Fill and Sign the California Modification Form

JV-180 Request to Change Court Order Clerk stamps date here when form is filed. 1 Type of request: a. I am asking to change a court order. b. I am asking to have a relationship with my brother or sister. We share the same parent or parents (name): ––––– ––––– 1 2 Your information: a. Your name: ––––– b. If you are an attorney filling out this form for a client, complete the Fill in court name and street address: following information and then skip to item 3. Superior Court of California, County of Your client’s name: ––––– ––––– Your client’s relationship to the child: ––––– ––––– c. Your relationship to the child: ––––– 1 3 Child’s information: Fill in case number, if known: a. Child’s name: ––––– Case Number: b. Date of birth: ––––– ––––– c. Child’s attorney (if known): ––––– d. The child lives with (check all that apply, if known): parent legal guardian relative foster home group home e. Name of person with whom, or place where, the child lives (if known): ––––– ––––– f. Names of child’s parents or legal guardians (if known): ––––– ––––– g. Child’s Indian tribe (if applicable and known): ––––– h. Child’s Court Appointed Special Advocate (if applicable and known): ––––– i. Child’s education surrogate (if applicable and known): ––––– j. Child’s social worker (if applicable and known): ––––– If you are asking to have a relationship with a brother or sister, you may skip to item 6. Here are some examples of what you can ask: (1) to visit or live with or nearby your brother or sister; (2) to be part of case planning or permanency planning for your brother or sister. If you are a brother or sister of the child and you want the judge to change a court order, you must complete all items. 5 4 On (date, if known): ––––– the judge made the following order that you feel should be changed: ––––– ––––– ––––– Judicial Council of California, Revised January 1, 2007, Mandatory Form Welfare & Institutions Code, § 388 Cal. Rules of Court, rules 5.524, 5.570 Request to Change Court Order JV-180, Page 1 of 3 -------- àelectronic form ã 2005-7 WWW.LawCA.co m Law Publishers Case Number: ––––– Your name: ––––– 5 What changed after the judge’s order that would change the judge’s mind? (Give information that the judge did not have when the original decision was made): ––––– ––––– ––––– 5 6 What order do you want the judge to make now? ––––– ––––– ––––– 5 7 Why would the changes you are requesting be better for the child? ––––– ––––– ––––– Check here if you need more space for any of the answers. Attach a sheet of paper and write “JV-180,” at the top of the page. 5 8 I have sent a copy of my request to the following people listed below, as applicable. I have checked the correct boxes to show if these people agree with my request. Agree Disagree Don't Know Not Applicable Child (if 10 years old, or older) Child’s attorney Parent (name): ––––– Parent (name): ––––– Parent (name): ––––– Legal guardian (name): ––––– Legal guardian (name): ––––– Social worker Current caregiver/foster parent Pre-adoptive parent Court Appointed Special Advocate Indian tribe Indian custodian Attorney for (name): ––––– Attorney for (name): ––––– Attorney for (name): ––––– Other (name) : ––––– If you do not have an attorney, the clerk will send notice and copies of your request to all persons required to receive notice under Welfare and Institutions Code sections 297 and 380, and rules 1407 and 1432 of the California Rules of Court. Revised January 1, 2007 Request to Change Court Order JV-180, Page 2 of 3 Case Number: ––––– Your name: ––––– 5 9 You can ask the judge to make a decision without a court hearing if everyone agrees with your request. Check here if you want a decision without a hearing. 5 10 Does anyone disagree with your request? Who and why (if known)? ––––– ––––– ––––– 5 11 I declare under penalty of perjury under the laws of the State of California that the information in this form is true and correct to my knowledge. I understand that this means I am guilty of a crime if I lie on this form. Date: ––––– ––––– Type or print your name Sign your name Court Order Court will fill out section below. 5 The Court Finds and Orders: 5 12 All parties and attorneys agree to the request. The request to change a court order is granted a. as requested in item 6. b. as follows (state specific modifications): ––––– ––––– 5 13 The best interest of the child may be promoted by the requested new order, and either (a) the request states a change of circumstances or new evidence, or (b) the request has been filed for the purpose of asserting a brother or a sister relationship with the child. A hearing shall be held on the request as follows: a. The matter is set for a hearing on (date): ––––– at (time): ––––– a.m./p.m. in Dept. ––––– b. The judge will not hold a hearing. The judge will make a decision based on your request and any other papers filed by those listed in item 8. You and anyone listed in item 8 may ask for a hearing which the judge will hold if there is good cause. 5 14 The request is denied because a. the request is not signed. b. the facts do not support what is requested. c. the request does not state new evidence or a change of circumstances.0 d. the request does not show how it will be in the best interest of the child. e. Other (state specific reasons): ––––– Date: ––––– Judge (or Judicial Officer) Revised January 1, 2007 Request to Change Court Order JV-180, Page 3 of 3