ATTORNEY OR PARTY WITHOUT AN ATTORNEY (Name, State Bar number, and address): TELEPHONE NO: FAX NO. (Optional) EMAIL ADDRESS (Optional): ATTORNEY FOR (Name): FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA COUNTY OF SANTA CRUZ Santa Cruz Branch 701 Ocean Street, Room 110 Santa Cruz, CA 95060 GUARDIANSHIP OF: PETITION FOR VISITATION OTHER CONTACT MODIFICATION OF VISITATION ORDER CASE NUMBER: Form Adopted for OPT IONAL USE Superior Court of Santa Cruz County SUP CV 1074 11 / 02 / 18 PETITION FOR VISITATION GUARDIANSHIP Page 1 of 2 SUP CV 1074 1. I (name) request the following Visitation Other contact such as mail, phone, email (write in type of contact): with the minor child or children: based on the following schedule (be specific with times, dates, and duration of visit): 2. Parent Grandparent Guardian Other 3. Name(s) was appointed guardia n of the PERSON on (date): . 4. I should be granted visitation for the reasons specified below specified in Attachment 4. 5. Notice to the persons identified in A ttachment 5 should be dispensed with because: They cannot with reasonable diligence be given notice ( specify names and attempt to locate in Attachment 5 ): Other good cause exists to dispense with notice ( specify names and reasons in Attachment 5 ) : American LegalNet, Inc. www.FormsWorkFlow.com GUARDIANSHIP OF : CASE NUMBER: Form Adopted for OPT IONAL USE Superior Court of Santa Cruz County SUP CV 1074 11 / 02 / 18 PETITION FOR VISITATION GUARDIANSHIP Page 2 of 2 6. brothers, sisters and grandparents are as follows: a. Guardian: b. Minor: c. Father: d. Mother: e. Brother(s) or Sister(s): (12 years old or older) f. Maternal grandfather: g. Maternal grandmother: h. Paternal grandfather: i. Paternal grandmother: j. Additional names and addresses continued in Attachment 6. 7. Number of pages attached: This form must be filed with the - Notice of Hearing - Guardianship or Conservatorship, GC - 020 I 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 (TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER Consent to Visitation and Waiver of Notice I consent to the attached visitation schedule and waive notice of the petition: (DATE) (TYPE OR PRINT NAME) (SIGNATURE) (DATE) (TYPE OR PRINT NAME) (SIGNATURE) (DATE) (TYPE OR PRINT NAME) (SIGNATURE) (DATE) (TYPE OR PRINT NAME) (SIGNATURE) American LegalNet, Inc. www.FormsWorkFlow.com