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Get CA JV-295 2007-2024

534 e For your protection and privacy please press the Clear This Form button after you have printed the form. Save This Form JV-295 Page 1 of 1 Print This Form. Clerk stamps below when form is filed. JV-295 De Facto Parent Request The address of any licensed foster family home must remain confidential unless the judge or the foster parent authorizes release of the address. Court clerks should not send this page to the parties without a court order or authorization of the foster parent. Welf* Inst* Code 308 a. 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* Court name and street address Superior Court of California County of My/Our name s My/Our address State City My/Our phone Zip Case Number I am/We are asking that I/we be appointed de facto parent s of Child s name Date Type or print your name Signature of person requesting de facto parent status Type or print attorney s name Signature of attorney if applicable Attorney s address Attorney s phone Judicial Council of California www*courtinfo*ca*gov Revised January 1 2007 Mandatory Form Cal* Rules of Court rule 5. Court clerks should not send this page to the parties without a court order or authorization of the foster parent. Welf* Inst* Code 308 a. 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* Court name and street address Superior Court of California County of My/Our name s My/Our address State City My/Our phone Zip Case Number I am/We are asking that I/we be appointed de facto parent s of Child s name Date Type or print your name Signature of person requesting de facto parent status Type or print attorney s name Signature of attorney if applicable Attorney s address Attorney s phone Judicial Council of California www*courtinfo*ca*gov Revised January 1 2007 Mandatory Form Cal* Rules of Court rule 5.

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