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Get CA ICWA-020 2020-2024

Name and relationship of ancestor s 4. A previous form ICWA-020 has has not been filed with the court. ICWA-020 ATTORNEY OR PARTY WITHOUT ATTORNEY Name State Bar number and address TELEPHONE NO. FOR COURT USE ONLY 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. FAX NO. Further inquiry may be required by the Indian Child Welfare Act. Page 1 of 1 Form Adopted for Mandatory Use Judicial Council of California ICWA-020 New January 1 2008 For your protection and privacy please press the Clear This Form button after you have printed the form. Save This Form Welfare Institutions Code 224. Optional E-MAIL ADDRESS Optional ATTORNEY FOR Name SUPERIOR COURT OF CALIFORNIA COUNTY OF STREET ADDRESS MAILING ADDRESS CITY AND ZIP CODE BRANCH NAME CASE NAME CHILD S NAME CASE NUMBER PARENTAL NOTIFICATION OF INDIAN STATUS To the parent Indian custodian or guardian of the above named child You must provide all the requested information about the child s Indian status by completing this form* If you get new information that would change your answers you must let your attorney all the attorneys on the case and the social worker or probation officer or the court investigator know immediately and an updated form must be filed with the court. 1. Name 2. Relationship to child 3. a* Indian custodian Parent Guardian Other I am or may be a member of or eligible for membership in a federally recognized Indian tribe. Name of tribe s name each Name of band if applicable b. I may have Indian ancestry. c* The child is or may be a member of or eligible for membership in a federally recognized Indian tribe. d. I have no Indian ancestry as far as I know. e. One or more of my parents grandparents or other lineal ancestors is or was a member of a federally recognized tribe. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date SIGNATURE TYPE OR PRINT NAME Note This form is not intended to constitute a complete inquiry into Indian heritage. 3 Family Code 177 a Probate Code 1459. 5 b Cal* Rules of Court rule 5. 481 www*courtinfo*ca*gov Print This Form. Optional E-MAIL ADDRESS Optional ATTORNEY FOR Name SUPERIOR COURT OF CALIFORNIA COUNTY OF STREET ADDRESS MAILING ADDRESS CITY AND ZIP CODE BRANCH NAME CASE NAME CHILD S NAME CASE NUMBER PARENTAL NOTIFICATION OF INDIAN STATUS To the parent Indian custodian or guardian of the above named child You must provide all the requested information about the child s Indian status by completing this form* If you get new information that would change your answers you must let your attorney all the attorneys on the case and the social worker or probation officer or the court investigator know immediately and an updated form must be filed with the court. 1. Name 2. Relationship to child 3. a* Indian custodian Parent Guardian Other I am or may be a member of or eligible for membership in a federally recognized Indian tribe.

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