
Form No. SB-11290 PETITION FOR GRANDPARENT VISITATION Page 2 of 2
Adopted for Optional Use Family Code, §§3100-3104
www.sb-court.org Revised August 2020
4. There is a preexisting relationship and bond between the child(ren) and grandparent(s). Explain
the reason why grandparent visitation is in the best interest of each child: _____________________
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□ See “Attachment, No. 4” (or form _________)
5. Describe the proposed visitation schedule:_____
_________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
□ See “Attachment, No. 5” (or form _________)
6. □ A completed Declaration Under the Uniform Child Custody Jurisdiction and Enforcement Act
(FL-105) form is submitted as there is no existing family law case. This petition shall start a new
matter.
7. Petitioner requests that the Court grant reasonable visitation with the above-named child(ren) and
such other relief as the Court deems appropriate pursuant to Family Code sections 3100 through
3104.
□ A Request for Order (FL-300 form) is concurrently filed with this petition in order to request a
hearing date. (
Note: A Request for Order cannot be filed until after a party has been joined to the case)
I declare under penalty of perjury under the laws of the State of California that the foregoing and all
attachments are true and correct.
Date:
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TYPE OR PRINT NAME SIGNATURE OF PETITIONER
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TYPE OR PRINT NAME SIGNATURE OF PETITIONER
________________________________ _________________________________________________
TYPE OR PRINT NAME SIGNATURE OF ATTORNEY FOR PETITIONER(S)
PARENT’S CONSENT TO PETITION FOR GRANDPARENT VISITATION
I hereby consent to and join this Petition for Grandparent Visitation.
Date:
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TYPE OR PRINT NAME SIGNATURE OF □MOTHER □ FATHER OF CHILD(REN)
NOTICE: The Court shall balance the interests of the child in having grandparent visits against the rights of the
parents.
A rebuttable presumption against best interests/visitation is created:
1. If the parents agree that visitation is not in the best interests of the child(ren), or
2. If the parent awarded sole legal and physical custody (or with whom the child resides if no custody order)
objects.
SERVICE: Personal service is required unless this petition is filed in an existing case. If filed in an existing case,
service is completed by certified mail, return receipt to the last known address of parents, stepparent or person
with physical custody of the child(ren). (See Family Code sections 3103(c) and 3104(c).)