SUPERIOR COURT OF CALIFORNIA, COUNTY OF

FOR COURT USE ONLY

FL-667

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PETITIONER/PLAINTIFF:

RESPONDENT/DEFENDANT:

OTHER PARENT:

3.

4.

a.

b.

Date:

 REVIEW OF COMMISSIONER'S FINDINGS
OF FACT AND RECOMMENDATION

CASE NUMBER:

1.

HEARING WAS HELD BEFORE Commissioner (name):
on (date):                                                              

2. The Findings and Recommendation of Commissioner was filed on (date):

No objection having been filed within 10 court days, the findings of fact and recommended order of the Commissioner are 
ratified. Each of the parties is ordered to comply with all the terms of the order.

An objection was filed on (date):                                                           by (specify):
OR
The Findings and Recommendation of Commissioner is in error.

c.

A hearing de novo is set for

(1) Date:

Time:

Dept.:

Div.:

Room:

(2) The address of the court

is shown above

is as follows:

d.

THE FOLLOWING ARE THE TEMPORARY ORDERS:
(1)
(2)

The recommended orders of the commissioner.
Other (specify):

Continued in Attachment 4d.

5. Number of additional pages attached: _____

JUDICIAL OFFICER

SIGNATURE FOLLOWS LAST ATTACHMENT

Form Adopted for Mandatory Use
Judicial Council of California
FL-667 [Rev. January 1, 2003]

REVIEW OF COMMISSIONER'S FINDINGS
OF FACT AND RECOMMENDATION
(Governmental)

Page 1 of 2

Family Code, § 4251(c)

www.courtinfo.ca.gov

PETITIONER/PLAINTIFF:

RESPONDENT/DEFENDANT:

OTHER PARENT:

CASE NUMBER:

CLERK'S CERTIFICATE OF MAILING

I certify that I am not a party to this cause and that a true copy of the Review of Commissioner's Findings of Fact and Recommendation 
was mailed first class, postage fully prepaid, in a sealed envelope addressed as shown below, and that the form was mailed
at (place):
on (date):

California,

Date:

Clerk, by

, Deputy

FL-667 [Rev. January 1, 2003]

REVIEW OF COMMISSIONER'S FINDINGS
OF FACT AND RECOMMENDATION
(Governmental)

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