Notice of Intent to File Petition

							                                                                                                                                                       JV-820
  ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):                                              FOR COURT USE ONLY




             TELEPHONE NO.:                              FAX NO. (Optional):
 E-MAIL ADDRESS (Optional):
     ATTORNEY FOR (Name):
 SUPERIOR COURT OF CALIFORNIA, COUNTY OF
          STREET ADDRESS:

          MAILING ADDRESS:

         CITY AND ZIP CODE:

              BRANCH NAME:
             CASE NAME:


                            NOTICE OF INTENT TO FILE WRIT PETITION                                       CASE NUMBER:

                                 AND REQUEST FOR RECORD
                                     (California Rules of Court, Rule 38)

                                                                               NOTICE
    The court has set a hearing to make a permanent plan for this child. If you wish to preserve your right to appeal the
    court's decision, a petition for extraordinary writ must be filed. If you intend to file the petition for a writ, a notice of intent
    to file a writ petition and request for record must be filed with the juvenile court clerk within 7 days of the date specified
    in item 5a. If you received this notice by mail only, the notice of intent must be filed within 17 days after the date that the
    clerk mailed the notification. You may use this form to notify the court. The petition for extraordinary writ must be served
    within 10 days after the record is filed.

1. Petitioner's name:

2. Petitioner's address:

3. Petitioner's phone number:

4. Petitioner is
   a.          parent (name):
   b.          guardian
   c.          county welfare agency
   d.          child
   e.          other (state relationship to child or interest in the case):



5. a. On (date):                                    the juvenile court made an order setting a hearing under Welfare and Institutions Code
      section 366.26. I intend to file a petition for extraordinary writ to challenge the findings and orders made by the court on that date
      and request that the clerk assemble the record.
   b. List all known dates of the hearing that resulted in the order:


6. The hearing under Welfare and Institutions Code section 366.26 is set for (date, if known):

Date:

                              (TYPE OR PRINT NAME)                                       (SIGNATURE OF         PETITIONER             ATTORNEY)

     The notice of intent to file a writ petition must be signed by the party intending to file the writ petition, or if to be filed on
     behalf of the child, by the attorney of record for the child. Upon a finding of good cause, based on a declaration by the
     attorney of record as to why the party could not sign the notice, the appellate court may waive the requirement of the
     party's signature. (Cal. Rules of Court, rule 38(e)(3).) Signatories of this notice do not waive the notice requirements of
     Welfare and Institutions Code section 294.
                                                                                                                                                        Page 1 of 1
Form Approved for Optional Use                                                                                                          Cal. Rules of Court, rule 38
  Judicial Council of California                     NOTICE OF INTENT TO FILE WRIT PETITION                electronic form
                                                                                                         WWW.LawCA.com       Welfare and Institutions Code, § 366.26
 JV-820 [Rev. January 1, 2006]                            AND REQUEST FOR RECORD                          Law Publishers
                                                           (California Rules of Court, Rule 38)