GOVERNMENTAL AGENCY (under Family Code §§ 17400, 17406): 

FOR COURT USE ONLY

FL-618

TELEPHONE NO.:

FAX NO. (Optional):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF

E-MAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PETITIONER/PLAINTIFF:

RESPONDENT/DEFENDANT:

OTHER PARENT:

REQUEST FOR DISMISSAL

CASE NUMBER:

1.  TO THE CLERK: Please dismiss the following:

a.

b.

(1)

(1)

(2)

(3)

(4)

(5)

(6)

(7)

With prejudice

(2)

Without  prejudice

Complaint                                     

____ Supplemental complaint

____ Amended complaint

____ Amended supplemental complaint

filed on (date):                              

filed on (date):

filed on (date):

filed on (date):

Uniform Interstate Family Support Act (UIFSA) petition

filed on (date):

Entire action of all parties and all related causes of action

filed on (date): 

Other (specify):

filed on (date):

Date:

3.

4.

5.

6.

Date:
Date:

(cid:96)

(cid:96)

____________________________________________________________________________________________________________

(TYPE OR PRINT NAME OF GOVERNMENTAL ATTORNEY)

(SIGNATURE)

2.  TO THE CLERK: Consent to the above dismissal is hereby given.*
Date:

(TYPE OR PRINT NAME OF       ATTORNEY OR       PARTY WITHOUT ATTORNEY)

(SIGNATURE)

*
 If a responsive pleading seeking affirmative relief is on file, the attorney for respondent must sign the consent if required by Code of Civil Procedure section 581(i) or (j).  
____________________________________________________________________________________________________________
(To be completed by clerk):

Dismissal entered as requested on (date):

Dismissal entered on (date):                                                                  as to only (name each):                        

Dismissal not entered as requested for the following reasons (specify):

a.
b.

Attorney or party without attorney notified on (date):
Attorney or party without attorney not notified. Filing failed to provide

a copy to conform

means to return conformed copy

Form Adopted for Mandatory Use
 Judicial Council of California 
FL-618 [Rev. January 1, 2010]

Clerk, by  

REQUEST FOR DISMISSAL 
(Governmental, UIFSA)

, Deputy

Page 1 of 1

Code of Civil Procedure, § 581 et seq. 
Cal. Rules of Court, rule 3.1390
www.courtinfo.ca.gov