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Self-Help Services can review your completed forms before you file them
with the Court. To request review of your completed forms:
1.
2.
3.
SHC-P-01 (Rev. 01/01/2021)
SelfHelpFamilyLaw@occourts.org 657.622.6630
SUPERIOR COURT OF CALIFORNIA
COUNTY OF ORANGE
Self-Help Services
www.occourts.org/self-help
wants to be determined as not a parent of the children listed in item 2 because (specify):
respondent is the parent of the children listed in item 2 above.
respondent is the children's parent and has failed to support the children.
the children live or are found in this county.
parentage has been determined by a voluntary declaration of parentage or paternity. (Attach a copy if available.)
a.
PETITION TO DETERMINE PARENTAL RELATIONSHIP
(Uniform Parentage)
gave birth to the children listed in item 2.
e.
d.
c.
is the child or the child's personal representative
b.
wants to be determined as a parent of the children in item 2 because (specify):
PETITION TO DETERMINE PARENTAL RELATIONSHIP
FOR COURT USE ONLY
ATTORNEY FOR (name):
E-MAIL ADDRESS:
FAX NO.:TELEPHONE NO.:
ZIP CODE:STATE:CITY:
STREET ADDRESS:
FIRM NAME:
NAME:
PARTY WITHOUT ATTORNEY OR ATTORNEY
STATE BAR NUMBER:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
BRANCH NAME:
CITY AND ZIP CODE:
STREET ADDRESS:
MAILING ADDRESS:
PETITIONER:
RESPONDENT:
CASE NUMBER:
FL-200
1. The petitioner
(specify court and date of appointment):
Other
Other
public assistance is being provided to the children.
(specify):
(name):
(specify):
Other
(specify):
2.
a child who is not yet born.
Child's name
Birthdate Age
b.
The children are
a.
3. The court has jurisdiction over the respondent because the respondent:
The action is brought in this county because (you must check one or more to file in this county):
Petitioner claims
(check all that apply):
6.
5.
4.
a.
b.
a.
b.
c.
a.
b.
c.
d. has furnished or is furnishing the following reasonable expenses
of pregnancy and birth for which the respondent as parent of the children should pay:
Amount Payable to
For (specify):
f.
A completed Declaration Under Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) (form FL-105) is attached.
e.
had sexual intercourse in this state, which resulted in conception of the children listed in item 2.
lives in this state.
a parent is deceased and proceedings for administration of the estate have been or could be started in this county.
Form Approved for Optional Use
Judicial Council of California
FL-200 [Rev. January 1, 2020]
Family Code, § 7630
www.courts.ca.gov
Page 1 of 2
ORANGE
341 THE CITY DRIVE SOUTH
341 THE CITY DRIVE SOUTH
ORANGE, CA 92868
LAMOREAUX JUSTICE CENTER
OTHER ORDERS REQUESTED
Petitioner
Petitioner requests genetic testing to determine whether the
The facts in support of the requested custody and visitation (parenting time) orders are
e.
FL-200 [Rev. January 1, 2020]
Page 2 of 2
PETITION TO DETERMINE PARENTAL RELATIONSHIP
(Uniform Parentage)
Date:
RESPONDENT:
PETITIONER:
CASE NUMBER:
FL-200
(TYPE OR PRINT NAME)
Petitioner asks the court to make the determinations indicated below.
CHILD CUSTODY AND VISITATION (PARENTING TIME)
PARENT-CHILD RELATIONSHIP (check all that apply):
7.
8.
is the parent of the children listed in item 2.
is found to be the parent of the children listed in item 2.a. If
CHILD SUPPORT
The court may make orders for support of the children and issue an earnings assignment without further notice to either party.
12.
REASONABLE EXPENSES OF PREGNANCY AND BIRTH
9.
NAME CHANGE11.
FEES AND COSTS OF LITIGATION
10.
a.
b.
Attorney fees to be paid by
Expert fees, guardian ad litem fees, and other costs of
the action or pretrial proceedings to be paid by
I have read the restraining order on the back of the
Summons
(FL-210) and I understand it applies to me when this Petition is filed.
14.
13.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Petitioner
Respondent Joint
Petitioner
Respondent Joint
Reasonable expenses of pregnancy
and birth to be paid by
a. Petitioner
Respondent
Respondent
children listed in item 2.
c. Petitioner
Respondent
is not the parent of the children listed in item 2.
b. Petitioner
Respondent
Contained in the attached declaration.
Children's names be changed, according to Family Code section 7638, as follows (specify old and new names):
(SIGNATURE OF PETITIONER)
A blank Response to Petition to Determine Parental Relationship (form FL-220) must be served on the respondent with this petition.
NOTICE: If you have a child from this relationship, the court is required to order child support based upon the income of
both parents. Support normally continues until the child is 18. You should supply the court with information about your
finances. Otherwise, the child support order will be based upon information supplied by the other parent. Any party
required to pay child support must pay interest on overdue amounts at the "legal" rate, which is currently 10 percent.
(specify):
as follows:
is the parent of the
(specify):
Legal custody of children to
.........................................................
....................................................
Physical custody of children to
Child visitation (parenting time) be granted to
.............................
As requested in
Petitioner Respondent Joint Other
c.
d.
b.
IRUP)/ IRUP)/ IRUP)/&
IRUP)/' IRUP)/( Attachment 6c(1)
Super
i
or Court of Cal
i
forn
i
a, County of Orange
341 The City Drive, Orange CA 92868
Lamoreaux Justice Center
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
ORANGE
341 THE CITY DRIVE
ORANGE, CA 92868
LAMOREAUX JUSTICE CENTER
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.
Page 1 of 1
Approved for Optional Use
Form # L-1120
Rev. May 5, 2010
FAMILY LAW NOTICE RE RELATED CASE
Superior Court of Orange County
Local Rule 701.5
www.occourts.org
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name & Address):
TELEPHONE NO.: FAX NO. (Optional):
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name): BAR NO.:
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE
JUSTICE CENTER:
Central - 700 Civic Center Dr. West, Santa Ana, CA 92701-4045
Lamoreaux - 341 The City Drive, Orange, CA 92868-3205
PLAINTIFF/PETITIONER:
DEFENDANT/RESPONDENT:
FAMILY LAW NOTICE RE RELATED CASE
CASE NUMBER:
The parties must file this form with the Superior Court of Orange County, when a family law case is filed with the
Court and when a party discovers that there is a related case. A related case means one or both parties and/or
minor children of the parties are involved in other cases. Examples of related cases include another family law
case, a domestic violence case, a child support collection case, a criminal case, and a juvenile case involving a
minor child of one or both of the parties.
Fill in the requested information:
1. I also used the name(s):
2. The other party’s name is:
;
He/She has also used the name(s):
3.
Other court cases involving either party or a child of either party:
(If known, please include the case numbers)
Court Location/
Case Number Case Name Justice Center Person Involved
a.
b.
c.
d.
4.
There are no other court cases involving either party or a child of either party.
Date:
(TYPE OR PRINT NAME OF PARTY OR ATTORNEY)
(SIGNATURE OF PARTY OR ATTORNEY)
✔
Page 1 of 2
Form Approved for Optional Use
Judicial Council of California
FL-115 [Rev. January 1, 2021]
PROOF OF SERVICE OF SUMMONS
(Family Law—Uniform Parentage—Custody and Support)
Code of Civil Procedure, § 417.10
FL-115
PROOF OF SERVICE OF SUMMONS
FOR COURT USE ONLY
CASE NUMBER:
PARTY WITHOUT ATTORNEY or ATTORNEY STATE BAR NO.:
NAME:
FIRM NAME:
STREET ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
FAX NO.:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
BRANCH NAME:
CITY AND ZIP CODE:
STREET ADDRESS:
MAILING ADDRESS:
PETITIONER:
RESPONDENT:
1.
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:
a.
Family Law: Petition—Marriage/Domestic Partnership (form ), Summons (form ), and blank Response—
Marriage/Domestic Partnership (form )
–or–
b.
Uniform Parentage: Petition to Determine Parental Relationship (form ), Summons (form ), and blank
Response to Petition to Determine Parental Relationship (form )
–or–
c.
Custody and Support: Petition for Custody and Support of Minor Children (form ), Summons (form ), and
blank Response to Petition for Custody and Support of Minor Children (form )
and
d.
(1) Completed and blank Declaration Under
Uniform Child Custody Jurisdiction and
Enforcement Act (UCCJEA) (form )
(2)
Completed and blank Declaration of
Disclosure (form )
(3)
Completed and blank Schedule of Assets
and Debts (form )
(4)
Completed and blank Income and
Expense Declaration (form )
(5)
Completed and blank Financial Statement
(Simplified) (form )
(6)
Completed and blank Property
Declaration (form )
(7)
Request for Order (form ), and blank
Responsive Declaration to Request for Order
(form )
(8)
2.
Address where respondent was served:
3. I served the respondent by the following means (check proper boxes):
a.
Personal service. I personally delivered the copies to the respondent (Code Civ. Proc., § 415.10)
on (date): at (time):
b.
Substituted service. I left the copies with or in the presence of
(name):
who is (specify title or relationship to respondent):
(1)
(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 the person of the general nature of the papers.
(2)
(Home) a competent member of the household (at least 18 years of age) at the home of the respondent. I
informed the person of the general nature of the papers.
on (date):
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):
A declaration of diligence is attached, stating the actions taken to first attempt personal service.
www.courts.ca.gov
FL-100
FL-110
FL-200
FL-210
FL-220
FL-210
FL-260
FL-270
FL-105
FL-155
FL-160
FL-300
FL-320
ORANGE
341 The City Drive
Orange, CA 92868
Lamoreaux Justice Center
FL-115 [Rev. January 1, 2021]
PROOF OF SERVICE OF SUMMONS
(Family Law—Uniform Parentage—Custody and Support)
Page 2 of 2
FL-115
RESPONDENT:
PETITIONER:
CASE NUMBER:
3.
c.
Mail and acknowledgment service. I mailed the copies to the respondent, addressed as shown in item 2, by
first-class mail, postage prepaid, on
(date):
from (city):
(2)
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, 417.20.)
(1)
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 ).)
(Code Civ. Proc., § 415.30.)
d.
Other (specify code section):
Continued on Attachment 3d.
4.
Person who served papers
Name:
Address:
Telephone number:
This person is
a.
exempt from registration under Business and Professions Code section 22350(b).
b.
not a registered California process server.
c.
a registered California process server:
an employee or an independent contractor
(2) County:
(3)
The fee for service was (specify): $
(1)
Registration no.:
5.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
–or–
6.
I am a California sheriff, marshal, or constable, and I certify that the foregoing is true and correct.
Date:
(NAME OF PERSON WHO SERVED PAPERS)
(SIGNATURE OF PERSON WHO SERVED PAPERS)
FL-117
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Self-Help Services SUPERIOR COURT OF CALIFORNIA www.occourts.orgself-help COUNTY (The Superior Court of California - County of Orange)

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Completed 8 February 2021

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