In the complex landscape of juvenile dependency cases in California, the JV-100 form serves as a cornerstone document. This form, officially known as the Juvenile Dependency Petition (Version One), is critical for initiating legal proceedings concerning the welfare of a child under the California Welfare and Institutions Code, §§ 300 et seq. Designed for use in specific counties that require a separate dependency petition for each child or those that leverage the Additional Children Attachment (form JV-101(A)), the JV-100 form encapsulates significant legal and personal details crucial for the court's consideration. It includes identifying information for the attorney or party without an attorney, the child in question, and any related cases, ensuring a comprehensive approach to each unique situation. The form facilitates a structured submission of allegations that bring a child under the jurisdiction of the juvenile court, detailing the child's living arrangements, family background, and any applicable Indian ancestry in line with the Indian Child Welfare Act (ICWA) considerations. Additionally, it outlines the petitioner's request for the court to validate the assertions made, hence initiating the legal process that could deeply impact the child's future and parental rights. With the gravity of potential outcomes, such as the termination of parental rights or financial liabilities for the child's support and legal representation, the JV-100 form embodies both a procedural necessity and a poignant reminder of the legal system's role in safeguarding children's welfare.
Question | Answer |
---|---|
Form Name | California Form Jv 100 |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | severally, Welf, 300--Original, CALIFORNIA |
For counties filing a separate dependency petition for each child or for counties using Additional Children Attachment (form |
||
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): |
FOR COURT USE ONLY |
|
|
|
TELEPHONE NO.: |
FAX NO. (Optional): |
|
|
ATTORNEY FOR (Name): |
|
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
CHILD'S NAME:
CASE NUMBER:
JUVENILE DEPENDENCY PETITION (VERSION ONE)
(Welf. & Inst. Code, § 300 et seq.)
RELATED CASES (if any):
§ |
|
§ |
|
§ |
1.Petitioner on information and belief alleges the following:
a. The child named below comes within the jurisdiction of the juvenile court under the following subdivisions of section 300 of the
Welfare and Institutions Code (check applicable boxes; see attachment 1a for concise statements of facts): |
|
||||||||
(a) |
(b) |
(c) |
(d) |
(e) |
(f) |
(g) |
(h) |
(i) |
(j) |
b. Child's name:
c. Age:
d. Date of birth:
e. Sex:
f. Name: |
|
|
|
|
|
|
|
mother |
g. |
Name: |
|
|
|
|
|
|
|
|
mother |
||||||||
|
Address: |
|
|
|
|
|
|
|
father |
|
Address: |
|
|
|
|
|
|
|
|
father |
|||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||
|
|
|
|
|
|
|
|
|
|
|
guardian |
|
|
|
|
|
|
|
|
|
|
|
|
|
guardian |
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
unknown |
|
|
|
|
|
|
|
|
|
|
|
|
|
unknown |
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
If mother or father (check all that apply): |
|
|
|
|
|
|
If mother or father (check all that apply): |
|
|
|||||||||||||||||
|
|
legal |
|
|
biological |
|
|
presumed |
|
|
|
alleged |
|
|
legal |
|
|
biological |
|
|
presumed |
|
|
alleged |
|||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
h. Name: |
|
|
|
|
|
|
|
mother |
i. |
Other (state name, address, and relationship to child): |
|||||||||||||||||
|
|
|
|
|
|
|
|||||||||||||||||||||
Address: |
|
|
|
|
|
|
|
father |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
guardian |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
unknown |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
|
If mother or father (check all that apply): |
|
|
|
|
|
|
|
No known parent or guardian resides within this state. This adult |
||||||||||||||||||
|
|
|
|
|
|
|
|||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||
|
|
legal |
|
biological |
|
presumed |
|
|
|
alleged |
|
|
relative lives in this county or is closest to this court. |
|
|
||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
j. Prior to intervention, child resided with |
|
|
|
|
k. |
Child is |
|
|
|
|
|
|
|
|
|
|
|||||||||||
|
|
parent (name): |
|
|
|
|
|
|
|
not detained |
|
|
|
detained |
|
|
|||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
|
|
parent (name): |
|
|
|
|
|
|
|
Date and time of detention: |
|
|
|||||||||||||||
|
|
guardian (name): |
|
|
|
|
|
|
|
Current place of detention (address): |
|
|
|||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||||||
|
|
Indian custodian (name): |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
|
|
other (state name, address, and relationship to child): |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Relative
Shelter/foster care
Other
2.I have asked about Indian ancestry for this child and have completed and attached the required Indian Child Inquiry Attachment, form
|
(See important notice on page 2.) |
|
Page 1 of 2 |
|
Form Adopted for Alternative Mandatory Use |
JUVENILE DEPENDENCY PETITION (VERSION ONE) |
Welfare and Institutions Code, § 300 et seq.; |
|
|
|
|
|
||
Instead of Form |
Cal. Rules of Court, rule 5.504 |
|||
Judicial Council of California |
|
|
www.courtinfo.ca.gov |
|
|
|
|
|
|
|
|
|
American LegalNet, Inc. |
|
|
|
|
www.FormsWORKFLOW.com |
|
|
|
|
|
|
CHILD'S NAME:
CASE NUMBER:
3. Petitioner requests that the court find these allegations to be true.
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:
’
(TYPE OR PRINT NAME) |
(SIGNATURE OF PETITIONER) |
Address and telephone number (if different person signing than listed in caption above):
Number of pages attached:
Other children are listed on Additional Children Attachment (form
— NOTICE —
TO PARENT
Your parental rights may be permanently terminated. To protect your rights, you must appear in court and answer this petition.
TO PARENTS OR OTHERS LEGALLY RESPONSIBLE
FOR THE SUPPORT OF THE CHILD
You and the estate of your child may be jointly and severally liable for the cost of the care, support, and maintenance of your child in any placement or detention facility, the cost of legal services for you or your child by a public defender or other attorney, and the cost of supervision of your child by order of the juvenile court.
JUVENILE DEPENDENCY PETITION (VERSION ONE)
Page 2 of 2