ATTACHMENT JV-2009 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address): TELEPHONE NUMBER: FOR COURT USE ONLY ATTORNEY FOR: (name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH: 191 North First Street San Jose, CA 95113 In the Matter of (Name of Child), a Minor, [D.O.B. ] CASE NUMBER: PETITION AND ORDER RE HEARING TO REVIEW CASE Petitioner is the Court Appointed Child Advocate with respect to the Minor. Petitioner requests that the case be set for (check one): An ex parte review (Minor and parents are not required to attend). A parte review (Minor and parents are required to attend). Reason for request: Date: Signature: Type / Print Name: COURT ORDER The Petition is granted. The case is set for hearing on: Petitioner shall give ten days' notice of hearing date to: District Attorney Parent(s) or Guardian(s) Child The Petition is denied. Additional Orders: Attorney for child Probation Department Other: Date: Judicial Officer JV-2009 REV 7/01/08 PETITION AND ORDER RE HEARING TO REVIEW CASE 1 of 1 American LegalNet, Inc. www.FormsWorkflow.com