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Here is the text we could read:

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):

FOR COURT USE ONLY

JV-536

FAX NO.:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF

TELEPHONE NO.:

E-MAIL ADDRESS:

ATTORNEY FOR (Name):

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

CHILD'S NAME:

LOCAL EDUCATIONAL AGENCY RESPONSE TO
JV-535—APPOINTMENT OF SURROGATE PARENT

CASE NUMBER:

This form must be completed and returned to the court at the address listed above within five business days of the date of the
appointment, termination, or replacement of a surrogate parent, or within 30 days of receipt if no surrogate is appointed.

Child's or youth's school:
Address of school:

a.
b.
c. School personnel contact (name, title, and telephone):

a.
b.
c.

Name of surrogate parent:
Address:
Telephone:
Relationship to child or youth:

The appointed surrogate parent does not have a conflict of interest with the child or youth. (Welf. & Inst. Code, §§ 361, 726;
34 C.F.R. §§ 300.519, 303.422; Gov. Code, § 7579.5(i), (j).)

The appointed surrogate parent will represent the child or youth on educational issues as required by state and federal law.

The appointed surrogate parent agrees that this representation is continuous. If the surrogate parent is not able to represent
the child's or youth's educational needs, the surrogate parent will inform the local educational agency.

The previous surrogate parent resigned or was terminated under section 7579.5(g) or (h) of the Government Code.

b.
c.
d.

Name of previous surrogate parent:

Address:
Telephone:
Relationship to child or youth:

The local educational agency has not been able to appoint a surrogate parent within 30 days of receiving form JV-535 and is
continuing to make reasonable efforts to identify and appoint a surrogate parent.

Date:

(TYPE OR PRINT NAME)

(LOCAL EDUCATIONAL AGENCY REPRESENTATIVE'S SIGNATURE )

Form Adopted for Mandatory Use
Judicial Council of California
JV-536 [Rev. January 1, 2014]

LOCAL EDUCATIONAL AGENCY RESPONSE TO
JV-535—APPOINTMENT OF SURROGATE PARENT

For your protection and privacy, please press the Clear
This Form button after you have printed the form.

(TITLE)

Page 1 of 1

Government Code, § 7579.5;
Cal. Rules of Court, rules 5.502, 5.650
www.courts.ca.gov

Local Educational Agency Response to JV-535—Appointment of Surrogate Parent

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Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from selfhelp.courts.ca.gov (2023-03)
Page(s): 1
Fields(s): 31
Average fields per page: 31
Reading Level: Grade 9
LIST Grouping(s): FA-00-00-00-00.

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Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

topmost_subform_page__1 was topmostSubform[0].Page1[0].T70[0] (0.60 conf)
topmost_subform_page__2 was topmostSubform[0].Page1[0].T73[0] (0.38 conf)
topmost_subform_page__3 was topmostSubform[0].Page1[0].T74[0] (0.38 conf)
topmost_subform_page__4 was topmostSubform[0].Page1[0].T75[0] (0.38 conf)
topmost_subform_page__5 was topmostSubform[0].Page1[0].T99[0] (0.38 conf)
topmost_subform_page__6 was topmostSubform[0].Page1[0].T123[0] (0.38 conf)
topmost_subform_page__7 was topmostSubform[0].Page1[0].T132[0] (0.38 conf)
topmost_subform_page__8 was topmostSubform[0].Page1[0].T133[0] (0.38 conf)
topmost_subform_page__9 was topmostSubform[0].Page1[0].T134[0] (0.38 conf)
topmost_subform_page__10 was topmostSubform[0].Page1[0].T69[1] (0.38 conf)
topmost_page_area_check_box__1 was topmostSubform[0].Page1[0].#area[0].CheckBox61[0] (0.39 conf)
topmost_page_area_check_box__2 was topmostSubform[0].Page1[0].#area[1].CheckBox61[1] (0.39 conf)
topmost_page_area_check_box__3 was topmostSubform[0].Page1[0].#area[2].CheckBox61[2] (0.39 conf)
topmost_page_area_check_box__4 was topmostSubform[0].Page1[0].#area[3].CheckBox61[3] (0.39 conf)
topmost_page_area_check_box__5 was topmostSubform[0].Page1[0].#area[4].CheckBox61[4] (0.39 conf)
topmost_subform_page_date_ff was topmostSubform[0].Page1[0].on_date_ff[0] (0.41 conf)
topmost_multi_line_field_text was topmostSubform[0].Page1[0].MultiLine_Field[0].TextField2[0] (0.44 conf)
topmost_page_text_field was topmostSubform[0].Page1[0].TextField2[1] (0.36 conf)
page_std_p_header_info_party was topmostSubform[0].Page1[0].StdP1Header_sf[0].AddInfo[0].PartyAttyAddInfo_ft[0] (0.39 conf)
page_std_p_contact_phone was topmostSubform[0].Page1[0].StdP1Header_sf[0].OtherContact[0].Phone_ft[0] (0.38 conf)
page_std_p_header_contact__1 was topmostSubform[0].Page1[0].StdP1Header_sf[0].OtherContact[0].Fax_ft[0] (0.42 conf)
std_p_header_contact_email was topmostSubform[0].Page1[0].StdP1Header_sf[0].OtherContact[0].Email_ft[0] (0.39 conf)
page_std_p_header_contact__2 was topmostSubform[0].Page1[0].StdP1Header_sf[0].OtherContact[0].AttyFor_ft[0] (0.42 conf)
page_std_p_header_county was topmostSubform[0].Page1[0].StdP1Header_sf[0].CourtInfo[0].CrtCounty_ft[0] (0.40 conf)
page_std_p_header_info__1 was topmostSubform[0].Page1[0].StdP1Header_sf[0].CourtInfo[0].Branch_ft[0] (0.42 conf)
page_std_p_header_info_city was topmostSubform[0].Page1[0].StdP1Header_sf[0].CourtInfo[0].CityZip_ft[0] (0.42 conf)
page_std_p_header_info__2 was topmostSubform[0].Page1[0].StdP1Header_sf[0].CourtInfo[0].Street_ft[0] (0.42 conf)
page_std_p_header_info__3 was topmostSubform[0].Page1[0].StdP1Header_sf[0].CourtInfo[0].MailingAdd_ft[0] (0.42 conf)
topmost_subform_page_std_p_header_sf_title_party_name_child_ft was topmostSubform[0].Page1[0].StdP1Header_sf[0].TitlePartyName[0].ChildName_ft[0] (0.38 conf)
page_std_p_header_number was topmostSubform[0].Page1[0].StdP1Header_sf[0].CaseNumber[0].CaseNumber_ft[0] (0.39 conf)
topmost_subform_page_specify_tf was topmostSubform[0].Page1[0].OtherSpecify_tf[0] (0.40 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Local Educational Agency Response to JV-535—Appointment of Surrogate Parent

About This Form:

Identified Data Fields:

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02