ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address) FOR COURT USE ONLY TELEPHONE NO: ATTORNEY FOR (NAME): Attorney Bar No. SUPERIOR COURT OF CALIFORNIA COUNTY OF YUBA 215 FIFTH STREET, SUITE 200 MARYSVILLE, CA 95901 (530) 749-7600 PETITIONER(S)/GRANDPARENT(S): MOTHER: FATHER: MINOR(S)/GRANDCHILD(REN): PETITION FOR GRANDPARENT VISITATION (Dissolution Action Filed) CASE NUMBER: Petitioner(s) allege: 1. Petitioner(s) is/are the parent(s) of the Mother or Father listed above and the grandparent(s) of the minor(s)/grandchild(ren) listed above. A declaration in support of this petition is attached. 2. There is a pre-existing relationship between the grandparent(s) and the grandchild(ren) that has engendered a bond such that visitation is in the best interest of the child(ren). 3. The interest of the child(ren) in having visitation with the grandparent(s) will be balanced against the right of the parents to exercise their parental authority. 4. The parents of the child(ren) are married but have filed a Separation Petition for Dissolution Petition for Legal Petition for Nullity, and (check all that apply): The parents are currently living separate and apart on a permanent or indefinite basis. One of the parents has been absent for more than one month without the other spouse knowing the whereabouts of the absent spouse. One of the parents joins in this petition with the grandparent(s). The child(ren) is/are not residing with either parent. WHEREFORE, petitioner(s) request(s) that the Court grant visitation rights to said petitioner(s), and such other relief as the Court may deem appropriate. I/We declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Dated: _________________________________________ Signature of Petitioner _________________________________________ Signature of Petitioner PETITION FOR GRANDPARENT VISITATION (Dissolution Action Filed) American LegalNet, Inc. www.FormsWorkFlow.com Dated: Form Adopted for Mandatory Use Yuba County Superior Court Effective 7/1/03 Revised 10/25/10 FL03014 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address) FOR COURT USE ONLY TELEPHONE NO: ATTORNEY FOR (NAME): Attorney Bar No. SUPERIOR COURT OF CALIFORNIA COUNTY OF YUBA 215 FIFTH STREET, SUITE 200 MARYSVILLE, CA 95901 (530) 749-7600 PETITIONER(S)/GRANDPARENT(S): MOTHER: FATHER: MINOR(S)/GRANDCHILD(REN): NOTICE OF HEARING RE PETITION FOR GRANDPARENT VISITATION (Dissolution Action Filed) CASE NUMBER: NOTICE IS HEREBY GIVEN that the above named Petitioner(s) is/are the grandparent(s) of the minor grandchild(ren) listed above & have filed a Petition for Grandparent Visitation, which has been set for hearing as follows: DATE: TIME: DEPARTMENT: LOCATION: Yuba County Courthouse, 215 Fifth Street, Marysville, CA 95901 Dated: _________________________________________ Signature of Petitioner _________________________________________ Signature of Petitioner Dated: Form Adopted for Mandatory Use Yuba County Superior Court Effective 7/1/03; Rev.2/23/12 NOTICE OF HEARING RE PETITION FOR GRANDPARENT VISITATION (Dissolution Action Filed) FL03014 Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com