ATTACHMENT FM-1025 FM - 1025 REV 10/15 / 18 For Optional U se DECLARATION FOR DEFAULT CUSTODY AND VISITATION ORDERS Family Law Local Rule 8B Santa Clara County Page 1 of 2 ATTORNEY OR PARTY WITHOUT AN ATTORNEY (Name and Address) TELEPHONE NO. : FOR COURT USE ONLY ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA STREET ADDRESS: 201 North First Street, San Jos351, CA 95113 MAIL ING ADDRESS: 191 North First Street CITY AND STATE: San Jos351, California 95113 BRANCH NAME: Family Justice Center PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: DECLARATION FOR DEFAULT CUSTODY AND VISITATION ORDERS CASE NUMBER: Notice to the R espondent Please read both side s of this form t he custody and/or visitation order s/he is asking the Court to make in your case. If you do not agree with the order you must take legal action. If you do not take legal action, the Court may order what the Petitioner requested. - Service Center for more Information about your legal rights and the legal process. Petitioner You should consider using this form, if: You are asking for a default judgment in this case, and You have children with the other parent in this case, and You do not already have a custody and visitation court order that will be a part of your Judgment, and You do not already have a Marital Settlement Agreement/Stipulated Judgment that will be a party of your Judgment, IMPORTANT: This form cannot help you ask for different custody and visitation orders than what you asked for in your petition. I, (your name) , am the Petitioner in this case. 1. Check one only: I have attached form FL-311 to describe the custody and visitation schedule I want OR Form FL-311 was attached to the petition I filed. 2. I am asking for the Custody Orders described on form FL-311 because: American LegalNet, Inc. www.FormsWorkFlow.com ATTACHMENT FM-1025 FM - 1025 REV 10/15/18 For Optional U se DECLARATION FOR DEFAULT CUSTODY AND VISITATION ORDERS Family Law Local Rule 8 B Santa Clara County P age 2 of 2 CASE NAME: CASE NUMBER: 3. I am asking for the Visitation schedule described on form FL-311 because: 4. The child/ren has or have mainly lived with Mother Father Other: During the last six months the other parent had the following contact with the child or children. Describe the schedule, number of visits, length of visits: I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: Instructions for the Petitioner 1. Fill out this form completely. 2. Make two (2) copie s . 3. File the original and copies 4. Have someone else, NOT YOU, who is 18 years or older , personally deliver this form to the other party. This must be done at lea st 15 calendar days before the Judgment is submitted. The person who delivers (serves) this form must fill out a Proof of Service by Personal Delivery (form FL - 330 ). 5. You must file the Proof of Service by Personal Delivery form with the Court. Keep a file - stamped copy for yourself. American LegalNet, Inc. www.FormsWorkFlow.com