Fill and Sign the Request for Juvenile File Fixfamilycourtnoworg Yumpu Form

JV-570 Request for Disclosure of Juvenile Case File Your name: Relationship to child (if any): Street address: State: City: Zip: Name of child (if known): Lawyer (if any) (name, address, tele phone numbers, and State Bar number): Clerk stamps date here when form is filed. Fill in court name and street address: Superior Court of California, County of Case Number: Fill in case number if known: 1 2 4 Telephone number: Note: You must provide a copy of this form to all interested parties if you know their names and addresses. JV-570, Page 1 of 2 Judicial Council of California, Revised January 1, 2009, Mandatory Form Welfare and Institutions Code, § 827; California Rules of Court, rules 5.552, 5.553 Request for Disclosure of Juvenile Case File a. A petition regarding the child in has been filed under Welfare and Institutions Code section 300 Welfare and Institutions Code section 601 Welfare and Institutions Code section 602 or b. I believe the child in died as a result of abuse or neglect. Approximate date of death: 2 2 If you checked box b, you may skip items 5 and 6. Child’s date of birth (if known): 3 If you are requesting a court order to obtain the juvenile case file of a child who is alive, fill out all items on this fo rm, and file it with the court. You must also fill out and file Proof of Service—Request for Disclosure (form JV-569). If you are a member of the public requ esting the juvenile case file of a child who is deceased, you can: a. Fill out items 1–4 and 7 on this fo rm and file it with the court. You must then provide a copy of this form to the Custodian of Records of the county child welfare agency, who will then provide notice of this request. b. Do not complete the form and request the juvenile case file from the child welfare agency under Welfare and Institutions Code section 10850.4. Or Your name: Case Number:JV-570, Page 2 of 2 Revised January 1, 2009, Mandatory Form I declare under penalty of perjury under the laws of the State of California that the information in this form is true and correct. This means that if I lie on this form, I am guilty of a crime. 8 Date: Sign your name Type or print your name Request for Disclosure of Juvenile Case File The reasons for this request are: a. b c. d. Other (specify) : Juvenile court case pending in (name of county): Criminal court case pending in (name of county): Civil court case pending in (name of county): 6 Case number: Hearing date: The records I want are: (Describe in detail. Attach more pages if you need more space.) 5 Case number: Hearing date: Case number: Hearing date: Continued on Attachment 5. Case number: Hearing date: Continued on Attachment 7. I need the records because: (Describe in detail. Attach more pages if you need more space.) 7