FL-618 GOVERNMENTAL AGENCY (under Family Code §§ 17400, 17406): 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: REQUEST FOR DISMISSAL 1. TO THE CLERK: Please dismiss the following: a. (1) b. (1) (2) (3) (4) (5) (6) (7) With prejudice Complaint ____ Supplemental complaint ____ Amended complaint ____ Amended supplemental complaint Uniform Interstate Family Support Act (UIFSA) petition Entire action of all parties and all related causes of action Other (specify): (2) Without prejudice filed on (date): filed on (date): filed on (date): filed on (date): filed on (date): filed on (date): filed on (date): CASE NUMBER: Date: (TYPE OR PRINT NAME OF GOVERNMENTAL ATTORNEY) (SIGNATURE) ____________________________________________________________________________________________________________ 2. TO THE CLERK: Consent to the above dismissal is hereby given.* Date: (TYPE OR PRINT NAME OF ATTORNEY OR PARTY WITHOUT ATTORNEY) (SIGNATURE) * If a responsive pleading seeking affirmative relief is on file, the attorney for respondent must sign the consent if required by Code of Civil Procedure section 581(i) or (j). ____________________________________________________________________________________________________________ (To be completed by clerk): 3. 4. 5. 6. Dismissal entered as requested on (date): Dismissal entered on (date): as to only (name each): Dismissal not entered as requested for the following reasons (specify): a. Attorney or party without attorney notified on (date): b. Attorney or party without attorney not notified. Filing failed to provide a copy to conform Date: Form Adopted for Mandatory Use Judicial Council of California FL-618 [Rev. January 1, 2010] means to return conformed copy Clerk, by , Deputy Page 1 of 1 Code of Civil Procedure, § 581 et seq. Cal. Rules of Court, rule 3.1390 www.courtinfo.ca.gov American LegalNet, Inc. www.FormsWorkFlow.com REQUEST FOR DISMISSAL (Governmental, UIFSA)