Jv 180 Form – Fill Out and Use This PDF

2Type of request (check the appropriate box below and add specific details in items 6–9, as applicable):

a. I am asking the court to change an order.

b. I am asking the court to terminate its jurisdiction.

c. I am asking the court to terminate reunification services.

d. I am asking the court to order that reunification services be resumed for six months.

e. I am asking the court to recognize my relationship with my sibling(s).

(1)I am related to my sibling(s) through (name of parent):

3If you want to keep your address or your client’s address confidential, fill out Confidential Information (Request to Change Court Order) (form JV-182), and do not write the address on this form.

Check here if form JV-182 is attached.

4Child’s information:

a.Name:

b.Date of birth:

c.Attorney (if known):

d.The child lives with or in a (check all that apply):

e.Name of the person the child lives with or the place where he or she lives: Address:

Check here if unknown.

5Information about parents, legal guardians, and others:

a.Names of parents or legal guardians: (Check here if unknown.)

b.Address of parent/legal guardian: (Check here if unknown.)

c.Address of parent/legal guardian: (Check here if unknown.)

d.Indian tribe (if applicable and known):

e.CASA volunteer (if applicable and known):

f.Educational rights holder (if applicable and known):

g.Social worker or probation officer (if applicable and known):

If you are asking the court to recognize your relationship with your sibling but not asking the court to change an order, you may skip to item 8.

7What has happened since that order that might change the judge’s mind? (Give new information that the judge did not have when the order was made):

8What new order or orders do you want the judge to make now?

9Why would the requested order or action be better for the child?

11I have had a copy of my request sent to the people listed below, as applicable. I have checked the correct box to the right of each name to show whether, as far as I know, that person agrees with my request.

If you do not have an attorney, the clerk will send notice and copies of your request to all persons required to receive notice under Welfare and Institutions Code sections 297 and 386 and rules 5.524 and 5.570 of the

12You can ask the judge to make a decision without a court hearing if all the people named above agree with your request. Check here if you want a decision without a hearing.

13If anyone disagrees with your request, please explain why (if known):

14I declare under penalty of perjury under the laws of the State of California that the information in this form is true and correct to the best of my knowledge.

Date: