Choose a location ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME, STATE BAR NUMBER AND ADDRESS): FOR COURT USE ONLY EMAIL ADDRESS (Optional): ATTORNEY FOR (NAME): TELEPHONE NO.: FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA BARBARA STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: GUARDIANSHIP OF: HEARING DATE: TIME: DEPARTMENT: CASE NUMBER: PETITION FOR VISITATION 1. Petitioner (name): (name): is the minor's (relationship) and requests the following visitation schedule with the minor OR Specified in Attachment 1 2. The guardian of the minor is (name): The guardian was appointed on (date): 3. Petitioner and the guardian Services. have have not attended Mediation at Family Court If the parties have attended Mediation: Date of attendance: _________________ Was an agreement reached? Yes No Page 1 of 3 Optional Form SC-6039 [Adopted 1/1/2013] PETITION FOR VISITATION (GUARDIANSHIP) Probate Code § 2350, 2351, 2102 American LegalNet, Inc. www.FormsWorkFlow.com GUARDIANSHIP OF: CASE NUMBER: 4. Petitioner should be granted visitation for the reasons specified in Attachment 4. 5. The names and residence addresses of the guardian, minor, and minor's parents, brothers, sisters, and grandparents are as follows: a. Guardian: f. Maternal Grandfather: b. Minor: g. Maternal Grandmother: c. Father: h. Paternal Grandfather: d. Mother: i. Paternal Grandmother: e. Brother(s) or Sisters(s) (12 years or older): j. Additional names and addresses continued in Attachment 5. Page 2 of 3 Optional Form SC-6039 [Adopted 1/1/2013] PETITION FOR VISITATION (GUARDIANSHIP) Probate Code § 2350, 2351, 2102 American LegalNet, Inc. www.FormsWorkFlow.com GUARDIANSHIP OF: CASE NUMBER: 6. Notice to the persons identified in Attachment 6 should be dispensed with because: they cannot with reasonable diligence be given notice (specify names and efforts to locate them in Declaration of Due Diligence, Local Form SC-6014). other good cause exists to dispense with notice (specify names and reasons in Attachment 6.) Date: ________________________ ________________________________ (Signature of Attorney) I/we 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) Date: ________________________ _____________________________ (Type or Print Name) ________________________________ (Signature of Guardian) Page 3 of 3 Optional Form SC-6039 [Adopted 1/1/2013] PETITION FOR VISITATION (GUARDIANSHIP) Probate Code § 2350, 2351, 2102 American LegalNet, Inc. www.FormsWorkFlow.com GUARDIANSHIP OF: CASE NUMBER: Attachment 1 Visitation Schedule Attachment 1. Weekends starting (date):________________________________ (The first weekend of the month is the first weekend with a Saturday.) 1st 2nd 3rd 4th 5th weekend of every month from ________________________ at _______________ (day of week) (time) to ________________________ at _______________ (day of week) (time) a.m. p.m. a.m. p.m. The parties will alternate the fifth weekends, with the party with visitation guardian having the initial fifth weekend, which starts (date): ________________________. 2. Alternate weekends starting (date): _____________________________ from ________________________ at _______________ (day of week) (time) to ________________________ at _______________ (day of week) (time) a.m. p.m. a.m. p.m. 3. Weekdays starting (date): _________________________________ from ________________________ at _______________ (day of week) (time) to ________________________ at _______________ (day of week) (time) a.m. p.m. a.m. p.m. (Continued) Optional Form SC-6039 [Adopted 1/1/2013] PETITION FOR VISITATION (GUARDIANSHIP) Probate Code § 2350, 2351, 2102 American LegalNet, Inc. www.FormsWorkFlow.com GUARDIANSHIP OF: CASE NUMBER: 4. Other (specify days and times as well as any additional restrictions): ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 5. Transportation for visitation: a. Transportation to the visits will be provided by the party with visitation guardian other (specify): _________________________________________. b. Drop-off of the children will be at (address):___________________________________. c. Pick-up of the children will be at (address):___________________________________. d. The children will be driven only be a licensed and insured driver. The car or truck must have legal child restraint devices. During the exchanges, the party driving the children will wait in the car and the other party will wait in his or her home while the children go between the car and the home. Other(specify): e. f. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 6. Travel with children. The party with visitation must have written permission from the guardian or a Court Order to take the children out of the State of California Santa Barbara County. Holiday Schedule. See Children's Holiday Schedule Attachment. 7. Optional Form SC-6039 [Adopted 1/1/2013] PETITION FOR VISITATION (GUARDIANSHIP) Probate Code § 2350, 2351, 2102 American LegalNet, Inc. www.FormsWorkFlow.com GUARDIANSHIP OF: CASE NUMBER: CHILDREN'S HOLIDAY SCHEDULE ATTACHMENT Holiday Visitation The following table shows the holiday visitation schedules. Write "GD" (guardian) or "PV" (Party with visitation) to specify parties years ­ odd, even, or both ("every year")- and under "Time" specify the starting and ending days and times. HOLIDAY Time (from when to when) (Unless otherwise noted, all single day holidays start at _____ a.m. and end at ______p.m.) Every Year Guardian/Party with visitation Even Years Guardian/Party with visitation Odd Years Guardian/Party with visitation January 1 (New Years Day) Martin Luther King's Birthday (weekend) Lincoln's Birthday President's Day (weekend) Spring Break, first half Spring Break, second half Mother's Day Memorial Day (weekend) Father's Day July 4th Labor Day (weekend) Columbus Day (weekend) Halloween Veteran's Day (weekend) Thanksgivin