JV-122 CHILD'S NAME: CASE NUMBER: SERIOUS EMOTIONAL DAMAGE § 300(c) The child is suffering, or is at substantial risk of suffering, serious emotional damage evidenced by severe anxiety, depression, withdrawal, or untoward aggressive behavior toward self or others as a result of the conduct of the parent or guardian. because the child has no parent or guardian capable of providing appropriate care. (State supporting facts concisely and number them c-1, c-2, c-3, etc.): Page Form Approved for Optional Use Judicial Council of California JV-122 [Rev. January 1, 2007] of SERIOUS EMOTIONAL DAMAGE § 300(c) Welfare and Institutions Code, § 300; Cal. Rules of Court, rule 5.504 www.courtinfo.ca.gov American LegalNet, Inc. www.FormsWorkflow.com