Fill and Sign the Icwa 020 California Courts Cagov Form

To the parent, Indian custodian, or guardian of the above–named child: You must provide all the requested information about the child's Indian status by completing this form. If you get new information that would change your answers, you must let your attorney, all the attorneys on the case, and the social worker or probation officer, or the court investigator know immediately and an updated form must be filed with the court. PARENTAL NOTIFICATION OF INDIAN STATUS PARENTAL NOTIFICATIO N OF INDIAN STATUS TELEPHONE NO.: FOR COURT USE ONLY ATTORNEY FOR (Name): CASE NUMBER: CITY AND ZIP CODE: BRANCH NAME: STREET ADDRESS: MAILING ADDRESS: ICWA-020 FAX NO. (Optional): CASE NAME: 1. 4. Form Adopted for Mandatory Use Judicial Council of California ICWA-020 [New January 1, 2008] Welfare & Institut ions Code, § 224.3; Family Code, § 177(a); Probate Code, § 1459.5(b); Cal. Rules of Court, rule 5.481 Name : I am or may be a member of, or eligible for me mbership in, a federally recognized Indian tribe. Name of tribe(s) (name each): I may have Indian ancestry. been filed with the court. has has not ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): The child is or may be a member of, or eligible fo r membership in, a federally recognized Indian tribe. Name of tribe (name each): SUPERIOR COURT OF CALIFORNIA, COUNTY OF E-MAIL ADDRESS (Optional): Page 1 of 1 2. Relationship to child: 3. A previous form ICWA-020 Note: This form is not intended to constitute a complete inquiry into Indian heritage. Further inquiry may be required by the Indian Child Welfare Act. (TYPE OR PRINT NAME) Date: (SIGNATURE) a. b. c. I have no Indian ancestry as far as I know. d. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. CHILD'S NAME: e. One or more of my parents, grandparents, or other lineal ancestors is or was a member of a federally recognized tribe. Name of tribe (name each): Name of band (if applicable): Name and relationship of ancestor(s): Parent Indian custodian Guardian Other Name of band (if applicable): Name of tribe(s): Name of band (if applicable): Name of band (if applicable):