ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address) TELEPHONE NO: ATTORNEY FOR (NAME): FOR COURT USE ONLY Attorney Bar No. SUPERIOR COURT OF CALIFORNIA COUNTY OF YUBA 215 FIFTH STREET, SUITE 200 MARYSVILLE, CA 95901 (530) 749-7600 PETITIONER: vs. RESPONDENT: IN THE MATTER OF THE PETITION OF: Grandparent(s) CASE NUMBER: NOTICE OF HEARING RE PETITION FOR GRANDPARENT VISITATION (Dissolution Action Filed) NOTICE IS HEREBY GIVEN that the following persons: , grandparent(s) of the following minor child(ren): , have filed a Petition for Grandparent Visitation, which as been set for hearing as follows: DATE: TIME: DEPARTMENT: LOCATION: Yuba County Courthouse, 215 Fifth Street, Marysville, CA 95901 YOU ARE ALSO REQUIRED TO APPEAR FOR MANDATORY MEDIATION as follows: MANDATORY MEDIATION: Date:_______________ Time:______________ Location: Yuba County Annex 120 Fifth Street Marysville CA 95901 (530) 749-7685 Dated: _________________________________________ Signature of Petitioner Dated: _________________________________________ Signature of Petitioner Form Adopted for Mandatory Use Yuba County Superior Court Effective 7/1/03 NOTICE OF HEARING RE PETITION FOR GRANDPARENT VISITATION (Dissolution Action Filed) FL03014 Page 1 of 2 American LegalNet, Inc. www.USCourtForms.com SHORT TITLE: CASE NUMBER: PROOF OF SERVICE BY MAIL [CCP §1013 a(3)] I am over the age of 18, not a party to this matter, and a resident or employed in the county where the mailing took place. My residence/business address is __________________________________________________. I served copies of this notice by enclosing them in a sealed envelope with postage fully prepaid, and depositing them in the United States mail addressed as follows: Papers Served: Petition for Grandparent Visitation Notice of Hearing of Grandparent Visitation Other specify)__________________________________________________________________________ I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Dated:____________ ________________________ _______________________________ Type or Print Name Form Adopted for Mandatory Use Yuba County Superior Court Effective 7/1/03 Signature of Declarant NOTICE OF HEARING RE PETITION FOR GRANDPARENT VISITATION (Dissolution Action Filed) FL03014 Page 2 of 2 American LegalNet, Inc. www.USCourtForms.com