Fill and Sign the Ca Pleading Paper Form

FL-370 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address) : TELEPHONE NO.: ––––– ––––– ––––– ––––– ––––– ATTORNEY FOR (Name) : ––––– FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF ––––– STREET ADDRESS: ––––– MAILING ADDRESS: ––––– CITY AND ZIP CODE: ––––– BRANCH NAME: ––––– MARRIAGE OF PETITIONER: ––––– ––––– RESPONDENT: ––––– CLAIMANT: ––––– PLEADING ON JOINDER – EMPLOYEE BENEFIT PLAN CASE NUMBER: ––––– TO THE CLAIMANT: You have been joined as a party claimant in this proceeding because an interest is claimed in the employee benefit plan that is or may be subject to disposition by this court. The party who obtained the order for your joinder declares: 1. Information concerning the employee covered by the plan: a. Name: ––––– b. Employer (name) : ––––– c. Name of labor union representing employee: ––––– d. Employee identification number: ––––– e. Other (specify) : ––––– ––––– ––––– 2. Petitioner's a. Attorney ( name , address and telephone number) : ––––– ––––– ––––– b. Address and telephone number, if unrepresented by an attorney: ––––– ––––– ––––– 3. Respondent's a. Attorney (name, address and telephone number) : ––––– ––––– ––––– b. Address and telephone number, if unrepresented by an attorney: ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– page 1 of 2 Form Adopted by for Manditory Use Judicial Council of California FL-370 [Rev. January 1, 2003] PLEADING ON JOINDER–EMPLOYEE BENEFIT PLAN Family Code, §§ 2060-2065 Electronic form (c) 1997-98 www.lawca.com.electronic form ã 2002 WWW.LawCA.com Law Publishers PETITIONER: ––––– ––––– RESPONDENT: ––––– CASE NUMBER: ––––– 4. Petition for dissolution and response states a. Date of marriage: ––––– b. Date of separation: ––––– 5. Response states a. Date of marriage: ––––– b. Date of separation: ––––– 6. Judgment a. has not been entered b. was entered on (date) : ––––– (1) and disposes of each spouse's interest in the employee benefit plan. (2) and does not dispose of each spouse's interest in the employee benefit plan. 7. The following relief is sought a. An order determining the nature and extent of both employee and nonemployee spouse's interest in employee's benefits under the plan. b. An order restraining claimant from making benefit payments to employee spouse pending the determination and disposition of nonemployee spouse's interest, if any, in employee's benefits under the plan. c. An order directing claimant to notify nonemployee spouse when benefits under the plan first become payable to employee. d. An order directing claimant to make payment to nonemployee spouse of said spouse's interest in employee's benefits under the plan when they become payable to employee. e. Other (specify) : ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– f. Such other orders as may be appropriate. Dated: ––––– 4 (SIGNATURE OF (ATTORNEY FOR) PETITIONER RESPONDENT ––––– (TYPE OR PRINT NAME) FL-370 [Rev. January 1, 2003] PLEADING ON JOINDER–EMPLOYEE BENEFIT PLAN Page 2 of 2 electronic form ã 2002 WWW.LawCA.com Law Publishers