ALA JV-004 ATTORNEY OR PARTY WITHOUT ATTORNEY (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, ALAMEDA COUNTY STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME In the Matter of (Name of Child): CASE NUMBER: FAMILY COURT STIPULATION AND ORDER DISMISSING JUVENILE COURT CASE 1. There is a related Family Court case involving the minor named above, Case No. (specify): 2. The parties have reached a stipulation for custody and/or visitation in the Juvenile Court matter, a copy of which is attached. 3. The parties agree that upon filing of the attached stipulation in the Family Court matter, this Juvenile Court matter may be ordered dismissed. Date: __________________________________________________ Attorney for Petitioner Petitioner Date: __________________________________________________ Attorney for Respondent Respondent Date: __________________________________________________ Attorney for Minor Date: __________________________________________________ Attorney for other (specify): Other (specify): Good cause appearing, the foregoing stipulation of the parties is approved. The stipulation is ordered filed in the Family Court matter and upon signature of the judge assigned that matter, this Juvenile Court matter is ordered dismissed without prejudice. Date: __________________________________________________ (JUDICIAL OFFICER) Page 1 of 1 Form Adopted for Mandatory Use Superior Court of California, County of Alameda ALA JV-004 [New January 1, 2008] FAMILY COURT STIPULATION AND ORDER DISMISSING JUVENILE COURT CASE Local Rule 5.511(c)(1) American LegalNet, Inc. www.FormsWorkflow.com