ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF IMPERIAL 939 W. Main Street El Centro, CA 92243 PETITIONER: RESPONDENT: RESPONSE TO PETITION FOR GRANDPARENT VISITATION (Fam. Code Section 3104) CASE NUMBER: Respondent admits, denies and alleges as follows: maternal paternal grandparent(s) and 1. Petitioner(s) is/are a 2. Respondent is/are a maternal paternal grandparent(s) of the following minor child(ren): Child's Name a. b. c. d. Birthdate Age Gender 3. The parents of the child(ren) are currently married, and one or more of the following circumstances exist(mark all that apply): The parents are currently living separately and apart on a permanent or indefinite basis; One of the parents has been absent for more than one month without the other parent knowing the whereabouts of the absent parent; One of the parents joins in the petition with the grandparent; The child is not residing with either parent; The child has been adopted by a stepparent. 4. The parents of the child(ren) are divorced. A Judgment of Dissolution of Marriage was entered on _____________, in _________________________________ County, case number _____________________, or other location ___________________, case number ______________________. Form Approved for Optional Use FL-16 (Adopted 01/01/11, Revised 01/01/12, 01/01/13) Page 1 of 2 RESPONSE TO PETITION FOR GRANDPARENT VISITATION American LegalNet, Inc. www.FormsWorkFlow.com PETITIONER: RESPONDENT: CASE NUMBER: 5. 6. 7. The parents of the child(ren) have never been married. The mother of the minor child(ren) is deceased. The father of the minor child(ren) is deceased. 8. Each child named above is currently living with _______________________________ (name), ____________________ (relationship to child(ren), in ___________________ County, ________________________ (state), _________________________(country). 9. Respondent objects to Petitioner's request for visitation rights with the minor child(ren) because: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________ 10. Visitation is not in the best interest of the children because there is not a preexisting relationship between the Petitioner and the grandchild(ren). 11. A completed Declaration Under Uniform Child Custody Jurisdiction & Enforcement Act ­ Judicial Council Form (FL-105) is attached. 12. PARENTAL OBJECTION TO PETITIONER'S REQUEST FOR GRANDPARENT VISITATION: I object to the Petition for Grandparent Visitation. Date: ___________ ______________________________________ Signature of Parent of Minor Child(ren) ______________________________________ Print Name of Parent of Minor Child(ren) 13. Respondent(s) request(s) that the court deny Petitioner's request for visitation and for such other relief as the court deems just. I declare under penalty of perjury, under the laws of the State of California, that the foregoing is true and correct, and that this declaration was signed at_______________________, California. Date: _________________ ____________________________________ Signature of Respondent ____________________________________ Print Name Form Approved for Optional Use FL-16 (Adopted 01/01/11, Revised 01/01/12, 01/01/13) Page 2 of 2 RESPONSE TO PETITION FOR GRANDPARENT VISITATION American LegalNet, Inc. www.FormsWorkFlow.com