ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, Address, Fax, Telephone & State Bar Number): Attorney for: (Name) Superior Court of California, County of Sacramento STREET ADDRESS: 3341 Power Inn Road MAILING ADDRESS: Same CITY & ZIP CODE: Sacramento, California 95826 GUARDIANSHIP OF THE PERSON ESTATE OF: (Name) , a Minor(s) Hearing Date: Time: Dept. Probate Case Number: PETITION FOR COURT-ORDERED VISITATION 1. Petitioner (name): _______________________________________ (address) _______________________________________ (Telephone No) _______________________________________ (Relationship to Minor) ______________________________________, requests a visitation order regards the following minor(s): Child’s Address Telephone No. Date of Birth 1. 2. 3. 2. Date of last Mediation (if applicable): 3. Petitioner is the minor minor’s guardian minor’s parent other (Indicate relationship: ___________________ 4. Visitation is requested as follows: Reasonable Other(specify visitation requested): Modify existing order: 1. Filed on (date): 2. Case #: MANDATORY PR-E-LP-026 (07.01.06) Request for Court-Ordered Visitation LOCAL RULE 15.89.01 American LegalNet, Inc. www.FormsWorkflow.com GUARDIANSHIP OF: Case Number: 5. The facts in support of the requested visitation are as follows: 6. The names and residence addresses of the guardian, minor, and minor’s parents, brothers, sisters, and grandparents are as follows: a. Guardian: g. Brother or sister b. Minor: h. Maternal grandfather c. Father: i. Maternal grandmother d. Mother j. Paternal grandfather e. Brother or sister k. Paternal grandmother f. Brother or sister l. Additional names and addresses continued in attachment b. 7. Number of pages attached: _____ Date: _________________________ _____________________________________ (Signature of Attorney) *(Signature of all petitioners also required (Prob. Code, 1020)) I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: …………………………………………………. (Type or print name) _____________________________________ (Signature of Petitioner) ………………………………………………… (Type or print name) ______________________________________ (Signature of Petitioner) MANDATORY PR-E-LP-026 (07.01.06) Request for Court-Ordered Visitation LOCAL RULE 15.89.01 American LegalNet, Inc. www.FormsWorkflow.com