Fill and Sign the Establish Parental Relationship Form

FL-220 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: ––––– PETITIONER: ––––– RESPONDENT: ––––– CASE NUMBER: RESPONSE TO PETITION TO ESTABLISH PARENTAL RELATIONSHIP ––––– (Uniform Parentage) 1. The children are (name each): a. Child’s name Date of birth Age Sex ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– b. A child who is not yet born 2. The petitioner is a. the mother of the children listed above. b. the father of the children listed above. c. not certain whether he or she is the biological parent of the children listed above. d. the child or child ’ s representative (specify court and date of appointment): ––––– e. other (specify): ––––– 3. The respondent a. lives in the State of California. b. was in California when the listed children were conceived. c. neither a nor b d. other (specify): ––––– 4. The children a. live or are in this county. b. are children of a parent who is deceased, and proceedings for administration of the estate have been or could be started in this county. 5. The respondent is a. the father of the children listed in item 1 above. b. the mother of the children listed in item 1 above. c. not certain if he or she is the parent of the children listed in item 1 above. d. not the parent of the children listed in item 1 above. e. other (specify): ––––– 6. Additional statements a. Parentage has been established by a Voluntary Declaration of Paternity (attach copy). b. Parentage has been established in another case governmental child support other (specify): ––––– c. Public assistance is being provided to the children. Page 1 of 2 Form Approved for Optional Use RESPONSE TO PETITION TO ESTABLISH PARENTAL RELATIONSHIP Family Code, § 7600 Judicial Council of California FL-220 [Rev. January 1, 2006] (Uniform Parentage) electronic form ã 2005 WWW.LawCA.co m Law Publishers FL-220 PETITIONER: ––––– CASE NUMBER: RESPONDENT: ––––– ––––– The respondent requests that the court make the orders listed below. 7. Parent-child relationship (check all that apply): a. Respondent Petitioner Other (specify): ––––– is the parent of the children listed in item 1. b. Respondent Petitioner Other (specify): ––––– is not the parent of the children listed in item 1. c. Respondent requests genetic (blood) tests to determine whether the petitioner respondent is the parent of the children listed. 8. Child custody and visitation a. If Petitioner Respondent Other is found to be the parent of the children in listed in item 1: Petitioner Respondent Joint Other b. Legal custody of the children should go to c. Physical custody of the children should go to d. Visitation of the children should be as follows: (1) None (2) Reasonable visitation (3) Petitioner Respondent should have the right to visit the children as follows (specify): ––––– (4) Visitation should occur with the following restrictions (specify): ––––– ––––– (5) I request mediation to work out a parenting plan. 9. Reasonable expenses of pregnancy and birth Petitioner Respondent Both Reasonable expenses of pregnancy and birth should be paid by 10. Fees and costs of litigation Petitioner Respondent Both a. Attorney fees should be paid by b. Expert fees, guardian ad litem fees, and other costs of the action or pretrial proceedings should be paid by 11. Name change. The children’s names should be changed, according to Family Code section 7638, as follows (specify old and new names): ––––– ––––– 12. Other orders requested (specify): ––––– ––––– ––––– 13. Child support. The court may make orders for support of the children and issue an earnings assignment without further notice to either party. I have read the restraining order on the back of the Summons (form FL-210) and I understand it applies to me. 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 OF RESPONDENT) NOTICE: If you have a child from this relationship, the court is required to order child support based upon the income of both parents. Support normally continues until the child is 18. You should supply the court with information about your finances. Otherwise, the child support order will be based upon information supplied by the other parent. Any party required to pay child support must pay interest on overdue amounts at the “legal” rate, which is currently 10 percent. FL-220 [Rev. January 1, 2006] RESPONSE TO PETITION TO ESTABLISH PARENTAL RELATIONSHIP Page 2 of 2 (Uniform Parentage)