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:

JV-285

Relative Information

Clerk stamps date here when form is filed.

As the relative of a child who has been removed from the home, you may
give written information to the court about the child at any time on this form
or in a letter. After filling out this form, give it to the clerk of the court.

Please note that other people involved in the case, including the parents, will
see your answers on this form. If you prefer to keep your contact information
private, fill out Confidential Information ( ) and do not write your
address or telephone number below.

Check here if contact information is confidential and form JV-287 is
attached.

Your relation to the child:

maternal

paternal

Social worker fills in child's name and date of birth.

aunt/uncle

cousin

Social worker fills in court name and street address.

Superior Court of California, County of

Child's Name:

Date of Birth:

Social worker fills in case number.

Case Number:

Your name:

Your address:

Your telephone number:

brother/sister

grandparent
family friend
tribal extended family member
other (specify):

Child’s name:

Information about the child’s emotional and behavioral health:

Information about the child’s education:

8 Other information that might be helpful to the court:

I would like to talk to the judge at the next court hearing.

Please fill in as much of the following information as you know. If you need more space to respond to any section on this
form, attach additional pages as needed and check the box at item 12.

Information about the child’s medical, dental, and general physical health:

Judicial Council of California, www.courts.ca.gov
Rev. September 1, 2020, Optional Form
Welfare & Institutions Code, § 309
Cal. Rules of Court, rules 5.534(b) and 5.637

Relative Information

JV-285, Page 1 of 2

Case Number:

Child’s name:

I want to

Below are some things you might do to help the child. You can pick some or none of the things listed below. It is up to the
social worker and the court whether you will be asked to do these things.

telephone the child.
write letters to the child.
take the child on outings.
take the child to/from school.
take the child to visits with brothers or sisters.
take the child to therapy.
take the child to family gatherings.
help the social worker make a case plan for the
child.

take the child to visits with parents.
take the child to medical appointments.
supervise the child during visits with brothers and sisters.
watch the child after school.
have the child live with me.
other (describe):

You can also help the parents. For example, you might help with transportation, housing, visits, or child care. It is up to
the social worker and the court whether you will be asked to do these things.

I want to help the
(Describe):

father

mother

Other relatives who might be able to help the child:
a. Name:

Contact information:

I want to keep the contact information confidential and ask that the child’s social worker get this
information from me.

Relationship to child:

b. Name:

Contact information:

c. Name:

Contact information:

I want to keep the contact information confidential and ask that the child’s social worker get this
information from me.

If you need more space to respond to any section on this form, please check this box and attach additional pages.
Number of pages attached:

If you are not the 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 ). You can get form at any courthouse or county law library
or online at

NOTICE

Date:

Type or print your name

Rev. September 1, 2020

Sign your name

Relative Information

JV-285, Page 2 of 2

Relative Information

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): 60
Average fields per page: 30
Reading Level: Grade 7
LIST Grouping(s): FA-00-00-00-00.

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.

j_v_page_text_field__1 was JV-285[0].Page1[0].TextField6[0] (0.50 conf)
j_page_right_court_info_ft was JV-285[0].Page1[0].RightCaption[0].CourtInfo_ft[0] (0.36 conf)
j_page_right_child_name_ft was JV-285[0].Page1[0].RightCaption[0].ChildName_ft[0] (0.36 conf)
j_v_page_right_birth_ft was JV-285[0].Page1[0].RightCaption[0].DateBirth_ft[0] (0.36 conf)
j_v_page_name_ft was JV-285[0].Page1[0].YourName_ft[0] (0.32 conf)
j_v_page_case_number_ft__1 was JV-285[0].Page1[0].CaseNumber_ft[0] (0.34 conf)
j_v_page_check_box_right__1 was JV-285[0].Page1[0].CheckBoxRightCaption[0] (0.39 conf)
j_v_page_mat_pat_cb__1 was JV-285[0].Page1[0].MatPat_cb[0] (0.36 conf)
j_v_page_mat_pat_cb__2 was JV-285[0].Page1[0].MatPat_cb[1] (0.36 conf)
j_v_page_check_box_right__2 was JV-285[0].Page1[0].CheckBoxRightCaption[1] (0.39 conf)
j_v_page_check_box_right__3 was JV-285[0].Page1[0].CheckBoxRightCaption[2] (0.39 conf)
j_v_page_check_box_right__4 was JV-285[0].Page1[0].CheckBoxRightCaption[3] (0.39 conf)
j_v_page_check_box_right__5 was JV-285[0].Page1[0].CheckBoxRightCaption[4] (0.39 conf)
j_v_page_check_box_right__6 was JV-285[0].Page1[0].CheckBoxRightCaption[5] (0.39 conf)
j_v_page_check_box_right__7 was JV-285[0].Page1[0].CheckBoxRightCaption[6] (0.39 conf)
j_v_page_area_text_field was JV-285[0].Page1[0].#area[2].TextField2[0] (0.31 conf)
j_v_page_area_field_name_cb was JV-285[0].Page1[0].#area[2].FieldName_cb[0] (0.34 conf)
j_v_page_child_name_ft__1 was JV-285[0].Page1[0].ChildName_ft[0] (0.34 conf)
j_v_page_check_box_right__8 was JV-285[0].Page1[0].CheckBoxRightCaption[7] (0.39 conf)
j_v_page_text_field__2 was JV-285[0].Page1[0].TextField6[1] (0.31 conf)
j_v_page_text_field__3 was JV-285[0].Page1[0].TextField6[2] (0.31 conf)
j_v_page_text_field__4 was JV-285[0].Page1[0].TextField6[3] (0.31 conf)
j_v_page_text_field__5 was JV-285[0].Page1[0].TextField6[4] (0.31 conf)
j_v_page_text_field__6 was JV-285[0].Page1[0].TextField[0] (0.31 conf)
j_v_page_text_field__7 was JV-285[0].Page2[0].TextField2[0] (0.31 conf)
j_v_page_case_number_ft__2 was JV-285[0].Page2[0].PxCaption[0].CaseNumber_ft[0] (0.37 conf)
j_v_page_child_name_ft__2 was JV-285[0].Page2[0].ChildName_ft[0] (0.34 conf)
j_v_page_check_box_right__9 was JV-285[0].Page2[0].CheckBoxRightCaption[0] (0.39 conf)
j_v_page_check_box_right__10 was JV-285[0].Page2[0].CheckBoxRightCaption[1] (0.39 conf)
j_v_page_check_box_right__11 was JV-285[0].Page2[0].CheckBoxRightCaption[2] (0.39 conf)
j_v_page_check_box_right__12 was JV-285[0].Page2[0].CheckBoxRightCaption[3] (0.39 conf)
j_v_page_check_box_right__13 was JV-285[0].Page2[0].CheckBoxRightCaption[4] (0.39 conf)
j_v_page_check_box_right__14 was JV-285[0].Page2[0].CheckBoxRightCaption[5] (0.39 conf)
j_v_page_check_box_right__15 was JV-285[0].Page2[0].CheckBoxRightCaption[6] (0.39 conf)
j_v_page_check_box_right__16 was JV-285[0].Page2[0].CheckBoxRightCaption[7] (0.39 conf)
j_v_page_check_box_right__17 was JV-285[0].Page2[0].CheckBoxRightCaption[8] (0.39 conf)
j_v_page_check_box_right__18 was JV-285[0].Page2[0].CheckBoxRightCaption[9] (0.39 conf)
j_v_page_check_box_right__19 was JV-285[0].Page2[0].CheckBoxRightCaption[10] (0.39 conf)
j_v_page_check_box_right__20 was JV-285[0].Page2[0].CheckBoxRightCaption[11] (0.39 conf)
j_v_page_check_box_right__21 was JV-285[0].Page2[0].CheckBoxRightCaption[12] (0.39 conf)
j_v_page_text_field__8 was JV-285[0].Page2[0].TextField2[1] (0.31 conf)
j_v_page_check_box_right__22 was JV-285[0].Page2[0].CheckBoxRightCaption[13] (0.39 conf)
j_v_page_check_box_right__23 was JV-285[0].Page2[0].CheckBoxRightCaption[14] (0.39 conf)
j_v_page_check_box_right__24 was JV-285[0].Page2[0].CheckBoxRightCaption[15] (0.39 conf)
j_v_page_text_field__9 was JV-285[0].Page2[0].TextField2[2] (0.31 conf)
j_v_page_text_field__10 was JV-285[0].Page2[0].TextField2[3] (0.31 conf)
j_v_page_text_field__11 was JV-285[0].Page2[0].TextField2[4] (0.31 conf)
j_v_page_check_box_right__25 was JV-285[0].Page2[0].CheckBoxRightCaption[16] (0.39 conf)
j_v_page_text_field__12 was JV-285[0].Page2[0].TextField2[5] (0.31 conf)
j_v_page_text_field__13 was JV-285[0].Page2[0].TextField2[6] (0.31 conf)
j_v_page_text_field__14 was JV-285[0].Page2[0].TextField2[7] (0.31 conf)
j_v_page_check_box_right__26 was JV-285[0].Page2[0].CheckBoxRightCaption[17] (0.39 conf)
j_v_page_text_field__15 was JV-285[0].Page2[0].TextField2[8] (0.31 conf)
j_v_page_text_field__16 was JV-285[0].Page2[0].TextField2[9] (0.31 conf)
j_v_page_text_field__17 was JV-285[0].Page2[0].TextField2[10] (0.31 conf)
j_v_page_check_box_right__27 was JV-285[0].Page2[0].CheckBoxRightCaption[18] (0.39 conf)
j_v_page_check_box_right__28 was JV-285[0].Page2[0].CheckBoxRightCaption[19] (0.39 conf)
j_v_page_text_field__18 was JV-285[0].Page2[0].TextField2[11] (0.31 conf)
j_v_page_area_sig_date was JV-285[0].Page2[0].#area[4].SigDate[0] (0.30 conf)
j_v_page_area_name_ft was JV-285[0].Page2[0].#area[4].YourName_ft[0] (0.32 conf)

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

Relative Information

About This Form:

Identified Data Fields:

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