FL-370 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address): FOR COURT USE ONLY TELEPHONE NO.: E­MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: MARRIAGE OF PETITIONER: RESPONDENT: CLAIMANT: CASE NUMBER: PLEADING ON JOINDER--EMPLOYEE BENEFIT PLAN TO THE CLAIMANT: You have been joined as a party claimant in this proceeding because an interest is claimed in the employee benefit plan that is or may be subject to disposition by this court. The party who obtained the order for your joinder declares: 1. Information concerning the employee covered by the plan: a. Name: b. Employer (name): Name of labor union representing employee: c. Employee identification number: d. e. Other (specify): 2. Petitioner's a. Attorney (name, address, and telephone number): b. Address and telephone number, if unrepresented by an attorney: 3. Respondent's a. Attorney (name, address, and telephone number): b. Address and telephone number, if unrepresented by an attorney: Page 1 of 2 Form Adopted for Mandatory Use Judicial Council of California FL-370 [Rev. January 1, 2003] PLEADING ON JOINDER--EMPLOYEE BENEFIT PLAN American LegalNet, Inc. www.FormsWorkFlow.com Family Code, §§ 2060­2065 www.courtinfo.ca.gov PETITIONER: RESPONDENT: CASE NUMBER: 4. Petition for dissolution a. Date of marriage: b. Date of separation: 5. Response states a. Date of marriage: b. Date of separation: and response states 6. Judgment has not been entered a. was entered on (date): b. (1) and disposes of each spouse's interest in the employee benefit plan. and does not dispose of each spouse's interest in the employee benefit plan. (2) 7. The following relief is sought: An order determining the nature and extent of both employee and nonemployee spouse's interest in employee's benefits a. under the plan. An order restraining claimant from making benefit payments to employee spouse pending the determination and disposition b. of nonemployee spouse's interest, if any, in employee's benefits under the plan. c. d. e. An order directing claimant to notify nonemployee spouse when benefits under the plan first become payable to employee. An order directing claimant to make payment to nonemployee spouse of said spouse's interest in employee's benefits under the plan when they become payable to employee. Other (specify): f. Such other orders as may be appropriate. Dated: (SIGNATURE OF ATTORNEY FOR) PETITIONER RESPONDENT (TYPE OR PRINT NAME) FL-370 [Rev. January 1, 2003] PLEADING ON JOINDER--EMPLOYEE BENEFIT PLAN Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com