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Telephone No Fax No Attorney for Superior Court of Form

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FL-374 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: NOTICE OF APPEARANCE AND RESPONSE OF EMPLOYEE BENEFIT PLAN CASE NUMBER: 1. An appearance in this proceeding is entered by claimant employee benefit plan (name): 2. Service on claimant may be made as followsa. Attorney for claimant (name, address and telephone number): b. Other (name, title, address and telephone number): 3. Claimant responds to the pleading on joinder and states that the allegations of the pleading are a.correctb. incorrect as set forth in attachment 3b or as follows (specify): Dated: Claimant: By (TYPE OR PRINT NAME) (SIGNATURE)page 1 o f 1 Form Adopted by for Manditory Use Judicial Council of California[Rev. January 1, 2003]N O TIC E O F A PPEA RANCE A ND R ESPO NSE OF E M PLO YEE B EN EFIT P LA NFam ily C od e, § § 8 0, 2 010, 2 021, 2060-2 065, 2 070-2 07 electronic form 2002 WWW.LawCA.com Law Publishers

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