JV-420: JV 420 Form | CA Small Claims

1

general

check box 154

check box 152

check box 151

check box 147

check box 153

check box 146

check box 150

check box 145

check box 149

check box 144

check box 148

check box 12

Field 13

Field 14

Field 15

Field 16

A

B

Other

A

Field 21

Child

Field 23

Field 24

B

A

B

C

D

Field 31

B

A

Field 34

Mother

Field 36

Other

fill text 38

B

C

D

E

check box 141

Check B

Chck Bx

Chck Box

Cck Box

Check Bx

Mother

Child Name

Case Number

B

C

check box 16

A

B

C

D

E

2

a

3

c

4

d

5

e

6

f

7

b

8

biological

Father

9

legal

Guardian

10

presumed

Father

11

indian

Custodian