JV-505 1 Statement Regarding Parentage Clerk stamps date here when form is filed. Child's name: _____________________________________________ I am not the parent of this child. I do not wish to participate in juvenile court proceedings about this child. I understand that: a. I will receive no further notices of hearings in this matter. b. I will not get a chance for custody of this child or court-ordered visitation with this child. c. If the child cannot be returned to a custodial parent or guardian, it is possible that all parental rights will be terminated and the child will be adopted. d. This denial applies only to the juvenile court proceedings and does not prevent the local child support agency from seeking to have another court determine that I am the child's parent for purposes of support of the child. If that occurs, I will have the right to a court trial, to confront and cross-examine witnesses and present evidence on my behalf, and to be represented by a lawyer who may be appointed if I cannot afford to hire one. Fill in court name and street address: 2 Superior Court of California, County of Fill in case number if known: Case Number: 3 I know I can have an attorney for this. a. b. I want the judge to appoint an attorney for me. or I give up my right to an attorney. 4 consent to request blood or DNA testing to I do not know if I am the parent of the child and I determine whether or not I am the biological parent. I understand that: a. If I am judged to be the parent of the child, I will have to support the child until the child reaches the age of 18 and has completed high school, or completes high school between the ages of 18 and 19, or reaches the age of 19, whichever comes first. b. If I do not support the child when I have the money to do so, I may be charged with a crime under Penal Code section 270 and, if convicted, could be sentenced to pay a fine of up to $2,000 and spend up to one year in county jail, or one year and a day in state prison. 5 I believe I am the child's parent and request that the court enter a judgment of parentage. I understand that: a. If I am judged to be the parent of the child, I will have to support the child until the child reaches the age of 18 and has completed high school, or completes high school between the ages of 18 and 19, or reaches the age of 19, whichever comes first. b. If I do not support the child when I have the money to do so, I may be charged with a crime under Penal Code section 270 and, if convicted, could be sentenced to pay a fine of up to $2,000 and spend up to one year in county jail or one year and a day in state prison. IMPORTANT NOTICE ON PAGE 4. READ BEFORE SIGNING. Judicial Council of California, www.courtinfo.ca.gov Revised January 1, 2008, Mandatory Form Family Code, §§ 7540, 7541, 7611, 7611.5, 7612, 8612, 8714, 8714.5, 8902, 8912, 9000 Statement Regarding Parentage (Juvenile) JV-505, Page 1 of 4 American LegalNet, Inc. www.FormsWorkflow.com Case Number: Your name: 6 I have already established parentage of the child by (if known): a. A voluntary declaration signed by me on (date): A copy is attached. A court judgment of parentage on (date): b. A copy is attached. in (county): 7 I am married to the child's parent. Date of marriage: _____________________ 8 I believe I am the parent of the child and request that the court find that I am the presumed parent of the child. a. The child lived with me from to and from to . b. I have told the following people that the child is mine: Check here if you need more space. Attach a sheet of paper and write "JV-505, Item 8b--People I Have Told the Child Is Mine" at the top. Number of pages attached: ____ c. I have participated in the following activities with the child (for example, school, daycare, sports): Check here if you need more space. Attach a sheet of paper and write "JV-505, Item 8c--Child's Activities" at the top. Number of pages attached: ____ Revised January 1, 2008 Statement Regarding Parentage (Juvenile) JV-505, Page 2 of 4 Case Number: Your name: 8 d. I have given the following money or things to the child: Check here if you need more space. Attach a sheet of paper and write "JV-505, Item 8d--Things Given to Child" at the top. Number of pages attached: ____ e. The child has spent the following time with my family: Check here if you need more space. Attach a sheet of paper and write "JV-505, Item 8e--Other Information" at the top. Number of pages attached: ____ f. Other information I want the court to know is: Check here if you need more space. Attach a sheet of paper and write "JV-505, Item 8f--Other Information" at the top. Number of pages attached: ____ Date: Type or print your name Date: Sign your name Type or print your attorney's name Revised January 1, 2008 Signature of your attorney Statement Regarding Parentage (Juvenile) JV-505, Page 3 of 4 Case Number: Your name: To the alleged parent of the child: · As the child's alleged parent, you will not get services to help you get your child back. You will not automatically get the child to live with you or your relatives. · If the judge finds that you are the child's parent, the judge may order services to help you get the child back, but does not have to order services for you. · If you say that you are not the child's parent and will not take a test to find out if you are the parent, and do not want services to help you get the child back, you can fill out this form and not be a part of this case. · You can have a trial and ask the judge to decide if you are the child's parent. You can pay a lawyer to be at the trial. If you cannot afford a lawyer, the judge may appoint one for you for free. At a trial, you can ask witnesses questions and give evidence to the judge. · If you want the court to decide if you are the child's parent, fill out this form. Revised January 1, 2008 Statement Regarding Parentage (Juvenile) JV-505, Page 4 of 4