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

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Here is the text we could read:

PARTY WITHOUT ATTORNEY OR ATTORNEY

STATE BAR NUMBER:

FOR COURT USE ONLY

FL-280

STATE:

FAX NO.:

ZIP CODE:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:

NAME:

FIRM NAME:

STREET ADDRESS:

CITY:

TELEPHONE NO.:

E-MAIL ADDRESS:

ATTORNEY FOR (name):

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PETITIONER:

RESPONDENT:

OTHER PARTY:

REQUEST FOR HEARING AND APPLICATION TO CANCEL (SET ASIDE) 
VOLUNTARY DECLARATION OF PARENTAGE OR PATERNITY

CASE NUMBER:

INSTRUCTIONS
Use this form if you want to cancel (set aside) a voluntary declaration of parentage or paternity. The declaration is a form that is 
usually signed at the hospital after a child is born. It can also be signed anytime after the child was born, even many years later.

Complete items 5–10. For more information about completing this form, see Information Sheet for Completing Request for Hearing 
and Application to Cancel (Set Aside) Voluntary Declaration of Parentage or Paternity (                    ). 

After you complete the form, take the original plus three copies to the court clerk to file.

After you file, copies of the form must be "served" on the other parties in the case and you must file the proof of service with the 
court. See Information Sheet for Service of Process (                    ) for more information about completing a proof of service.

Make sure you go to the court hearing listed in item 1. 

1.

TO ALL PARTIES. A COURT HEARING WILL BE HELD AS FOLLOWS:

NOTICE OF HEARING   
(FOR COURT USE ONLY)

a. 

Date:

Time:

Dept.:

Room:

b.

Address of court

same as noted above

other

(specify):

WARNING to the person served with this request: The court may make the requested orders without you if you do not file a 
Responsive Declaration to Application to Cancel (Set Aside) Voluntary Declaration of Parentage or Paternity (                    ) and 
appear at the hearing. (See page 2 of FL-285 for more information and instructions for "serving" your response.)

It is ordered that:

Time

for service

until the hearing    is shortened. Service must be on or before 

(date):

Any responsive declaration must be served on or before

(date):

REQUEST TO CANCEL (SET ASIDE) VOLUNTARY DECLARATION OF PARENTAGE OR PATERNITY

JUDICIAL OFFICER

• 

• 

• 
• 

• 

2.

3.

4.

Date:

5.  Person making this request

a. My name is:

b.

I am the:

(1)

(2)

(3)

Petitioner

Respondent

Other (specify):

Form Adopted for Mandatory Use 
Judicial Council of California 
FL-280 [Rev. January 1, 2020]

REQUEST FOR HEARING AND APPLICATION TO CANCEL (SET ASIDE) 
VOLUNTARY DECLARATION OF PARENTAGE OR PATERNITY

Family Code, §§ 7573.5, 7576, 7577; 
Code of Civil Procedure, § 473 
www.courts.ca.gov

Page 1 of 2

CASE NUMBER:

FL-280

PETITIONER:

RESPONDENT:

OTHER PARTY:

6.  I request that the court:

order genetic testing and cancel (set aside) the voluntary declaration of parentage or paternity.

make a finding that the voluntary declaration of parentage or paternity is void (invalid).

7. 

Information about the voluntary declaration of parentage or paternity (attach a copy if you have one):

a. Child's name:

Child's date of birth:

b.

Names of the people who signed the voluntary declaration:

c. Date signed (if known):

d. Date filed with the Department of Child Support Services (if known):

8. 

Other cases involving the child (check all that apply):

Divorce, legal separation, or nullity (case number, if known):

Parentage, custody, or child support (case number, if known):

Other (case number, if known):

The local child support agency is providing services for the child in (specify county):

9. 

A court order was entered based on the voluntary declaration of parentage or paternity on (date):
in case number (specify):

,

10. Reasons for my request.

a.

The voluntary declaration of parentage or paternity should be canceled (set aside) because of (check all that apply):

Fraud (I was kept in ignorance of the true facts by another person.)

Duress (I was threatened or mentally coerced into signing the declaration.)

Material mistake of fact (I thought the facts were different from what they really are.)

The following reasons apply only to voluntary declarations filed before January 1, 2020, or if you did not sign the declaration.

My mistake, inadvertence, surprise, or excusable neglect

Other (specify):

b.

The voluntary declaration of parentage or paternity is void (invalid) because (specify):

c. Explain the facts that support your request:

a.

b.

a.

b.

c.

d.

(1)

(2)

(1)

(2)

(3)

(4)

(5)

I declare under penalty of perjury under the laws of the State of California that the information above is true and correct.

Contained in the attached declaration.

Date:

(TYPE OR PRINT NAME)

(SIGNATURE OF PARTY MAKING REQUEST)

Requests for Accommodations

Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter services are available if 
you ask at least five days before the proceeding. Contact the clerk's office or go to www.courts.ca.gov/forms for Request 
for Accommodations by Persons With Disabilities and Response (                     ). (Civ. Code, § 54.8.)

FL-280 [Rev. January 1, 2020]

REQUEST FOR HEARING AND APPLICATION TO CANCEL (SET ASIDE) 
VOLUNTARY DECLARATION OF PARENTAGE OR PATERNITY

Page 2 of 2

Request for Hearing and Application to Cancel (Set Aside) Voluntary Declaration of Parentage or Paternity

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the California state courts. To learn more about the project, check out our about page.

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): 2
Fields(s): 76
Average fields per page: 38
Reading Level: Grade 8
LIST Grouping(s): Unknown

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

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.

f_l_page_p_party_info__1 was FL-280[0].Page1[0].P1Caption[0].AttyPartyInfo[0].AttyBarNo[0] (0.56 conf)
f_page_p_party_info_name was FL-280[0].Page1[0].P1Caption[0].AttyPartyInfo[0].Name[0] (0.41 conf)
f_page_p_party_info_firm was FL-280[0].Page1[0].P1Caption[0].AttyPartyInfo[0].AttyFirm[0] (0.44 conf)
f_page_p_party_info_street was FL-280[0].Page1[0].P1Caption[0].AttyPartyInfo[0].Street[0] (0.41 conf)
f_page_p_party_info_city was FL-280[0].Page1[0].P1Caption[0].AttyPartyInfo[0].City[0] (0.41 conf)
f_page_p_party_info_state was FL-280[0].Page1[0].P1Caption[0].AttyPartyInfo[0].State[0] (0.41 conf)
f_l_page_p_party_info__2 was FL-280[0].Page1[0].P1Caption[0].AttyPartyInfo[0].Zip[0] (0.41 conf)
f_page_p_party_info_phone was FL-280[0].Page1[0].P1Caption[0].AttyPartyInfo[0].Phone[0] (0.41 conf)
f_l_page_p_party_info__3 was FL-280[0].Page1[0].P1Caption[0].AttyPartyInfo[0].Fax[0] (0.41 conf)
f_page_p_party_info_email was FL-280[0].Page1[0].P1Caption[0].AttyPartyInfo[0].Email[0] (0.41 conf)
f_l_page_p_party_info__4 was FL-280[0].Page1[0].P1Caption[0].AttyPartyInfo[0].AttyFor[0] (0.44 conf)
f_l_page_p_info_county was FL-280[0].Page1[0].P1Caption[0].CourtInfo[0].CrtCounty[0] (0.39 conf)
f_l_page_p_info_street was FL-280[0].Page1[0].P1Caption[0].CourtInfo[0].CrtStreet[0] (0.39 conf)
f_l_page_p_caption_info was FL-280[0].Page1[0].P1Caption[0].CourtInfo[0].CrtMailingAdd[0] (0.43 conf)
f_l_page_p_caption_court_info_crt_city_zip was FL-280[0].Page1[0].P1Caption[0].CourtInfo[0].CrtCityZip[0] (0.40 conf)
f_l_page_p_court_branch was FL-280[0].Page1[0].P1Caption[0].CourtInfo[0].CrtBranch[0] (0.39 conf)
f_page_p_title_party_name__1 was FL-280[0].Page1[0].P1Caption[0].TitlePartyName[0].Party1[0] (0.37 conf)
f_page_p_title_party_name__2 was FL-280[0].Page1[0].P1Caption[0].TitlePartyName[0].Party2[0] (0.37 conf)
f_l_page_p_caption_party was FL-280[0].Page1[0].P1Caption[0].Party3[0] (0.40 conf)
f_l_page_p_caption_service_date_dt was FL-280[0].Page1[0].P1Caption[0].ServiceDate_dt[0] (0.41 conf)
f_page_p_check_box_time was FL-280[0].Page1[0].P1Caption[0].CheckBoxTime[0] (0.43 conf)
f_page_p_check_box_service was FL-280[0].Page1[0].P1Caption[0].CheckBoxService[0] (0.43 conf)
f_page_p_check_box_hearing was FL-280[0].Page1[0].P1Caption[0].CheckBoxHearing[0] (0.43 conf)
f_l_page_p_caption_r_dt was FL-280[0].Page1[0].P1Caption[0].RDdate_dt[0] (0.38 conf)
f_page_p_check_box_dec was FL-280[0].Page1[0].P1Caption[0].CheckBoxRespDec[0] (0.43 conf)
f_l_page_p_caption_sig_date was FL-280[0].Page1[0].P1Caption[0].SigDate[0] (0.39 conf)
f_l_page_case_number_ft was FL-280[0].Page1[0].CaseNumber[0].CaseNumber_ft[0] (0.40 conf)
f_l_page_timeof_hearing_tf__1 was FL-280[0].Page1[0].TimeofHearing_tf[0] (0.34 conf)
f_l_page_dateof_hearing_dt was FL-280[0].Page1[0].DateofHearing_dt[0] (0.34 conf)
f_l_page_otherspecify_ft was FL-280[0].Page1[0].Otherspecify_ft[0] (0.37 conf)
f_l_page_check_box__1 was FL-280[0].Page1[0].CheckBox61[0] (0.41 conf)
f_l_page_department_tf was FL-280[0].Page1[0].DepartmentNo_tf[0] (0.38 conf)
f_l_page_check_box__2 was FL-280[0].Page1[0].CheckBox61[1] (0.41 conf)
f_l_page_courtroom_tf was FL-280[0].Page1[0].Courtroom_tf[0] (0.39 conf)
f_l_page_subform_area_petitioner_cb was FL-280[0].Page1[0].#subform[4].#area[0].petitioner_cb[0] (0.36 conf)
f_l_page_area_petitioner_cb__1 was FL-280[0].Page1[0].#area[1].petitioner_cb[1] (0.36 conf)
f_l_page_timeof_hearing_tf__2 was FL-280[0].Page1[0].TimeofHearing_tf[1] (0.34 conf)
f_l_page_area_petitioner_cb__2 was FL-280[0].Page1[0].#area[2].petitioner_cb[2] (0.36 conf)
f_l_page_text_field was FL-280[0].Page1[0].TextField6[0] (0.34 conf)
f_page_caption_title_party_name__1 was FL-280[0].Page2[0].PxCaption[0].TitlePartyName[0].Party1[0] (0.36 conf)
f_page_caption_title_party_name__2 was FL-280[0].Page2[0].PxCaption[0].TitlePartyName[0].Party2[0] (0.36 conf)
f_page_caption_title_party_name__3 was FL-280[0].Page2[0].PxCaption[0].TitlePartyName[0].Party3[0] (0.36 conf)
f_l_page_px_case_number was FL-280[0].Page2[0].PxCaption[0].CaseNumber[0].CaseNumber_ft[0] (0.37 conf)
f_page_px_caption_text_field__1 was FL-280[0].Page2[0].PxCaption[0].TextField6[0] (0.41 conf)
f_l_page_px_caption_area__1 was FL-280[0].Page2[0].PxCaption[0].#area[0].petitioner_cb[0] (0.40 conf)
f_page_px_caption_text_field__2 was FL-280[0].Page2[0].PxCaption[0].TextField6[1] (0.41 conf)
f_l_page_px_check_box__1 was FL-280[0].Page2[0].PxCaption[0].CheckBox1[0] (0.36 conf)
f_page_px_caption_text_field__3 was FL-280[0].Page2[0].PxCaption[0].TextField6[2] (0.41 conf)
f_l_page_px_check_box__2 was FL-280[0].Page2[0].PxCaption[0].CheckBox1[1] (0.36 conf)
f_page_px_caption_text_field__4 was FL-280[0].Page2[0].PxCaption[0].TextField6[3] (0.41 conf)
f_l_page_px_check_box__3 was FL-280[0].Page2[0].PxCaption[0].CheckBox1[2] (0.36 conf)
f_l_page_px_check_box__4 was FL-280[0].Page2[0].PxCaption[0].CheckBox1[3] (0.36 conf)
f_page_px_caption_text_field__5 was FL-280[0].Page2[0].PxCaption[0].TextField6[4] (0.41 conf)
f_l_page_px_caption_tf__1 was FL-280[0].Page2[0].PxCaption[0].TimeofHearing_tf[0] (0.39 conf)
f_l_page_px_caption_tf__2 was FL-280[0].Page2[0].PxCaption[0].TimeofHearing_tf[1] (0.39 conf)
f_l_page_px_caption_tf__3 was FL-280[0].Page2[0].PxCaption[0].TimeofHearing_tf[2] (0.39 conf)
f_page_px_caption_text_field__6 was FL-280[0].Page2[0].PxCaption[0].TextField6[5] (0.41 conf)
f_page_px_caption_text_field__7 was FL-280[0].Page2[0].PxCaption[0].TextField6[6] (0.41 conf)
f_l_page_px_check_box__5 was FL-280[0].Page2[0].PxCaption[0].CheckBox1[4] (0.36 conf)
f_l_page_px_caption_area__2 was FL-280[0].Page2[0].PxCaption[0].#area[1].petitioner_cb[1] (0.40 conf)
f_l_page_px_caption_area__3 was FL-280[0].Page2[0].PxCaption[0].#area[2].petitioner_cb[2] (0.40 conf)
f_l_page_px_caption_area__4 was FL-280[0].Page2[0].PxCaption[0].#area[3].petitioner_cb[3] (0.40 conf)
f_l_page_px_caption_area__5 was FL-280[0].Page2[0].PxCaption[0].#area[4].petitioner_cb[4] (0.40 conf)
f_page_px_caption_text_field__8 was FL-280[0].Page2[0].PxCaption[0].TextField6[7] (0.41 conf)
f_l_page_px_caption_petitioner_cb was FL-280[0].Page2[0].PxCaption[0].petitioner_cb[5] (0.40 conf)
f_l_page_px_check_box__6 was FL-280[0].Page2[0].PxCaption[0].CheckBox1[5] (0.36 conf)
f_page_px_caption_text_field__9 was FL-280[0].Page2[0].PxCaption[0].TextField6[8] (0.41 conf)
f_l_page_px_date_field was FL-280[0].Page2[0].PxCaption[0].DateField1[0] (0.42 conf)
f_l_page_px_caption_tf__4 was FL-280[0].Page2[0].PxCaption[0].TimeofHearing_tf[3] (0.39 conf)
f_page_px_caption_text_field__10 was FL-280[0].Page2[0].PxCaption[0].TextField6[9] (0.41 conf)
f_l_page_px_check_box__7 was FL-280[0].Page2[0].PxCaption[0].CheckBox1[6] (0.36 conf)
f_l_page_px_check_box__8 was FL-280[0].Page2[0].PxCaption[0].CheckBox1[7] (0.36 conf)
f_l_page_px_check_box__9 was FL-280[0].Page2[0].PxCaption[0].CheckBox1[8] (0.36 conf)
f_l_page_px_check_box__10 was FL-280[0].Page2[0].PxCaption[0].CheckBox1[9] (0.36 conf)
f_l_page_sig_date was FL-280[0].Page2[0].SigDate[0] (0.39 conf)
f_l_page_print_name was FL-280[0].Page2[0].PrintName[0] (0.36 conf)

We've done our best to group similar variables togther to avoid overwhelming the user.

Suggested Screen 0:

f_l_page_p_party_info__1
f_page_p_party_info_name
f_page_p_party_info_firm
f_page_p_party_info_street
f_page_p_party_info_city
f_page_p_party_info_state
f_l_page_p_party_info__2
f_page_p_party_info_phone
f_l_page_p_party_info__3
f_page_p_party_info_email
f_l_page_p_party_info__4
f_l_page_p_info_county
f_l_page_p_info_street
f_l_page_p_caption_info
f_l_page_p_caption_court_info_crt_city_zip
f_l_page_p_court_branch
f_page_p_title_party_name__1
f_page_p_title_party_name__2
f_l_page_p_caption_party
f_l_page_p_caption_service_date_dt
f_page_p_check_box_time
f_page_p_check_box_service
f_page_p_check_box_hearing
f_l_page_p_caption_r_dt
f_page_p_check_box_dec
f_l_page_p_caption_sig_date
f_l_page_case_number_ft
f_l_page_timeof_hearing_tf__1
f_l_page_dateof_hearing_dt
f_l_page_otherspecify_ft
f_l_page_check_box__1
f_l_page_department_tf
f_l_page_check_box__2
f_l_page_courtroom_tf
f_l_page_subform_area_petitioner_cb
f_l_page_area_petitioner_cb__1
f_l_page_timeof_hearing_tf__2
f_l_page_area_petitioner_cb__2
f_l_page_text_field
f_page_caption_title_party_name__1
f_page_caption_title_party_name__2
f_page_caption_title_party_name__3
f_l_page_px_case_number
f_page_px_caption_text_field__1
f_l_page_px_caption_area__1
f_page_px_caption_text_field__2
f_l_page_px_check_box__1
f_page_px_caption_text_field__3
f_l_page_px_check_box__2
f_page_px_caption_text_field__4
f_l_page_px_check_box__3
f_l_page_px_check_box__4
f_page_px_caption_text_field__5
f_l_page_px_caption_tf__1
f_l_page_px_caption_tf__2
f_l_page_px_caption_tf__3
f_page_px_caption_text_field__6
f_page_px_caption_text_field__7
f_l_page_px_check_box__5
f_l_page_px_caption_area__2
f_l_page_px_caption_area__3
f_l_page_px_caption_area__4
f_l_page_px_caption_area__5
f_page_px_caption_text_field__8
f_l_page_px_caption_petitioner_cb
f_l_page_px_check_box__6
f_page_px_caption_text_field__9
f_l_page_px_date_field
f_l_page_px_caption_tf__4
f_page_px_caption_text_field__10
f_l_page_px_check_box__7
f_l_page_px_check_box__8
f_l_page_px_check_box__9
f_l_page_px_check_box__10
f_l_page_sig_date
f_l_page_print_name

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

Request for Hearing and Application to Cancel (Set Aside) Voluntary Declaration of Parentage or Paternity

About This Form:

Identified Data Fields:

Create an Interactive Version of this Form:

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