FOR COURT USE ONLY ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): TELEPHONE NO.: FAX NO.(Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO CENTRAL DIVISION, COUNTY COURTHOUSE, 220 W. BROADWAY, SAN DIEGO, CA 92101 CENTRAL DIVISION, JUVENILE COURT, 2851 MEADOW LARK DR., SAN DIEGO, CA 92123 EAST COUNTY DIVISION, 250 E. MAIN ST., EL CAJON, CA 92020 NORTH COUNTY DIVISION, 325 S. MELROSE DR., VISTA, CA 92081 SOUTH COUNTY DIVISION, 500 3RD AVE., CHULA VISTA, CA 91910 IN THE MATTER OF A MINOR ORDER FOR PRISONER’S APPEARANCE VIA TELEPHONE AT JUVENILE COURT HEARING AFFECTING PRISONER’S PARENTAL RIGHTS CASE NUMBER 1. A hearing regarding the custody of the following children (names): will be held On (date): located at At (time): court address above In Dept.: Room: Tel. No.: other (specify address): 2. The hearing will be held under: a. Welf. & Inst. Code § 300 (to declare the child a dependent of the court) b. Welf. & Inst. Code § 366.26 to Terminate parental rights (1) (2) Appoint a legal guardian (3) Identify a placement _______________________________________ with a specific goal of ____________________ ______________________________________________________________________________________________ c. Other (specify code section and hearing purpose): 3. To the Warden or Director of (name of institution): ________________________________________________________________ You are ordered to provide prisoner (name / ID) ___________________________________________________________________ the means for the prisoner’s telephonic participation on the date and time provided in number 1 above in a manner that will maintain the confidentiality of the hearing. Date: Judge/Referee of the Superior Court SDSC JUV-234 (New 2/11) ORDER FOR PRISONER’S APPEARANCE VIA TELEPHONE AT JUVENILE COURT HEARING AFFECTING PRISONER’S PARENTAL RIGHTS Pen. Code § 2625 American LegalNet, Inc. www.FormsWorkFlow.com