerdo entre las partes en el caso, y lo autorizan para
tomar las decisiones necesarias para resolver la disputa en un sitio privado, que sea menos formal que
una sala del Tribunal.
Una mediación privada fuera del Tribunal. Usted y la parte opuesta trabajarán en conjunto con un
abogado, un consejero, u otra persona especialmente entrenada como mediador para llegar a un
acuerdo por escrito en el que se resuelven todos los aspectos del caso. Los consejeros profesionales
en el área de salud mental también pueden llevar a cabo mediaciones y otros servicios especializados
en casos de tutela o visitas con los hijos.
Para mayor información sobre estos métodos alternativos y otras opciones diríjase a los siguientes sitios: el
Edificio del Tribunal en Ventura (Oficinas 208 y 210), el Departamento de Mediación (3 piso) y el Centro de
Ayuda Legal (4 piso); el Edificio del Tribunal en Simi Valley; el Centro de Ayuda Legal (1500 Calle Colonia)
el Centro Móvil de Ayuda Legal y la Asociación de Abogados (4475 Calle Market, oficina B en Ventura, 805-
650-7599)
John R. Smiley Edward T. Buckle
Juez Supervisor Director
Departamento de Derecho de Familias Comité de Mediación, Arbitraje y
Tribunal Superior del Condado de Ventura Colaboración - Asociación de Abogados