JV-426: JV 426 Form | CA Small Claims

1

general

Attorney

Telephone

Fax

Email

Client Name

Court County

Court Street

Court Mail

Court City Zip

Court Branch

Privacy Notice Header

A

E

B

F

C

G

D

A

B

C

D

E

A

B

Choice

B

A

check box 32

A

B

Child

Mother

Child

Other

Mother

Other

Child

Field 42

Mother

B

A

Field 46

D

E

A

B

Mother

Other

A

B

A

B

C

D

Field 59

A

B

Field 62

Field 63

A

B

C

D

E

Mother

Other

Field 71

Field 72

A

B

Judge Pro Tempore

Commissioner

Referee

Judge

Field 79

A

B

C

Field 83

Field 84

Field 85

A

B

Field 88

A

B

A

B

C

D

E

fill text 96

Field 97

Other

B

C

E

D

Field 103

Field 104

B

Child Name

Case Number

Chck Box

C Box

check box 264

check box 259

Check B

Cck Bx

fill text 315

check box 12

2

h

3

i

I

4

biological

5

legal

Guardian

6

presumed

7

alleged

Father

8

indian

Custodian

9

a

Mother

Father

Representative

Other

10

b

11

c

12

d

D

13

signature

Date

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14

hearing

Date

Time

Room

Department