SAMPLES

Use the samples to help you complete

the packet of blank forms.

WARNING to the person served with the Request for Order: The court may make the requested orders without you if you donot file a Responsive Declaration to Request for Order (form FL-320), serve a copy on the other parties at least nine court daysbefore the hearing (unless the court has ordered a shorter period of time), and appear at the hearing. (See form FL-320-INFO formore information.)

Form Adopted for Mandatory UseJudicial Council of CaliforniaFL-300 [Rev. July 1, 2016]

7.

JUDICIAL OFFICER

COURT ORDER(FOR COURT USE ONLY)

6.

A COURT HEARING WILL BE HELD AS FOLLOWS:

Time:Date:

Address of court (specify):

Page 1 of 4

REQUEST FOR ORDER Family Code, §§ 2045, 2107, 6224,6226, 6320–6326, 6380–6383;

Government Code, § 26826Cal. Rules of Court, rule 5.92

www.courts.ca.gov

8.

2.

(date):

(date):

TEMPORARY EMERGENCY ORDERSREQUEST FOR ORDER CHANGE

Domestic Violence OrderChild Support

Child Custody

Attorney's Fees and Costs

Visitation (Parenting Time) Spousal or Partner Support

Property Control Other (specify):

FOR COURT USE ONLYFOR COURT USE ONLY

TELEPHONE NO.:

E-MAIL ADDRESS:

ATTORNEY FOR (name):

FAX NO.:

STATE: ZIP CODE:CITY:

STREET ADDRESS:

FIRM NAME:

NAME:

STATE BAR NUMBER:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF

BRANCH NAME:

CITY AND ZIP CODE:

STREET ADDRESS:

MAILING ADDRESS:

PETITIONER:

RESPONDENT:

OTHER PARENT/PARTY:

CASE NUMBER:

FL-300

1.

a.

b. same as noted above

Dept.: Room.:

other

4.

A Responsive Declaration to Request for Order (form FL-320) must be served on or before

Time for service until the hearing is shortened. Service must be on or before

The parties must attend an appointment for child custody mediation or child custody recommending counseling as follows(specify date, time, and location):

Date:

It is ordered that:

The orders in Temporary Emergency (Ex Parte) Orders (form FL-305) apply to this proceeding and must be personallyserved with all documents filed with this Request for Order.

(Forms FL-300-INFO and DV-400-INFO provide information about completing this form.)

NOTICE OF HEARING

3.

5.

Other Parent/PartyRespondentPetitioner

TO (name(s)):

PARTY WITHOUT ATTORNEY OR ATTORNEY

Other (specify):

The visitation (parenting time) order was filed on

The order for legal or physical custody was filed on

(date):(2)

. The court ordered (specify):

. The court ordered (specify):

(1) (date):

Attachment 2d.

visitation (parenting time).child custodyThis is a change from the current order for

The orders that I request are in the best interest of the children because (specify):

Attachment 2a.

a.

Form FL-311 Form FL-312

Form FL-341(D)

Form FL-341(C)

Form FL-341(E)

Form FL-305

(specify):Other

(2) As follows (specify):

Specified in the attached forms:(1)

Attachment 2b.

visitation (parenting time) are:child custodyThe orders I request forb.

Child's Name Date of BirthLegal Custody to (person whodecides: health, education, etc):

Physical Custody to (personwith whom child lives):

I request that the court make orders about the following children (specify):

c. Attachment 2c.

d.

REQUEST FOR ORDER

FL-300

Page 2 of 4FL-300 [Rev. July 1, 2016] REQUEST FOR ORDER

CASE NUMBER:PETITIONER:

RESPONDENT:

OTHER PARENT/PARTY:

2. CHILD CUSTODY

VISITATION (PARENTING TIME)I request temporary emergency orders

The orders are from the following court or courts (specify county and state):

(specify):

(specify):

(specify):

(specify):

Case No. (if known):

Case No. (if known):

Case No. (if known):

Case No. (if known):

Petitioner Respondent Other Parent/Party (Attach a copy of the orders if you have one.)

a.

b.

c.

d.

Criminal: County/state

Family: County/state

Juvenile: County/state

Other: County/state

One or more domestic violence restraining/protective orders are now in effect between (specify):1.

Note: Place a mark in front of the box that applies to your case or to your request. If you need more space, mark the box for“Attachment.” For example, mark “Attachment 2a” to indicate that the list of children's names and birth dates continues on a paperattached to this form. Then, on a sheet of paper, list each attachment number followed by your request. At the top of the paper, writeyour name, case number, and “FL-300” as a title. (You may use Attached Declaration (form MC-031) for this purpose.)

X

RESTRAINING ORDER INFORMATION

FL-300 [Rev. July 1, 2016] Page 3 of 4REQUEST FOR ORDER

4.

a. $Amount requested (monthly):

The court should should make, change, or end the support orders because (specify):

I have completed and filed a current Income and Expense Declaration (form FL-150) in support of my request.d.

e.

(date):end the current support order filed onchangeb. I want the court to

Attachment 4e.

The court ordered $

c. This request is to modify (change) spousal or partner support after entry of a judgment.I have completed and attached Spousal or Partner Support Declaration Attachment (form FL-157) or a declarationthat addresses the same factors covered in form FL-157.

(Note: An Earnings Assignment Order For Spousal or Partner Support (form FL-435) may be issued.)

per month for support.

I have completed and filed with this Request for Order a current Income and Expense Declaration (form FL-150) or I fileda current Financial Statement (Simplified) (form FL-155) because I meet the requirements to file form FL-155.

c.

(date):I want to change a current court order for child support filed onb.

d. The court should make or change the support orders because (specify): Attachment 3d.

The court ordered child support as follows (specify):

Monthly amount ($) requested(if not by guideline)

Child's name and age

a.I request support for each childbased on the child support guideline.

Attachment 3a.

I request that the court order child support as follows:

(Note: An earnings assignment may be issued. See Income Withholding for Support (form FL-195)

FL-300

SPOUSAL OR DOMESTIC PARTNER SUPPORT

3. CHILD SUPPORT

a.

control of the following property that we

The petitioner respondent other parent/party be given exclusive temporary use, possession, and

b.and liens coming due while the order is in effect:The petitioner respondent other parent/party be ordered to make the following payments on debts

own or are buying lease or rent (specify):

c. This is a change from the current order for property control filed on (date):

Specify in Attachment 5d the reasons why the court should make or change the property control orders.d.

For:Pay to: Amount: $ Due date:

Pay to: For: Amount: $ Due date:

Pay to: For: Amount: $ Due date:

Pay to: For: Amount: $ Due date:

5. PROPERTY CONTROL I request temporary emergency orders

CASE NUMBER:PETITIONER:RESPONDENT:

OTHER PARENT/PARTY:

I want the court to change or end the orders because (specify):

The Restraining Order After Hearing (form DV-130) was filed on (date):a.

endchangeI request that the court the personal conduct, stay-away, move-out orders, or otherprotective orders made in Restraining Order After Hearing (form DV-130). (If you want to change the orders, complete 7c.)

b.

Attachment 7c.I request that the court make the following changes to the restraining orders (specify):c.

Attachment 7d.d.

10.

I declare under penalty of perjury under the laws of the State of California that the information provided in this form and all attachmentsis true and correct.

Page 4 of 4FL-300 [Rev. July 1, 2016] REQUEST FOR ORDER

Requests for Accommodations

Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter services are available ifyou ask at least five days before the proceeding. Contact the clerk's office or go to www.courts.ca.gov/forms for Requestfor Accommodations by Persons With Disabilities and Response (form MC-410). (Civ. Code, § 54.8.)

FACTS TO SUPPORT the orders I request are listed below. The facts that I write in support and attach to this requestcannot be longer than 10 pages, unless the court gives me permission.

The hearing date and service of the the Request for Order to be sooner.

I need the order because (specify):

b.

(number): court days before the hearing.To serve the Request for Order no less thana.

c. Attachment 9c.

Date:

(TYPE OR PRINT NAME)(SIGNATURE OF APPLICANT)

OTHER ORDERS REQUESTED (specify):8.

FL-300

7. DOMESTIC VIOLENCE ORDER

Attachment 8.

6.

A current Income and Expense Declaration (form FL-150).

b.

A Supporting Declaration for Attorney's Fees and Costs Attachment (form FL-158) or a declaration that addresses thefactors covered in that form.

c.

A Request for Attorney's Fees and Costs Attachment (form FL-319) or a declaration that addresses the factors coveredin that form.

a.

I request attorney's fees and costs, which total (specify amount): $ . I filed the following to support my request:

ATTORNEY'S FEES AND COSTS

Do not use this form to ask for domestic violence restraining orders! Read form DV-505-INFO, How Do I Ask for aTemporary Restraining Order, for forms and information you need to ask for domestic violence restraining orders.

Read form DV-400-INFO, How to Change or End a Domestic Violence Restraining Order for more information.

TIME FOR SERVICE / TIME UNTIL HEARING9. I urgently need:

•

•

Attachment 10.

CASE NUMBER:PETITIONER:RESPONDENT:

OTHER PARENT/PARTY:

MC-025

SHORT TITLE: CASE NUMBER:

1 ATTACHMENT (Number) : Page of

(This Attachment may be used with any Judicial Council form.) (Add pages as required)

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27 (If the item that this Attachment concerns is made under penalty of perjury, all statements in this Attachment are made under

penalty of perjury.)

Form Approved for Optional Use ATTACHMENTJudicial Council of California

MC-025 [Rev. January 1, 2007] to Judicial Council Form

Page 1 of 1

www.courtinfo.ca.gov

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

SHC

(1)

(2)

at(day of week) (time)

from

(b)

(a)

having the initial fifth weekend, which starts (date):

The parties will alternate the fifth weekends, with the petitioner respondent

even numbered months.odd

The other parent/party will have the fifthrespondentpetitioner

weekend in

other parent/party

1st 2nd 3rd 4th 5th weekend of the month

at(day of week) (time)

to

(Note: The first weekend of the month is the first weekend with a Saturday.)

a.m. p.m./ if applicable, specify:start of schoolafter school

a.m. p.m./ if applicable, specify: start of schoolafter school

Alternate weekends starting (date):

(date):Weekends starting

at(day of week) (time)

from

at(day of week)

to(time)

(3) (date):Weekdays starting

at

(day of week) (time)

from

at(day of week) (time)

to

(4) Other visitation (parenting time) days and restrictions are:as follows:

listed in Attachment 2e(4)

a.m. p.m./ if applicable, specify:start of schoolafter school

a.m. p.m./ if applicable, specify:after schoolstart of school

a.m. p.m./ if applicable, specify:start of schoolafter school

a.m. p.m./ if applicable, specify:start of schoolafter school

Other Parent's/Party's parenting time (visitation) will be as follows:Respondent'sPetitioner's

d.

dated (specify date):-page document

a.

b.

c.

e.

Reasonable right of parenting time (visitation) to the party without physical custody (not appropriate in casesinvolving domestic violence).

See the attached

The parties will go to child custody mediation or child custody recommending counseling at (specify date, time, and

No visitation (parenting time).

Visitation (parenting time). (Specify start and ending date and time. If applicable, check "start of" OR "after school.")

location):

Note: Unless specifically ordered, a child's holiday schedule order has priority over the regular parenting time.

CHILD CUSTODY AND VISITATION (PARENTING TIME) APPLICATION ATTACHMENT

—This is not a court order—

TO Petition Response Request for Order Responsive Declaration to Request for Order

(specify):Other

CHILD CUSTODY AND VISITATION (PARENTING TIME)APPLICATION ATTACHMENT

Form Approved for Optional UseJudicial Council of CaliforniaFL-311 [Rev. July 1, 2016]

1. Custody. Custody of the minor children of the parties is requested as follows:

Child's Name Date of BirthLegal Custody to (person who decidesabout health, education, etc.)

Physical Custody to (personwith whom the child lives)

2.

Page 1 of 2

Family Code, § 6200 et seq.www.courts.ca.gov

Visitation (Parenting Time).

FL-311CASE NUMBER:PETITIONER:

RESPONDENT:OTHER PARENT/PARTY:

Page 2 of 2FL-311 [Rev. July 1, 2016]

4.

(address):

(name):

(address):

Transportation to begin the visits will be provided by

Transportation from the visits will be provided by

The exchange point at the beginning of the visit will be

The exchange point at the end of the visit will be

During the exchanges, the party driving the children will wait in the car and the other party will wait in his or herhome (or exchange location) while the children go between the car and the home (or exchange location).

(specify):

The children will be driven only by a licensed and insured driver. The car or truck must have legal child restraint devices.

(name):

g.

a.

b.

c.

e.

f.

d.

6.

7.

8.

9.

3.

I request that (name): have supervised visitation (parenting time)with the minor children according to the schedule set out on page 1.

percent; respondent:

who is a professional nonprofessional supervisor.

I request that any costs of supervision be paid as follows: petitioner: percent;

other parent/party: percent.

If item 3 is checked, you must attach a declaration that shows why unsupervised visitation (parenting time)would be bad for your children. The judge is required to consider supervised visitation if one parent or party isalleging domestic violence and is protected by a restraining order.

d.

c.

b.

a.

I request that the visitation (parenting time) be supervised by (name):

e.

The supervisor's phone number is (specify):

The person who supervises the visitation (parenting time) must meet the requirements listed in Declaration ofSupervised Visitation Provider (form FL-324) under Family Code § 3200.5.

5.

a.

c. (specify):

(specify):

the state of California.

the following counties

other places

b.

must have written permission from the other parent or party, or a court order, to take the children out of the following places:

10.

Supervised visitation (parenting time).

Transportation for visitation (parenting time) and place of exchange.

Travel with children. The

Child abduction prevention. There is a risk that one of the parties will take the children out of California without the otherparty's permission. I request the orders set out on attached form FL-312.

Children's holiday schedule. I request the holiday and vacation schedule set out on the attached

Additional custody provisions. I request the additional orders regarding custody set out on the attached

Joint legal custody provisions. I request joint legal custody and want the additional orders set out on the attached

Other. I request the following additional orders (specify):

petitioner respondent other parent/party

form FL-341(C)

(specify):

form FL-341(D) (specify):

form FL-341(E) (specify):

FL-311CASE NUMBER:PETITIONER:

RESPONDENT:OTHER PARENT/PARTY:

CHILD CUSTODY AND VISITATION (PARENTING TIME)APPLICATION ATTACHMENT

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 depresentación, pida al secretario un formulario de exención decuotas. La corte puede ordenar que usted pague, ya sea enparte o por completo, las cuotas y costos de la corte previamenteexentos 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 andPetition are served on you to file a Response (formFL-120) at the court and have a copy served on thepetitioner. A letter, phone call, or court appearancewill not protect you.

If you do not file your Response on time, the courtmay make orders affecting your marriage or domesticpartnership, your property, and custody of yourchildren. You may be ordered to pay support andattorney fees and costs.

For legal advice, contact a lawyer immediately. Gethelp finding a lawyer at the California Courts OnlineSelf-Help Center (www.courts.ca.gov/selfhelp), at theCalifornia 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 bothspouses or domestic partners until the petition isdismissed, a judgment is entered, or the court makesfurther orders. They are enforceable anywhere inCalifornia by any law enforcement officer who hasreceived 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 UseJudicial Council of California

FL-110 [Rev. January 1, 2015]

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 laentrega legal de esta Citación y Petición para presentar unaRespuesta (formulario FL-120) ante la corte y efectuar laentrega legal de una copia al demandante. Una carta o llamadatelefónica o una audiencia de la corte no basta para protegerlo.

Si no presenta su Respuesta a tiempo, la corte puede darórdenes que afecten su matrimonio o pareja de hecho, susbienes y la custodia de sus hijos. La corte también le puedeordenar que pague manutención, y honorarios y costos legales.

Para asesoramiento legal, póngase en contacto de inmediatocon un abogado. Puede obtener información para encontrar unabogado en el Centro de Ayuda de las Cortes de California(www.sucorte.ca.gov), en el sitio web de los Servicios Legalesde California (www.lawhelpca.org) o poniéndose en contactocon el colegio de abogados de su condado.

AVISO—LAS ÓRDENES DE RESTRICCIÓN SEENCUENTRAN EN LA PÁGINA 2: Las órdenes de restricciónestán en vigencia en cuanto a ambos cónyuges o miembros dela pareja de hecho hasta que se despida la petición, se emita unfallo o la corte dé otras órdenes. Cualquier agencia del ordenpúblico que haya recibido o visto una copia de estas órdenespuede hacerlas acatar en cualquier lugar de California.

[SEAL]1.

2.

FEE WAIVER: If you cannot pay the filing fee, ask theclerk for a fee waiver form. The court may order you topay back all or part of the fees and costs that the courtwaived 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 anattorney, are: (El nombre, dirección y número de teléfono del abogado del demandante, o deldemandante si no tiene abogado, son):

AVISO AL DEMANDADO (Nombre):

Nombre del demandante:

STANDARD FAMILY LAW RESTRAINING ORDERS

Starting immediately, you and your spouse or domesticpartner are restrained from:

removing the minor children of the parties from the stateor applying for a new or replacement passport for thoseminor children without the prior written consent of theother party or an order of the court;

cashing, borrowing against, canceling, transferring,disposing of, or changing the beneficiaries of anyinsurance or other coverage, including life, health,automobile, and disability, held for the benefit of theparties and their minor children;

transferring, encumbering, hypothecating, concealing, or inany way disposing of any property, real or personal,whether community, quasi-community, or separate, withoutthe written consent of the other party or an order of thecourt, except in the usual course of business or for thenecessities of life; and

You must notify each other of any proposed extraordinaryexpenditures at least five business days prior to incurring theseextraordinary expenditures and account to the court for allextraordinary expenditures made after these restraining ordersare effective. However, you may use community property,quasi-community property, or your own separate property topay an attorney to help you or to pay court costs.

SUMMONS(Family Law)

FL-110 [Rev. January 1, 2015] Page 2 of 2

ÓRDENES DE RESTRICCIÓN ESTÁNDAR DE DERECHOFAMILIAR

En forma inmediata, usted y su cónyuge o pareja de hechotienen prohibido:

1. llevarse del estado de California a los hijos menores de laspartes, o solicitar un pasaporte nuevo o de repuesto para loshijos menores, sin el consentimiento previo por escrito de laotra parte o sin una orden de la corte;

2. cobrar, pedir prestado, cancelar, transferir, deshacerse ocambiar el nombre de los beneficiarios de cualquier seguro uotro tipo de cobertura, como de vida, salud, vehículo ydiscapacidad, que tenga como beneficiario(s) a las partes ysu(s) hijo(s) menor(es);

3. transferir, gravar, hipotecar, ocultar o deshacerse decualquier manera de cualquier propiedad, inmueble opersonal, ya sea comunitaria, cuasicomunitaria o separada,sin el consentimiento escrito de la otra parte o una orden dela corte, excepto en el curso habitual de actividadespersonales y comerciales o para satisfacer las necesidadesde la vida; y

4. crear o modificar una transferencia no testamentaria demanera que afecte la asignación de una propiedad sujeta atransferencia, sin el consentimiento por escrito de la otraparte o una orden de la corte. Antes de que se puedaeliminar la revocación de una transferencia notestamentaria, se debe presentar ante la corte un aviso delcambio y hacer una entrega legal de dicho aviso a la otraparte.

Cada parte tiene que notificar a la otra sobre cualquier gastoextraordinario propuesto por lo menos cinco días hábiles antesde realizarlo, y rendir cuenta a la corte de todos los gastosextraordinarios realizados después de que estas órdenes derestricción hayan entrado en vigencia. No obstante, puede usarpropiedad comunitaria, cuasicomunitaria o suya separada parapagar a un abogado que lo ayude o para pagar los costos de lacorte.

FL-110

1.

4.

3.

2.

creating a nonprobate transfer or modifying a nonprobatetransfer in a manner that affects the disposition of propertysubject to the transfer, without the written consent of theother party or an order of the court. Before revocation of anonprobate transfer can take effect or a right ofsurvivorship to property can be eliminated, notice of thechange must be filed and served on the other party.

WARNING—IMPORTANT INFORMATION ADVERTENCIA—IMFORMACIÓN IMPORTANTEDe acuerdo a la ley de California, las propiedades adquiridaspor las partes durante su matrimonio o pareja de hecho enforma conjunta se consideran propiedad comunitaria parafines de la división de bienes que ocurre cuando se produceuna disolución o separación legal del matrimonio o pareja dehecho. Si cualquiera de las partes de este caso llega afallecer antes de que se divida la propiedad comunitaria detenencia conjunta, el destino de la misma quedarádeterminado por las cláusulas de la escrituracorrespondiente que describen su tenencia (por ej., tenenciaconjunta, tenencia en común o propiedad comunitaria) y nopor la presunción de propiedad comunitaria. Si quiere que lapresunción comunitaria quede registrada en la escritura dela 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 ustedo alguien en su hogar? Si es así, puede presentar una solicitud conCovered California. Covered California lo puede ayudar a reducir elcosto que paga por seguro de salud asequible y de alta calidad.Para obtener más información, visite www.coveredca.com. O llamea Covered California al 1-800-300-0213.

NOTICE—ACCESS TO AFFORDABLE HEALTHINSURANCE: Do you or someone in your household needaffordable health insurance? If so, you should apply forCovered California. Covered California can help reduce thecost you pay towards high quality affordable health care. Formore information, visit www.coveredca.com. Or call CoveredCalifornia at 1-800-300-1506.

California law provides that, for purposes of division ofproperty upon dissolution of a marriage or domesticpartnership or upon legal separation, property acquiredby the parties during marriage or domestic partnership injoint form is presumed to be community property. If eitherparty to this action should die before the jointly heldcommunity property is divided, the language in the deedthat characterizes how title is held (i.e., joint tenancy,tenants in common, or community property) will becontrolling, and not the community propertypresumption. You should consult your attorney if youwant the community property presumption to be writteninto the recorded title to the property.

FL-100PARTY WITHOUT ATTORNEY OR ATTORNEY STATE BAR NUMBER: FOR COURT USE ONLY

TELEPHONE NO.: FAX NO.:

E-MAIL ADDRESS:

ATTORNEY FOR (name)::

SUPERIOR COURT OF CALIFORNIA, COUNTY OF

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PETITIONER:

RESPONDENT:

CASE NUMBER:PETITION FOR

Dissolution (Divorce) of:

Legal Separation of:

Nullity of:

Marriage

1. LEGAL RELATIONSHIP (check all that apply):

Page 1 of 3

Form Adopted for Mandatory Use PETITION—MARRIAGE/DOMESTIC PARTNERSHIP Family Code, §§ 297, 299, 2320, 2330, 3409Judicial Council of California www.courts.ca.govFL-100 [Rev. January 1, 2020] (Family Law)

Domestic Partnership

Marriage Domestic Partnership

Marriage Domestic Partnership

AMENDED

a. We are married.

b. We are domestic partners and our domestic partnership was established in California.

c. We are domestic partners and our domestic partnership was NOT established in California.

2.

a. Petitioner

RESIDENCE REQUIREMENTS (check all that apply):

Respondent has been a resident of this state for at least six months and of this county for at least three

months immediately preceding the filing of this Petition. (For a divorce, unless you are in the legal relationship described

in 1b., at least one of you must comply with this requirement.)

b. 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.

Petitioner lives in (specify): Respondent lives in (specify):

c. We are the same sex, were married in California, but currently live in a jurisdiction that does not recognize, and will not

dissolve, our marriage. This Petition is filed in the county where we married.

3.

a. (1)

STATISTICAL FACTS

Date of marriage (specify): (2) Date of separation (specify):

(3) Time from date of marriage to date of separation (specify): Years Months

b. (1) Registration date of domestic partnership with the California Secretary of State or other state equivalent (specify below):

(2) Date of separation (specify):

(3) Time from date of registration of domestic partnership to date of separation (specify): Years Months

4. MINOR CHILDREN

a. There are no minor children.

b. The minor children are:

Child's name Birthdate Age

(1) continued on Attachment 4b. (2) a child who is not yet born.

c. If any children listed above were born before the marriage or domestic partnership, the court has the authority to determine

those children to be children of the marriage or domestic partnership.

e. Petitioner and Respondent signed a voluntary declaration of parentage or paternity. (Attach a copy if available.)

NAME:

FIRM NAME:

STREET ADDRESS:

CITY: STATE: ZIP CODE:

If there are minor children of Petitioner and Respondent, a completed Declaration Under Uniform Child Custody Jurisdiction

and Enforcement Act (UCCJEA) (form FL-105) must be attached.

d.

Self-RepresentedSanta Clara

201 N. First Street, San Jose, CA 95113191 N. First Street, San Jose, CA 95113

Family Justice Center Courthouse

PETITIONER: CASE NUMBER:

5. LEGAL GROUNDS (Family Code sections 2200–2210, 2310–2312)

a. Divorce

RESPONDENT:

Petitioner requests that the court make the following orders:

or Legal separation of the marriage or domestic partnership based on (check one):

(1) irreconcilable differences. (2) permanent legal incapacity to make decisions.

b.

(1)

Nullity of void marriage or domestic partnership based on

incest. (2) bigamy.

c. Nullity of voidable marriage or domestic partnership based on

(1) petitioner’s age at time of registration of domestic

partnership or marriage.

(2) prior existing marriage or domestic partnership.

(3) unsound mind.

(4)

(5)

(6) physical incapacity.

force.

fraud.

6. CHILD CUSTODY AND VISITATION (PARENTING TIME) Petitioner Respondent Joint Other

a. Legal custody of children to..............................................................

b. Physical custody of children to.........................................................

c. Child visitation (parenting time) be granted to .............................

As requested in form FL-311

form FL-341(D)

form FL-312

form FL-341(E)

form FL-341(C)

Attachment 6c(1)

7. CHILD SUPPORT

a. If there are minor children born to or adopted by Petitioner and Respondent before or during this marriage or domestic

partnership, the court will make orders for the support of the children upon request and submission of financial forms by the

requesting party.

b. An earnings assignment may be issued without further notice.

c. Any party required to pay support must pay interest on overdue amounts at the "legal" rate, which is currently 10 percent.

d. Other (specify):

FL-100 [Rev. January 1, 2020]

(Family Law)

PETITION—MARRIAGE/DOMESTIC PARTNERSHIP Page 2 of 3

8. SPOUSAL OR DOMESTIC PARTNER SUPPORT

a. Spousal or domestic partner support payable to Petitioner Respondent

b. Terminate (end) the court's ability to award support to Petitioner Respondent

c. Reserve for future determination the issue of support payable to Petitioner Respondent

d. Other (specify):

9.

a.

SEPARATE PROPERTY

There are no such assets or debts that I know of to be confirmed by the court.

Property Declaration (form FL-160).b. Confirm as separate property the assets and debts in Attachment 9b.

the following list. Item Confirm to

FL-100

12.

Date:

NOTICE—CANCELLATION OF RIGHTS: Dissolution or legal separation may automatically cancel the rights of a domestic partner

or spouse under the other domestic partner’s or spouse’s 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 partner’s or spouse’s 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. Some changes may require the agreement of your partner or

spouse or a court order.

(TYPE OR PRINT NAME)

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

(SIGNATURE OF PETITIONER)

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.

(SIGNATURE OF ATTORNEY FOR PETITIONER)

10.

a.

PETITIONER:

RESPONDENT:

There are no such assets or debts that I know of to be divided by the court.

COMMUNITY AND QUASI-COMMUNITY PROPERTY

CASE NUMBER:

b. Determine rights to community and quasi-community assets and debts. All such assets and debts are listed

in Property Declaration (form FL-160) in Attachment 10b.

as follows (specify):

a.

b.

OTHER REQUESTS

Attorney's fees and costs payable by

Petitioner's former name be restored to (specify):

11.

Petitioner Respondent

c. Other (specify):

Continued on Attachment 11c.

Date:

(TYPE OR PRINT NAME)

NOTICE:

FL-100 [Rev. January 1, 2020]

(Family Law)

PETITION—MARRIAGE/DOMESTIC PARTNERSHIP Page 3 of 3

FL-100

FOR MORE INFORMATION: Read Legal Steps for a Divorce or Legal Separation (form FL-107-INFO) and visit "Families Change"

at www.familieschange.ca.gov — an online guide for parents and children going through divorce or separation.

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, spousal or partner support.

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 UseJudicial Council of California

FL-115 [Rev. January 1, 2015]

FL-115

1.

and

a.

(1)

(2)

(3)

(7)

b.

c.

–or–

–or–

(5)

(6)

(4)

a.

I served the respondent by the following means (check proper boxes):

on (date): at (time):

b.

(1)

(2)

(name):

d.

Page 1 of 2

(8)

Code of Civil Procedure, § 417.10www.courts.ca.gov

who is (specify title or relationship to respondent):

PROOF OF SERVICE OF SUMMONS

FOR COURT USE ONLYATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):

TELEPHONE NO.: FAX NO.:

E-MAIL ADDRESS:

ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF

BRANCH NAME:

CITY AND ZIP CODE:

STREET ADDRESS:

MAILING ADDRESS:

PETITIONER:

RESPONDENT:

CASE NUMBER:

Family Law—Marriage/Domestic Partnership: Petition—Marriage/Domestic Partnership (form FL-100), Summons (formFL-110), and blank Response—Marriage/Domestic Partnership (form FL-120)

Uniform Parentage: Petition to Establish Parental Relationship (form FL-200), Summons (form FL-210), and blankResponse to Petition to Establish Parental Relationship (form FL-220)

Custody and Support: Petition for Custody and Support of Minor Children (form FL-260), Summons (form FL-210), andblank Response to Petition for Custody and Support of Minor Children (form FL-270)

Completed and blank Declaration UnderUniform Child Custody Jurisdiction andEnforcement Act (form FL-105)

Completed and blank Declaration ofDisclosure (form FL-140)

Completed and blank Schedule of Assetsand Debts (form FL-142)

Completed and blank Income andExpense Declaration (form FL-150)

Completed and blank Financial Statement(Simplified) (form FL-155)

Completed and blank PropertyDeclaration (form FL-160)

Request for Order (form FL-300), and blankResponsive Declaration to Request for Order (formFL-320)

2.

3.

Personal service. I personally delivered the copies to the respondent (Code Civ. Proc., § 415.10)

Substituted service. I left the copies with or in the presence of

(Business) a person at least 18 years of age who was apparently in charge at the office or usual place ofbusiness of the respondent. I informed him or her of the general nature of the papers.

(Home) a competent member of the household (at least 18 years of age) at the home of the respondent. Iinformed him or her of the general nature of the papers.

on (date):

A declaration of diligence is attached, stating the actions taken to first attempt personal service.

I thereafter mailed additional copies (by first class, postage prepaid) to the respondent at the place where thecopies were left (Code Civ. Proc., § 415.20b) on (date):

at (time):

Address where respondent was served:

Self-Represented

Santa Clara

ê

ê

ADR Options (Local Form FM-1021)Family Law Notice (Local Form FM-1050)

ê

ê

Person who served papers

The fee for service was (specify): $

a.

b.

c.(1) Registration no.:

County:

5.

6.

PROOF OF SERVICE OF SUMMONS(Family Law—Uniform Parentage—Custody and Support)

FL-115 [Rev. January 1, 2015]

4.

This person is

(2)

c.

(1)

(2)

(specify code section):d.

–or–

Name:

Telephone number:

d.

Page 2 of 2

CASE NUMBER:

RESPONDENT:

PETITIONER:

FL-115

3. Mail and acknowledgment service. I mailed the copies to the respondent, addressed as shown in item 2, byfirst-class mail, postage prepaid, on

Other

with two copies of the Notice and Acknowledgment of Receipt (form FL-117) and a postage-paid returnenvelope addressed to me. (Attach completed Notice and Acknowledgment of Receipt (form FL-117).)(Code Civ. Proc., § 415.30.)

to an address outside California (by registered or certified mail with return receipt requested). (Attach signedreturn receipt or other evidence of actual delivery to the respondent.) (Code Civ. Proc., §§ 415.40, 417.20.)

Continued on Attachment 3d.

Address:

exempt from registration under Business and Professions Code section 22350(b).

not a registered California process server.

a registered California process server: an employee or an independent contractor

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

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)

(date): from (city):

ê