Unmarried Parents (UPA)

General Information

To officially establish a parent-child relationship between a child (or children) and unmarried parents a Parentage case may be filed under the Uniform Parentage Act. Once parentage is established, the court may make orders for child support, health insurance, child custody, visitation, name change, reimbursement of pregnancy and birth expenses, and restraining orders. Establishing parentage is also used to secure benefits, such as social security, veteran's, and inheritance rights.

Please complete this form as fully and accurately as possible. If any information is not known to you, please insert a question mark (“?”) in the space provided. If you know who has the information please indicate that. If you subsequently realize that information provided on this form is incorrect, inaccurate or incomplete, please contact this office and provide the correct information.

Establishing paternity (noun: the state of being a parent (father). Parental Relationship means to have the court say "legally" who the parents of any child are, or were, at the time of the birth of the child(ren), when the parents were not married to one another at the time of the birth.

SECTION 1: Case Information

CASE STATUS *

New Case Finish Existing Case

TYPE OF CASE *

Establish Child Custody Establish Child Support Establish Visitation

Select all that apply.

At this time, Do you believe there will be an agreement negotiated between you and the other parent or do you anticipate a contested paternity? *

Yes No

Would you like this office to assist you with the drafting of an agreement? *

Yes No

Has a voluntary Paternity Declaration Been Signed? *

Yes No

If both parents have signed a Voluntary Declaration of Paternity form for the child(ren). This form is important because it establishes parentage, allowing you to obtain custody, support and other orders without delay. If you and the other parent have signed this form, attach a copy of the Voluntary Declaration of Paternity form to this Petition.

If Yes, Upload a Copy *

Max file size: 20MB

NOTE: If you do not have a copy of your Voluntary Declaration of Paternity, you may request a duplicate copy by calling the Paternity Opportunity Program (POP) at
     DCSS - POP UNIT
     PO BOX 419070
     RANCHO CORDOVA, CA 95741–9070
     E-Mail: askpop@dcss.ca.gov
     PHONE: 1-866-249-0773.
Please allow 20 working days for your request to be processed.
For more information check here.

NOTE: For existing cases, please provide a copy of the Summons, Petition, Proof of Service of Summons and any other documents filed with the court or served on you.

Case Number *

Upload Existing Case Documents, If Any: *

Max file size: 20MB

* Indicates required field

Did the intercourse that resulted in this child occur in California? *

Yes No

Have you or the other parent, or child(ren) resided in this county for at least the last 3 months and in the state of California for at least 6 months? *

Yes No

Is there a reason, such as domestic violence restraining order, why the address of the child(ren) should be kept confidential? *

Your General Information

Full Legal Name *

First

Last

Other Parent's Information

Full Legal Name *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Address *

Line 1

Line 2

City

State

Zip Code

Country

DOB *

AGE *

CA DL# *

DOB *

AGE *

CA DL# *

Are you currently in the military? *

Yes No

Is he/she currently in the military? *

Yes No

SECTION 2: Minor Child(ren)

1) Child Name *

First

Last

DOB *

Place of Birth *

AGE *

Sex *

School *

2) Child Name *

First

Last

DOB *

Place of Birth *

AGE *

SEX *

School *

3) Child Name *

First

Last

DOB *

Place of Birth *

AGE *

SEX *

School *

4) Child Name *

First

Last

DOB *

Place of Birth *

Age *

Sex *

School *

5) Child Name *

First

Last

[object Object]

DOB *

Place of Birth *

AGE *

sex *

School *

6) Child Name *

First

Last

[object Object]

DOB *

Place of Birth *

AGE *

Sex *

School *

Child Custody and Visitation (Parenting Time)

Legal Custody (Decision Making) *

Sole to Me Sole to Other Parent Joint Primary to Me Primary to Other Parent

NOTE: Legal Custody - "Sole" (one) or "Joint" (both) parents have the right and responsibility to make decisions relating to the child's health, education and welfare.

Physical Custody (Primary Residence) *

Sole to Me Sole to Other Parent Joint Primary to Me Primary to Other Parent

NOTE: Physical Custody - "Sole" - child will live with and be under the supervision of one parent, subject to the power of the court to order visitation for the other parent. A parent with "Sole Physical" may have an advantage when it comes to moving away over the objection of the other parent. "Joint" means both parents will have significant periods of physical custody arranged to assure the child has frequent and continuing contact with both parents (need not be 50/50 or even parenting time).

Visitation (Noncustodial Parenting Time) *

Me Other Parent None (Provide Explanation Below)* Supervised (Provide Explanation Below)*

Visitation Plan or Explanation Why If None/Supervised: *

NOTE: A court may award primary physical custody to one parent and give the other parent shared parenting time [visitation] that is not considered joint custody. - Nolo Press

Holiday Schedule? *

VISITATION PLAN: Develop a plan to determine how the child(ren)'s time will be divided between the parents. Your plan can be tailored to your schedule. Be specific, which times, days, weeks, weekends, holidays, birthdays, other such times as agreed between parties.
NO VISITATION: If no visitation to the other parent, explain in detail as to why and be prepared to submit valid written documentation to support your position.
SUPERVISED VISITATION: If supervised visitation for the other parent, explain in detail as to why and be prepared to submit valid written documentation to support your position.

Upload Documentation Supporting Your Position, If Any: *

Max file size: 20MB

What are the reasons you are seeking this schedule? (Briefly): *

Do you need mediation through Family Court Services to work out a mediation schedule? *

Yes No

Are you requesting the other parent to pay reasonable costs of the pregnancy and birth, according to proof? *

Yes No

Child(ren)'s Residence For The Last 5 Years:

From *

Moved-In Date > TIP: UTILITY BILL

To *

Moved-Out Date > TIP: UTILITY BILL

Address *

Street, City, State, Zip Code (Include Country, if other than United States)

Lived With *

Name of Person child(ren) lived with.

Relationship *

Relationship to Child(ren) i.e Mother/Father/Maternal Grandmother/Paternal Grandfather/etc.

From *

To *

Address *

Lived with *

Relationship *

From *

To *

Address *

Lived With *

Relationship *

From *

To *

Address *

Lived With *

Relationship *

From *

To *

Adress *

Lived With *

Relationship *

Have you participated as a "party" or a "witness," or in some other capacity in another case or custody action in California or elsewhere, about custody of a child in this legal action? *

No Yes

If Yes, Name of Child: *

Capacity of Declaring Person: *

Party Witness Other

In what capacity did you participate as in the other legal action?

If Other: *

Upload Case Documents, If Any: *

Max file size: 20MB

Court Name & Location *

Case Number *

Court Judgment Date *

Do you have information about a custody action pending in California or any other court about a child in this legal action, other than above? *

No Yes

If Yes, Name of Child *

Kind of Proceeding *

Department of Child Support Services (DCSS) Legal Separation Guardianship Adoption Other

What kind of case was it?

If Other: *

Upload Case Documents, If Any: *

Max file size: 20MB

Court Name & Location *

Case Number *

Status *

Do you know of any person who is NOT a party to this legal action who has physical custody, claims to have custody of or visitation rights with any child of this legal actions? *

No Yes

IF YES, Name & Address

1) Name *

Address *

Type of Claim: *

2) Name *

Address *

TYPE OF CLAIM: *

Child Support:

Are there any existing orders in other proceedings regarding child support? *

Yes No

IF NO, SKIP TO SECTION 4

If Yes, Please describe terms of order: *

Skip description if copy of order uploaded.

IF THERE ARE NO PREVIOUS ORDER AND NEITHER PARE IS NOT RECEIVING STATE AID:

Do you want Child Support? *

No Yes - Guideline Support Yes - Agreed Amount

If you or the other parent are receiving public assistance [State Aid], support is mandatory through the Department of Child Support Services (DCSS).

Agreed Amount $: *

Payment Terms: (Monthly/Weekly) *

Once a month, twice a month, weekly, day of the month.

Upload Case Documents, If Any: *

Max file size: 20MB

Court Name & Location *

Case Number *

Court Judgment Date *

Childcare Costs:

Do You want the Other Parent to Share 50% of Childcare Expenses *

Yes No Agreement

If Yes OR Agreement, How Much and Who Pays?: *

Transportation Costs:

Do you want the other parent to share 50% of the transportation costs between visitation/custody periods? *

Yes No Agreement

If No or Agreement, please explain: *

Child(ern)'s Health/Dental Insurance:

Medical Insurance for minor child(ren), if any, is provided by: *

My Employer Spouse's/Partner's Employer Medi-Cal

Dental Insurance for minor child(ren), if any, is provided by: *

My Employer Spouse's/Partner's Employer Medi-Cal

Will parents split portion of the medical costs that aren't covered by the insurance? *

Yes No

Medical Insurance Name & Address *

Medical Insurance Policy No. *

Dental Insurance Name & Address *

Dental Insurance Policy No. *

If Not, Who Will Pay? *

SECTION 3: Financial Information

If you are seeking monetary orders (support, attorneys fees, etc.). complete the following pages:

Employment: (If Unemployed now, list information for last job)

Employer Name: *

Occupation: *

Employer Address *

Line 1

Line 2

City

State

Zip Code

Country

Employer Phone Number *

Date Started Job: *

No. of Hours Work Per Week: *

If Unemployed, Date Last Job Ended: *

Gross (Before Tax Withholding) Wages: (Wkly/Monthly/Yearly) *

Upload, 2 (TWO) Most Recent Pay Stubs And Proof of Any Other Income: *

Max file size: 20MB

Age and Education:

Your Age Is: *

Have You Completed High School (or Equivalent)? *

Yes No

If No, Please State Highest Grade Completed: *

HAVE THE FOLLOWING:

Professional/Occupational License: *

Vocational Training: *

Number of Years of College Completed: *

W/Degree: *

Number of Years Graduate School: *

W/Degree: *

Tax Information:

Year of Last Filed Taxes *

Tax Filing Status: *

Married Filling Jointly w/ (If Applicable): *

State In Which Tax Returns Are Filed: *

California Other

If Other State, List Below: *

Number of Exemptions Claimed (Including Yourself) On Taxes: *

Other Party's Income:

Estimation of Other Party's Gross (Before Tax Withholding) Monthly Income: $ *

Estimate is Based On: *

SECTION 4: Other

Child(ren) Name Change:

Will the name of the child(ren) be changed following the rules of Family Code § 7638? *

Yes No

The procedure in an action under this part to change the name of a minor or adult child for whom a parent and child relationship is established pursuant to Section 7636, upon application in accordance with Title 8 (commencing with Section 1275) of Part 3 of the Code of Civil Procedure shall conform to those provisions, except that the application for the change of name may be included with the petition filed under this part and except as provided in Sections 1277 and 1278 of the Code of Civil Procedure.

WHAT WILL THE CHILD(REN) NAME CHANGE BE (FOR EACH CHILD):

To: *

To *

From *

from *

Waiver of Court Fees:

NOTE: The court filing fee is $435 for Petition, Response or other first paper (including a joint petition) for dissolution of marriage or domestic partnership, legal separation, or nullity. Checks for the Court's filing fee should be made payable directly to the court, “Sacramento Superior Court.”

If you qualify for a Fee Waiver would you like assistance *

Yes No

Taxes:

How would you like to split the child tax exemption? *

If Other, explain child tax exemption split: *

NOTE: If in doubt, please contact a tax specialist to answer any questions you may have.

Attorney Fees:

If it becomes necessary to hire an attorney, do you want your spouse to pay for those fees and court costs? *

Yes No

Have you already paid attorney's fees to date? *

Yes No

If Yes, How Much? $ *

Service On Other Party:

How do you want the other party served? *

Notice of Acknowledgment of Receipt (Spouse Voluntarily Accepts Service by Signature) Registered Process Server (Additional Fees Would Apply) Sheriff Friend or Relative (18 yrs or Older and a U.S. Citizen) Publication (This Service Warrants Additional Paperwork and Additional Fees Would Apply)

Describe ALL efforts made to locate your spouse/partner/ Describe why you think publication is necessary rather than personal service? Example: Relatives, friends, work, DMV, Police, elections office, internet private investigator, etc.) *

Upload Supporting Documents of Efforts To Serve: (Receipts) *

Max file size: 20MB

Additional Information or Comments: *

Upload Additional Documentation, If Any: *

Max file size: 20MB

Request For Order:

For Immediate custody, visitation and support orders, a separate motion may be required. Do you want this office to prepare a motion for expedited orders? (additional fees will apply) *

Yes No

ACKNOWLEDGMENT AND AUTHORIZATION

I understand and acknowledge by pressing "SUBMIT" that the Legal Document Assistant (LDA) preparing my documents is NOT an attorney, cannot select forms and DOES NOT give legal advice. I hereby direct the Legal Document Assistant to type and perform certain services as outline in the Contract for Services which we each executed regarding this matter. I further declare that the foregoing information which I have provided is, to the best of my knowledge, true and correct.

Submit

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