ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME, STATE BAR NUMBER AND ADDRESS) FOR COURT USE ONLY TELEPHONE NUMBER: FAX NO. (Optional): EMAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN LUIS OBISPO STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: 1035 Palm Street, Room 385 Same as above San Luis Obispo, CA 93408 San Luis Obispo Division GUARDIANSHIP OF: CASE NUMBER: Date: Time: Dept: PETITION FOR VISITATION-GUARDIANSHIP *(Use only attachments as needed or indicated as necessary for your particular matter. Not every Petition for Visitation will use every attachment below). 1. Petitioner (name)________________________ is the minor's (relationship) ____________________ and requests the following visitation schedule with the minor (name):____________________________, birthdate________________. Describe proposed visitation schedule (days, times, etc.): ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ __________________________________________________________________. OR Specified in Attachment 1 2. The guardian of the minor is (name): __________________________________. The guardian was appointed on (date): __________________________________. Page 1 of 3 Form Adopted for Optional Use San Luis Obispo Superior Court Local Form PR016 Rev. 1/1/15 Probate Code § 2350, 2351, 2102 PETITION FOR VISITATION-GUARDIANSHIP American LegalNet, Inc. www.FormsWorkFlow.com GUARDIANSHIP OF: CASE NUMBER 3. Petitioner and the guardian Court Services. have have not attended Mediation at Family If the parties have attended Mediation: Date of attendance: ____________ Was an agreement reached? Yes No 4. Petitioner should be granted visitation for the reasons specified in Attachment 4. does not consent to consents to the proposed visitation plan, 5. The guardian it is unknown if the guardian consents to the the proposed visitation plan, or visitation plan. 6. The names and residence addresses of the guardian, minor, and minor's parents, brothers, sisters, and grandparents are as follows: a. Guardian: f. Maternal Grandfather: b. Minor: g. Maternal Grandmother: c. Father: h. Paternal Grandfather: d. Mother: i. Paternal Grandmother: e. Brother(s) or Sisters(s) and the names of their legal guardians: j. Additional names and addresses continued in Attachment 6. Page 2 of 3 Form Adopted for Optional Use San Luis Obispo Superior Court Local Form PR016 Rev. 1/1/15 PETITION FOR VISITATION-GUARDIANSHIP Probate Code § 2350, 2351, 2102 American LegalNet, Inc. www.FormsWorkFlow.com GUARDIANSHIP OF: CASE NUMBER 7. Notice to the persons identified in Attachment 7 should be dispensed with because: They cannot with reasonable diligence be given notice (specify names and efforts to locate them in Declaration of Due Diligence, Local Form PR019). Other good cause exists to dispense with notice (specify names and reasons in Attachment 7.) Date: ______________________________________ (Signature of Attorney or party without Attorney) I/we declare under penalty of perjury under the laws of the State of California, that the foregoing is true and correct. Date: _______________ ____________________________________ (Signature of Petitioner 1) ____________________________________ (Print Name) ____________________________________ (Signature of Petitioner 2 (if needed)) ____________________________________ (Print Name (if needed)) Page 3 of 3 Form Adopted for Optional Use San Luis Obispo Superior Court Local Form PR016 Rev. 1/1/15 PETITION FOR VISITATION-GUARDIANSHIP Probate Code § 2350, 2351, 2102 American LegalNet, Inc. www.FormsWorkFlow.com GUARDIANSHIP OF: CASE NUMBER Attachment 1--Visitation Schedule Attachment (Sample Plans) 1. Weekends starting (date):________________________________ (The first weekend of the month is the first weekend with a Saturday.) 1st 2nd 3rd 4th 5th weekend of every Month from _______________________ at _______________ (day of week) (time) a.m. p.m. to ________________________ at _______________ (day of week) (time) a.m. p.m. party with The parties will alternate the fifth weekends, with the guardian having the initial fifth weekend, which starts (date): visitation Or ________________________. 2. Alternate weekends starting (date): _____________________________ from ________________________ at _______________ (day of week) (time) a.m. p.m. to ________________________ at _______________ (day of week) (time) a.m. p.m. 3. Weekdays starting (date): _________________________________ from ________________________ at _______________ (day of week) (time) a.m. p.m. to ________________________ at _______________ a.m. p.m. (day of week) (time) (Continued) Form Adopted for Optional Use San Luis Obispo Superior Court Local Form PR016 Rev. 1/1/15 Page 1 of 3 PETITION FOR VISITATION-GUARDIANSHIP Probate Code § 2350, 2351, 2102 American LegalNet, Inc. www.FormsWorkFlow.com GUARDIANSHIP OF: CASE NUMBER 4. Other (specify days and times as well as any additional restrictions): ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________. Continued on Attachment 1.a.(4). 5. Transportation for visitation: a. party with Transportation to the visits will be provided by the other (specify): guardian Or, visitation, ___________________________________________________. b. Drop-off of the children will be at (address):___________________________________________. c. Pick-up of the children will be at (address):___________________________________________. d. The children will be driven only be a licensed and insured driver. The car or truck must have legal child restraint devices. e. During the exchanges, the party driving the children will wait in the car and the other party will wait in his or her home while the children go between the car and the home. f. Other (specify): ___________________________________________________________ __________________________________________________________. 6. Travel with children. The party with visitation must have written permission State of from the guardian or a Court Order to take the children out of the San Luis Obispo County. California 7. Holiday Schedule. See Children's Holiday Schedule Atta