Referral For CII-DVROS-ICMS Report (Temporary Guardianship)
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Referral For CII-DVROS-ICMS Report (Temporary Guardianship) Form. This is a California form and can be use in San Bernardino Local County.
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Tags: Referral For CII-DVROS-ICMS Report (Temporary Guardianship), A1, California Local County, San Bernardino
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO
REFERRAL FOR CII/DVROS/ICMS REPORT (TEMPORARY GUARDIANSHIP)
Case Number
Ex Parte Hearing Date
Department
This Section to be Completed by Filing Party
Petitioner Name:
Petitioner Former Name:
Petitioner AKAs, if any:
Petitioner Date of Birth:
Second Petitioner Name:
Second Petitioner Former Name:
Second Petitioner AKAs, if any:
Second Petitioner Date of Birth:
Other Member of Household 18 Years Old & Older:
Date of Birth:
SSN:
Other Member of Household 18 Years Old & Older:
Date of Birth:
SSN:
Other Member of Household 18 Years Old & Older:
Date of Birth:
SSN:
Name of Minor’s Natural Mother:
Date of Birth:
SSN:
Name of Minor’s Natural Father:
Date of Birth:
SSN:
Petitioner SSN:
Petitioner SSN:
COURT ORDER:
■
This matter is referred to Family Law Processing for a DVROS (CLETS) history report and a
Criminal History Inquiry (CII) pursuant to Family Code 6306 and/or California Rule of Court 5.500.
■
This matter is referred to Family Law Processing for a search of the Superior Court of California,
County of San Bernardino Integrated Case Management System for a history report regarding
existing custody and visitation orders pursuant to CRC 5.500.
Form A1
This form is required with all Temporary Guardianship filings (10/05/04)
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