Fill and Sign the Appearance Hearing Application Form

JV-450 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY ––––– ––––– ––––– TELEPHONE NO.: ––––– FAX NO. (Optional): ––––– E-MAIL ADDRESS (Optional): ––––– ATTORNEY FOR (Name): ––––– SUPERIOR COURT OF CALIFORNIA, COUNTY OF ––––– STREET ADDRESS: ––––– MAILING ADDRESS: ––––– CITY AND ZIP CODE: ––––– BRANCH NAME: ––––– CASE NAME: ––––– ORDER FOR PRISONER’S APPEARANCE AT HEARING CASE NUMBER: AFFECTING PRISONER’S PARENTAL RIGHTS Waiver of Appearance ––––– 1. A hearing regarding the custody of the following children (names): ––––– ––––– will be held on (date): ––––– at (time): ––––– in Dept.: ––––– Room: ––––– located at court address above other (specify address): ––––– ––––– 2. The hearing will be held under: a. Welfare and Institutions Code section 300 (to declare the child a dependent of the court) b. Welfare and Institutions Code section 366.26 to (1) Terminate parental rights (2) Appoint a legal guardian (3) Identify a placement ––––– with a specific goal of ––––– ––––– c. Other (specify code section and hearing purpose): ––––– ––––– ––––– ––––– ––––– 3. To the Warden or Director of (name of institution): ––––– You are ordered to deliver prisoner (name and identification number): ––––– who is a party, into the custody of (name): ––––– so the prisoner may, be transported to this court for the hearing unless the prisoner executes the attached waiver or refuses to be transported. The sheriff is ordered to return the prisoner to ––––– when the prisoner's appearance is no longer necessary. Date: ––––– JUDICIAL OFFICER 4. The Waiver of Right to Be Present at Hearing Affecting Prisoner's Parental Rights on reverse is completed (item 7). 5. The Declaration of Interpretation on reverse is completed (item 8). 6. The Declaration That Prisoner Does Not Wish to Attend Hearing on reverse is completed (item 9). Page 1 of 2 Form Adopted for Mandatory Use Penal Code, § 2625 Judicial Council of California JV-450 [Rev. July 1, 2006] electronic form ã 2006 WWW.LawCA.co m Law PublishersORDER FOR PRISONER’S APPEARANCE AT HEARING AFFECTING PRISONER’S PARENTAL RIGHTS AND WAIVER OF APPEARANCE JV-450 CASE NAME: CASE NUMBER: ––––– ––––– WAIVER OF RIGHT TO BE PRESENT AT HEARING AFFECTING PRISONER’S PARENTAL RIGHTS 7. I HEREBY WAIVE MY RIGHT TO ATTEND THE HEARING. a. I authorize my attorney of record to represent me at the hearing. b. I request that an attorney be appointed to represent me and to appear for me at the hearing. c. I waive my right to be represented by an attorney. Date: ––––– ––––– (TYPE OR PRINT NAME) (SIGNATURE OF PARENT) DECLARATION OF INTERPRETER (To be completed if prisoner does not understand English sufficiently to read this form.) 8. a. The prisoner’s primary language is Spanish other (specify): ––––– b. I certify that I interpreted this form for the prisoner in the prisoner’s primary language to the best of my ability. Date: ––––– ––––– (TYPE OR PRINT NAME) (SIGNATURE OF INTERPRETER) DECLARATION THAT PRISONERS DOES NOT WISH TO ATTEND HEARING 9. The prisoner (name): ––––– has stated to me, or by conduct indicated to me, that he or she does not wish to attend the hearing in this matter. 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) ––––– (TITLE OF PRISON OFFICIAL) JV-450 [Rev. July 1, 2006] ORDER FOR PRISONER’S APPEARANCE AT HEARING Page 2 of 2 AFFECTING PRISONER’S PARENTAL RIGHTS AND WAIVER OF APPEARANCE