FL/E-LP-606 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address): TELEPHONE NO: For Court Use Only ATTORNEY FOR (NAME): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SACRAMENTO STREET ADDRESS: 3341 POWER INN ROAD MAILING ADDRESS: SAME CITY AND ZIP CODE: SACRAMENTO, 95826 PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: CASE NUMBER: PETITION FOR GRANDPARENT VISITATION Petitioner(s) allege(s): 1. Petitioner(s) is (are) (specify): of the minor children listed below: Child's name Birth date maternal paternal grandfather grandmother Gender (M/F) Currently living with (person/s) County 2. Petitioner has standing to bring this petition because (must mark one): a. Parents are not married to each other. b. The parents are married to each other and one or more of the following exist: 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 spouse knowing the whereabouts of the absent parent. One of the parents joins in the petition with the grandparents (signature attached). The child is not residing with either parent. The child has been adopted by a stepparent. One of the parents is incarcerated or involuntarily institutionalized. There is a pre-existing relationship and bond between the grandparent(s) and the grandchild(ren) such that visitation is in the best interest of the child(ren), as described below: 3. Page 1 of 2 FL/E-LP-606 (Revised 1/4/16) Mandatory Petition for Grandparent Visitation American LegalNet, Inc. www.FormsWorkFlow.com Family Law Code 3103 www.saccourt.ca.gov FL/E-LP-606 4. Describe the relationship between the child(ren) and the grandparent(s), explain why visitation is in the child(ren)'s best interest, and include all facts supporting the requested visitation orders below: 5. A completed Summons and declaration under the Uniform Child Custody Jurisdiction and Enforcement Act is attached. Petitioner(s) request(s) that the court grant reasonable visitation with the above named child(ren), and such other relief as the court may deem appropriate, pursuant to Family Code Sections 3103. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: ____________________ 6. Type or print name Signature of Petitioner Type or print name Signature of Petitioner PARENT CONSENT TO PETITIONER'S REQUEST FOR GRANDPARENT VISITATION I consent to and join in this Petition for Grandparent Visitation. Date: ____________________ Type or print name Signature of parent of minor child(ren) Page 2 of 2 FL/E-LP-606 (Revised 1/4/16) Mandatory Petition for Grandparent Visitation American LegalNet, Inc. www.FormsWorkFlow.com Family Law Code 3103 www.saccourt.ca.gov