Here is the text we could read:
ATTORNEY OR PARTY WITHOUT ATTORNEY:
STATE BAR NO.:
FOR COURT USE ONLY
GC-220
STATE:
FAX NO.:
ZIP CODE:
NAME:
FIRM NAME:
STREET ADDRESS:
CITY:
TELEPHONE NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
GUARDIANSHIP OF THE PERSON
(name):
AND ESTATE OF
PETITION FOR SPECIAL IMMIGRANT JUVENILE FINDINGS
MINOR
MINORS
CASE NUMBER:
Petitioner (name each):
1. Petitioner is (check all that apply to a single petitioner or to more than one petitioner):
a.
b.
c.
d.
e.
The proposed guardian of the person or the person and estate of the minor named in item 2. This petition is filed
concurrently with the petition for my appointment as guardian.
The guardian of the person or the person and estate of the minor named in item 2. The order appointing me was
filed in this case on (date):
. Letters of Guardianship were issued on (date):
.
The minor named in item 2.
I am at least 12 years of age. I was born on (date):
.
If there are two or more wards or proposed wards in this case, I am asking the court for an order only for myself.
The guardian ad litem for the minor named in item 2. A certified or conformed copy of the Order Appointing Guardian Ad
Litem—Probate (form GC-101) is attached to this petition as Attachment 1d.
An adult relative
(specify relationship):
or other person on behalf of the minor named in
item 2.
2.
(Name of Minor):*
is a national of (country):
alleges:
.
3.
This court has jurisdiction under California law “to make judicial determinations about the custody and care of juveniles” within the
meaning of section 101(a)(27)(J) of the Immigration and Nationality Act (INA), 8 U.S.C. § 1101(a)(27)(J), and 8 C.F.R.
§ 204.11(a). The minor named in item 2 is under this court's jurisdiction and will remain under that jurisdiction if the court appoints
(or has appointed) a guardian of his or her person in this proceeding.
4.
If a guardian of the person of the minor named in item 2 has been appointed and has qualified in this proceeding, the minor is
placed under the custody of an individual or entity appointed by a California state or juvenile court located in the United States
within the meaning of INA section 101(a)(27)(J), 8 U.S.C. § 1101(a)(27)(J).
* (In a guardianship case involving more than one ward, prepare a separate petition for each ward for whom you are seeking SIJ findings.)
Form Adopted for Mandatory Use
Judicial Council of California
GC-220 [New January 1, 2016]
PETITION FOR SPECIAL IMMIGRANT JUVENILE FINDINGS
(Probate—Guardianships and Conservatorships)
Page 1 of 4
Immigration and Nationality Act,
§ 101(a)(27)(J),
8 U.S.C. § 1101(a)(27)(J);
8 C.F.R. § 204.11;
Code Civ. Proc., § 155;
Cal. Rules of Court, rule 7.1020
www.courts.ca.gov
GUARDIANSHIP OF THE PERSON
(name):
AND ESTATE OF
CASE NUMBER:
GC-220
MINOR
MINORS
Requested Findings
5.
Reunification of the minor named in item 2 with is not viable under California law because
of (check all that apply):
one parent
both parents
abuse
neglect
abandonment
another legal basis
(specify):
Facts in support of this finding are stated below (for each parent with whom reunification is not viable, state the reasons that apply
to that parent):
Additional facts are stated on Attachment 5 to this petition. (You may use Attachment to Judicial Council form (form MC-025)
for this purpose.)
GC-220 [New January 1, 2016]
Page 2 of 4
PETITION FOR SPECIAL IMMIGRANT JUVENILE FINDINGS
(Probate—Guardianships and Conservatorships)
GUARDIANSHIP OF THE PERSON
(name):
AND ESTATE OF
CASE NUMBER:
GC-220
6.
It is not in the best interest of the minor named in item 2 to be returned to the minor's or the parent's previous country of nationality
or country of last habitual residence. (specify country or countries):
MINOR
MINORS
Facts in support of this finding are stated below:
Additional facts are stated on next page.
GC-220 [New January 1, 2016]
Page 3 of 4
PETITION FOR SPECIAL IMMIGRANT JUVENILE FINDINGS
(Probate—Guardianships and Conservatorships)
GUARDIANSHIP OF THE PERSON
(name):
AND ESTATE OF
CASE NUMBER:
GC-220
6.
(continued):
MINOR
MINORS
Additional facts are stated on Attachment 6 to this petition. (You may use Attachment to Judicial Council form (form MC-025)
for this purpose.)
7. All attachments to this form are incorporated by this reference as though placed here in this form. There are
pages attached.
Date:
Date:
(TYPE OR PRINT NAME OF ATTORNEY)
(SIGNATURE OF ATTORNEY*)
* All petitioners must also sign (Prob. Code, § 1020).
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
(TYPE OR PRINT NAME)
(SIGNATURE OF PETITIONER)
(TYPE OR PRINT NAME)
(SIGNATURE OF PETITIONER)
(TYPE OR PRINT NAME)
(SIGNATURE OF PETITIONER)
GC-220 [New January 1, 2016]
Page 4 of 4
PETITION FOR SPECIAL IMMIGRANT JUVENILE FINDINGS
(Probate—Guardianships and Conservatorships)
For your protection and privacy, please press the Clear
This Form button after you have printed the form.
Petition for Special Immigrant Juvenile Findings
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): 4
- Fields(s): 61
- Average fields per page: 15
- Reading Level: Grade 7
- LIST Grouping(s):
Unknown
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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.
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Suggested Screen 0:
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