FL-290 ATTORNEY OR PARTY WITHOUT ATTORNEY OR GOVERNMENTAL AGENCY (under Family Code, §§ 17400 and 17406) (Name, State Bar number, and address): FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: OTHER PARENT: ORDER AFTER HEARING ON MOTION TO SET ASIDE VOLUNTARY DECLARATION OF PATERNITY 1. This proceeding was heard on (date): by (judicial officer): 2. a. b. c. d. e. 3. a. b. 4. 5. a. b. c. 6. 7. a. b. in Dept.: Room: CASE NUMBER: Attorney present (name): Petitioner/plaintiff present Attorney present (name): Respondent/defendant present Attorney present (name): Other parent present Attorney for local child support agency present (name): Other (specify): The voluntary declaration of paternity filed on (date): is not set aside. is set aside on the following grounds (specify): The parties are ordered to complete genetic testing by (date): Genetic testing must be coordinated by the local child support agency. Other parent Petitioner Respondent Other (specify): and the minor child must each submit to genetic testing as directed by the local child support agency. Petitioner Petitioner Respondent Other parent Other (specify): must advance the costs of the genetic testing. Other (specify): Respondent Other parent must reimburse the local child support agency for genetic testing costs of: $ regarding (child's name): A further hearing regarding the results of genetic testing is set for (date): All orders regarding child support, custody, or visitation will continue until the date of the next hearing or further order. Orders are modified as follows (specify): 8. If the voluntary declaration of paternity is set aside, the court clerk must send a copy of this order to the California Department of Child Support Services (specify address): 9. Other (specify): Date: JUDICIAL OFFICER Approved as conforming to court order: Date: (TYPE OR PRINT NAME) SIGNATURE OF ATTORNEY FOR RESPONDENT/ DEFENDANT Form Adopted for Mandatory Use Judicial Council of California FL-290 [Rev. January 1, 2006] PETITIONER/PLAINTIFF OTHER PARENT Page 1 of 1 ORDER AFTER HEARING ON MOTION TO SET ASIDE VOLUNTARY DECLARATION OF PATERNITY (Family Law--Governmental) Family Code, § 7575(c); Code of Civil Procedure, § 473 www.courtinfo.ca.gov American LegalNet, Inc. www.USCourtForms.com