ATTORNEY OR PARTY WITHOUT ATTORNEY:

STATE BAR NO.:

JV-820

FOR COURT USE ONLY

STATE:

FAX NO.:

ZIP CODE:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF

NAME:

FIRM NAME:

STREET ADDRESS:

CITY:

TELEPHONE NO.:

E-MAIL ADDRESS:

ATTORNEY FOR (name):

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

CASE NAME:  

NOTICE OF INTENT TO FILE WRIT PETITION  
AND REQUEST FOR RECORD TO REVIEW ORDER SETTING A HEARING 
UNDER WELFARE AND INSTITUTIONS CODE SECTION 366.26 
(California Rules of Court, Rule 8.450)

CASE NUMBER:

NOTICE
The juvenile court has decided it will make a permanent plan for this child that may result in the termination of your parental 
rights and adoption of the child. If you want a court of appeal to review the juvenile court's decision, you must first tell the 
juvenile court by filing a Notice of Intent. You may use this form as your Notice of Intent. In most cases, you have only 7 
days from the juvenile court's decision to file a Notice of Intent. Please see page 2 for your specific deadline for filing this 
form.
If you are not the county welfare department, child, child's parent, or child's legal guardian, you may have a right to 
challenge a decision by the juvenile court, but only in very limited circumstances. You may need a court order granting you 
access to records in the juvenile case file. For more information, please see Information on Requesting Access to Records 
for Persons With a Limited Right to Appeal (form JV-291-INFO). You can get form JV-291-INFO at any courthouse or county 
law library or online at www.courts.ca.gov/forms.

1.  Petitioner's name:
2. Petitioner's address:
3. Petitioner's phone number:
4.

Petitioner is
a. 
b.
c.
d.
e.

5. Child's name:
6. a. 

parent (name):
legal guardian.
county welfare department.
child.
other (state relationship to child or interest in the case):

Child's date of birth:

On (date):                                     the juvenile court made an order setting a hearing under Welfare and Institutions Code section 
366.26. Petitioner intends to file a writ petition to challenge the findings and orders made by the court on that date and requests 
that the clerk assemble the record.

b. List all known dates of the hearing that resulted in the order:

7. The hearing under Welfare and Institutions Code section 366.26 is set for (date, if known):
8.

Petitioner has been granted access to specified records in the juvenile case file, and a copy of the court's order under 
Welfare and Institutions Code section 827(a)(1)(Q), on form Order After Judicial Review on Petition for Access to Juvenile 
Case File (form JV-574), if available, is attached.

Date:

TYPE OR PRINT NAME

SIGNATURE OF

PETITIONER

ATTORNEY

The Notice of Intent to File Writ Petition must be signed by the person who intends to file the writ petition or by the attorney of record.

PLEASE READ THE BACK OF THIS FORM FOR IMPORTANT INFORMATION AND DEADLINES

Page 1 of 2

Form Approved for Optional Use  
Judicial Council of California 
JV-820 [Rev. September 1, 2020]

NOTICE OF INTENT TO FILE WRIT PETITION AND REQUEST FOR 
RECORD TO REVIEW ORDER SETTING A HEARING UNDER 
WELFARE AND INSTITUTIONS CODE SECTION 366.26 
(California Rules of Court, Rule 8.450)

Welfare and Institutions Code, § 366.26; 
Cal. Rules of Court, rule 8.450 
 www.courts.ca.gov

APPELLATE CASE TITLE:

APPELLATE CASE NUMBER:

JV-820

WHAT WILL HAPPEN AT THE HEARING TO MAKE A PERMANENT PLAN?

The court may order the termination of parental rights and adoption of the child.
The court may order a legal guardianship for the child.

The court may order a permanent plan of placement of the child with a fit and willing relative.

The court may order another planned permanent living arrangement if the child is 16 years old or older.

The court may order a permanent plan of placement of the child in a foster home.

he above options are listed in the normal order of preference, because the main goal is to give the child a stable and         

permanent living situation.

SEE WELF. & INST. CODE, § 366.26 FOR MORE INFORMATION

HOW DO I CHALLENGE THE COURT'S DECISION TO SET A HEARING TO MAKE A PERMANENT PLAN?

File this Notice of Intent to File Writ Petition and Request for Record in the juvenile court within the time specified below in 
the next box. This will let the court know you intend to file a writ petition, and the court will prepare the record.

You will be notified after the record is filed in the Court of Appeal, and you will get copies of the record. You have 10 days         
after the record is filed in the Court of Appeal to file and serve your writ petition.
You may use the optional Judicial Council form Petition for Extraordinary Writ (form JV-825) to complete your writ petition, or, 
if you have an attorney, your attorney can write the writ petition for you.

After you file a writ petition in the Court of Appeal, you must send copies of the petition to all of the parties in the case, to the    
child's CASA volunteer, to the child's present caregiver, and to any de facto parent who has standing to participate in the         
juvenile court proceedings. With your writ petition, you must file a Proof of Service confirming you have sent a copy of the        
petition to these people.

SEE WELF. & INST. CODE, § 366.26(l); CAL. RULES OF COURT, RULES 8.450–8.452

                WHEN DO I HAVE TO FILE MY NOTICE OF INTENT TO FILE WRIT PETITION AND REQUEST FOR RECORD?

If you were present when the court set the hearing to make a permanent plan, you must file the Notice of Intent within 7 days     
from the date the court set the hearing. 

If you were not present in court but were given notice by mail of the court's decision to set a hearing to make a permanent          
plan and you live in California, you must file the Notice of Intent within 12 days from the date the clerk mailed the notification.

If you were not present in court but were given notice by mail of the court's decision to set a hearing to make a permanent          
plan and you live in a state other than California, you must file the Notice of Intent within 17 days from the date the clerk             
mailed the notification.

If you were not present in court but were given notice by mail of the court's decision to set a hearing to make a permanent          
plan and you live outside the United States, you must file the Notice of Intent within 27 days from the date the clerk mailed         
the notification.

If you are a party in a custodial institution you must give the Notice of Intent to custodial officials for mailing within the time          
specified in this box.

SEE CAL. RULES OF COURT, RULES 8.450, 5.540(c) 

If the order setting the hearing was made by a referee not acting as a temporary judge, you have an additional 10 days to file     
the Notice of Intent.

SEE WELF. & INST. CODE, §§ 248–252; CAL. RULES OF COURT, RULES 5.538, 5.540

WHO MUST SIGN THE NOTICE OF INTENT?

The person who intends to file the writ petition, or

The attorney of record for the person who intends to file the writ petition

JV-820 [Rev. September 1, 2020]

Page 2 of 2

NOTICE OF INTENT TO FILE WRIT PETITION AND REQUEST FOR  
RECORD TO REVIEW ORDER SETTING A HEARING UNDER WELFARE AND 
INSTITUTIONS CODE SECTION 366.26 
(California Rules of Court, Rule 8.450)

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