FL-356 PARTY WITHOUT ATTORNEY or ATTORNEY NAME: FIRM NAME: STREET ADDRESS: CITY: TELEPHONE NO.: E-MAIL ADDRESS: ATTORNEY FOR (name): STATE: FAX NO.: ZIP CODE: STATE BAR NO.: FOR COURT USE ONLY CONFIDENTIAL SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PETITIONER: RESPONDENT: OTHER PARENT/PARTY: CONFIDENTIAL REQUEST FOR SPECIAL IMMIGRANT JUVENILE FINDINGS--FAMILY LAW CASE NUMBER: To the person filing this request: You must file this request in the case identified in 6, below, at the same time as or any time after the petition and a request for an order of sole physical custody of the child named in 4.* To the court clerk: You must file this request in a confidential part of the case file. 1. A COURT HEARING WILL BE HELD AS FOLLOWS: a. Date: b. Address of court Time: same as noted above other (specify): other parent or party. I allege the following facts and request that the court Dept.: Room: 2. I am the petitioner respondent make the specified findings and conclusions. 3. This court has jurisdiction to make a custody determination about the child in item 4 under the Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA). (Fam. Code, §§ 3400­3465.) If not currently on file with the court, Declaration Under Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) (form FL-105) is attached. 4. The child (name):* is a national of (country): 5. The child's parents are (name each): Mother Mother 6. The following petition has been filed a. b. c. d. e. f. earlier in this case Father Father Other legal parent Other legal parent (date of birth): . at the same time as this request. Petition--Marriage/Domestic Partnership (form FL-100), asking for sole physical custody of the child named in 4. Petition to Establish Parental Relationship (form FL-200), asking for sole physical custody of the child named in 4. Petition for Custody and Support of Minor Children (form FL-260), asking for sole physical custody of the child named in 4. Request for Domestic Violence Restraining Order (form DV-100), asking for sole physical custody of the child named in 4. Adoption Request (form ADOPT-200) asking to adopt the child named in 4. Another petition and request for sole physical custody of the child named in 4 (specify): 7. This court made final orders about physical custody of the child on (date): The case in item 6 is pending in this court. . The orders remain in effect. Page 1 of 2 * (Prepare and file a separate form FL-356 for each child for whom you are requesting Special Immigrant Juvenile findings.) Form Adopted for Mandatory Use Judicial Council of California FL-356 [Rev. July 1, 2016] CONFIDENTIAL REQUEST FOR SPECIAL IMMIGRANT JUVENILE FINDINGS--FAMILY LAW Code of Civil Procedure, § 155; Family Code, §§ 3020­3031; 8 U.S.C. § 1101(a)(27)(J); 8 C.F.R. § 204.11 www.courts.ca.gov American LegalNet, Inc. www.FormsWorkFlow.com FL-356 PETITIONER: RESPONDENT: OTHER PARENT/PARTY: CASE NUMBER: 8. After the court has made final orders in this case, identified in item 6, the child will be legally placed under the custody of an individual appointed by the court. The court will have jurisdiction to determine requests to modify or terminate these orders, unless another court acquires valid jurisdiction, until the child reaches 18 years of age. 9. I understand that section 3026 of the Family Code prohibits the court from ordering reunification services as part of a child custody proceeding. After the court has issued final orders giving sole physical custody to one parent, return of the child to the physical custody of another parent (i.e., reunification) will not be legally possible while those orders are in effect. I REQUEST THAT THE COURT MAKE THE FOLLOWING FINDINGS: 10. The child has been placed in the custody of (name): who is an individual appointed by the court as described in the orders referred to in 7, 8, and 9. 11. Reunification of the child with because of (check all that apply): abuse neglect abandonment another legal basis (specify): the mother the father the other legal parent is not viable under California law Facts supporting this finding (specify): Continued on Attachment 11. 12. It is not in the best interest of the child to be returned to the child's or the parent's country of nationality or country of last habitual residence (specify country or countries): Facts supporting this finding (specify): Continued on Attachment 12. 13. Additional documents in support of the request are attached and incorporated into this form. Number of pages attached: I declare under penalty of perjury under the laws of the State of California that the information on this form is true and correct. Date: (SIGNATURE) FL-356 [Rev. July 1, 2016] Page 2 of 2 CONFIDENTIAL REQUEST FOR SPECIAL IMMIGRANT JUVENILE FINDINGS--FAMILY LAW American LegalNet, Inc. www.FormsWorkFlow.com