en-US1. In the matter of þ en-USname(s), alias(es), DOB TO: þ 2. þ Name of child en-US was born on Date þ at Child222s place of birth þ The mother of the child is Mother222s full name en-US . 3. þ A petition requesting the court to take jurisdiction of this child has been filed with this court. 4. þ The court has received information that you may be the natural father of the child. 5. þ You must appear at Location en-US on Date þ at Time en-US to state your interest, if any, in the child. 6. þ Your failure to appear at this hearing: a) is a denial of your interest in the child, b) is a waiver of notice for all subsequent þ hearings, c) is a waiver of a right to appointment of an attorney, and d) could result in termination of whatever rights you þ may have to the child. en-USIf you require special accommodations to use the court because of a disability or if you require a foreign language interpreter toen-UShelp you to fully participate in court proceedings, please contact the court immediately to make arrangements. Date þ Clerk/Deputy clerk en-USIf the court finds probable cause to believe that an identifiable person is the natural father of the minor, the court shall direct thaten-USnotice be served on that person in any manner reasonably calculated to provide notice to the putative father, including publication en-USif his whereabouts remain unknown after diligent inquiry. American LegalNet, Inc. www.FormsWorkFlow.com