ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address) FOR COURT USE ONLY TELEPHONE AND FAX NOS.: ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF MERCED STREET ADDRESS: 627 W. 21st Street CITY AND ZIP CODE: Merced, CA 95340 GUARDIANSHIP OF MINOR(S) CASE NO. PETITION FOR VISITATION ORDERS – GUARDIANSHIP 1. [ ] Guardian [ ] Mother [ ] Father [ ] other: ___________________________ requests that the court issue visitation orders. 2. The following visitation orders are requested: _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ 3. The reason for the visitation request is as follows: _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ I agree and consent to the above visitation request. By signing below I understand that the court may grant the requested visitation with or without my presence at the hearing. DATE NAME (Print) Signature Relationship ___________ _________________________ ________________________________ __________________________ ___________ _________________________ ________________________________ __________________________ ___________ _________________________ ________________________________ __________________________ ___________ _________________________ ________________________________ __________________________ DECLARATION I declare under the penalty of perjury under the laws of the State of California that the foregoing is true and correct. DATED: _________________ Name: __________________________________ Signature: ___________________________________________ PETITION FOR VISITATION ORDERS – GUARDIANSHIP American LegalNet, Inc. www.FormsWorkFlow.com