Get CA JV-100 2020-2024

Form Adopted for Alternative Mandatory Use Instead of Form JV-110 Judicial Council of California JV-100 Rev. July 1 2016 Page 1 of 2 Cal. Rules of Court rule 5. For counties filing a separate dependency petition for each child or for counties using Additional Children Attachment form JV-101 A ATTORNEY OR PARTY WITHOUT ATTORNEY JV-100 FOR COURT USE ONLY STATE BAR NO. NAME FIRM NAME STREET ADDRESS CITY STATE TELEPHONE NO. ZIP CODE FAX NO. E-MAIL ADDRESS ATTORNEY FOR name SUPERIOR COURT OF CALIFORNIA COUNTY OF CITY AND ZIP CODE BRANCH NAME CHILD S NAME CASE NUMBER JUVENILE DEPENDENCY PETITION VERSION ONE Welf. Inst. Code 300 et seq. NAME FIRM NAME STREET ADDRESS CITY STATE TELEPHONE NO. ZIP CODE FAX NO. E-MAIL ADDRESS ATTORNEY FOR name SUPERIOR COURT OF CALIFORNIA COUNTY OF CITY AND ZIP CODE BRANCH NAME CHILD S NAME CASE NUMBER JUVENILE DEPENDENCY PETITION VERSION ONE Welf. Inst. Code 300 et seq. 300 Original 342 Subsequent RELATED CASE if any 387 Supplemental 1. Petitioner on information and belief alleges the following a. The child named below comes within the jurisdiction of the juvenile court under the following subdivisions of section 300 of the Welfare and Institutions Code check applicable boxes see attachment 1a for concise statements of facts a b 1 b 2 c d e f g h i j e. Sex c. Age d. Date of birth b. Child s name f. Name Address mother father g. Name guardian unknown If mother or father check all that apply legal presumed biological alleged i. 300 Original 342 Subsequent RELATED CASE if any 387 Supplemental 1. Petitioner on information and belief alleges the following a* The child named below comes within the jurisdiction of the juvenile court under the following subdivisions of section 300 of the Welfare and Institutions Code check applicable boxes see attachment 1a for concise statements of facts a b 1 b 2 c d e f g h i j e. Sex c* Age d. Date of birth b. Child s name f* Name Address mother father g. Name guardian unknown If mother or father check all that apply legal presumed biological alleged i. Other state name address and relationship to child j. Prior to intervention child resided with parent name guardian name Indian custodian name other state name address and relationship to child No known parent or guardian resides within this state. This adult relative lives in this county or is closest to this court. k. Child is not detained Date and time of detention Current place of detention address Relative Shelter/foster care Other I have asked about Indian ancestry for this child and have completed and attached the required Indian Child Inquiry Attachment form ICWA-010 A. If this is a subsequent filing and there is no new information form ICWA-010 A is not required* See important notice on page 2. 504 www. courts. ca*gov 3. Petitioner requests that the court find these allegations to be true. I declare under penalty of perjury under the laws of the State of California that the foregoing and all attachments are true and correct. u SIGNATURE OF PETITIONER TYPE OR PRINT NAME Address and telephone number if different person signing than listed in caption above Number of pages attached Other children are listed on Additional Children Attachment form JV-101 A NOTICE TO PARENT Your parental rights may be permanently terminated* To protect your rights you must appear in court and answer this petition* TO PARENTS OR OTHERS LEGALLY RESPONSIBLE FOR THE SUPPORT OF THE CHILD You and the estate of your child may be jointly and severally liable for the cost of the care support and maintenance of your child in any placement or detention facility the cost of legal services for you or your child by a public defender or other attorney and the cost of supervision of your child by order of the juvenile court.