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-569

Proof of Service—Petition for
Access to Juvenile Case File

Clerk stamps date here when form is filed.

Your name:
Relationship to child (if any):

Street address:
City:

Telephone number:

State:

Zip:

Lawyer (if any) (name, address, telephone numbers, and State Bar
number):

Fill in court name and street address:

Superior Court of California, County of

I was not able to provide notice of this petition to the following
because I did not know their names or addresses. If this is a request
for the case file of a living child, the clerk must serve a copy of the
petition. If this is a request for the case file of a deceased child, the
custodian of records must serve a copy of the petition.

Fill in case number if known.

Case Number:

b.
c.
d.
e.
f.

County counsel or other attorney representing the child welfare
agency if petition filed under section 300
District attorney if petition filed under section 601 or 602
Child
Attorney of record for the child
Child’s parent
Child’s legal guardian

Probation department if petition filed under section 601 or 602

Child welfare agency/custodian of records if petition filed under section 300

Child’s identified Indian tribe

Child’s CASA volunteer

If you checked box 2a, 2b, 2g, or 2h, describe the efforts made to locate those addresses and explain why you are
unable to locate the addresses:

Copies of Petition for Access to Juvenile Case File (JV-570), Notice of Petition for Access to Juvenile Case File
(JV-571), and a blank Objection to Release of Juvenile Case File (JV-572) have been served personally or
placed in a sealed envelope with postage paid and deposited in the United States mail addressed to the following:

County counsel or other attorney representing the child welfare agency if petition filed under section 300
(name and address):

Date mailed:

Personally served on (date):

Judicial Council of California, www.courts.ca.gov
Rev. September 1, 2020, Mandatory Form
Welfare and Institutions Code, § 827
California Rules of Court, rules 5.552, 5.553

Proof of Service—Petition for Access to
Juvenile Case File

JV-569, Page 1 of 3

Your name:

Case Number:

District attorney if petition filed under section 601 or 602 (name and address):

Date mailed:

Personally served on (date):

Child (name and address):

Date mailed:

Personally served on (date):

Attorney of record for the child (name and address):

Date mailed:

Personally served on (date):

Child’s parent (name and address):

Date mailed:

Personally served on (date):

Child’s parent (name and address):

Date mailed:

Personally served on (date):

Child’s legal guardian (name and address):

Date mailed:

Personally served on (date):

Probation department if petition filed under section 601 or 602 (name and address):

Date mailed:

Personally served on (date):

Rev. September 1, 2020

JV-569, Page 2 of 3

Proof of Service—Petition for Access to
Juvenile Case File

Your name:

Case Number:

Child welfare agency/custodian of records if petition filed under section 300 (name and address):

Date mailed:

Personally served on (date):

The Indian child’s tribal representative (name and address):

Date mailed:

Personally served on (date):

The child’s CASA volunteer (name and address):

Date mailed:

Personally served on (date):

I declare under penalty of perjury under the laws of the State of California that the information in this form is true
and correct. This means that if I lie on this form, I may be guilty of a crime.

Date:

Type or print your name

Sign your name

Rev. September 1, 2020

JV-569, Page 3 of 3

Proof of Service—Petition for Access to
Juvenile Case File

Proof of Service—Petition for Access to Juvenile Case File

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): 3
Fields(s): 95
Average fields per page: 31
Reading Level: Grade 5
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.

j_v_page_court_info_ft was JV-569[0].Page1[0].CourtInfo_ft[0] (0.47 conf)
j_v_page_case_number_ft was JV-569[0].Page1[0].CaseNumber_ft[0] (0.34 conf)
j_v_page_childsname_ft was JV-569[0].Page1[0].childsname_ft[0] (0.35 conf)
j_v_page_item_cb__1 was JV-569[0].Page1[0].item2a_cb[0] (0.35 conf)
j_v_page_item_tf__1 was JV-569[0].Page1[0].item1_tf[0] (0.35 conf)
j_v_page_item_tf__2 was JV-569[0].Page1[0].item1_tf[1] (0.35 conf)
j_v_page_item_tf__3 was JV-569[0].Page1[0].item1_tf[2] (0.35 conf)
j_v_page_item_tf__4 was JV-569[0].Page1[0].item1_tf[3] (0.35 conf)
j_v_page_item_tf__5 was JV-569[0].Page1[0].item1_tf[4] (0.35 conf)
j_v_page_item_tf__6 was JV-569[0].Page1[0].item1_tf[5] (0.35 conf)
j_v_page_item_tf__7 was JV-569[0].Page1[0].item1_tf[6] (0.35 conf)
j_v_page_item_cb__2 was JV-569[0].Page1[0].item2_cb[0] (0.35 conf)
j_v_page_item_b_cb was JV-569[0].Page1[0].item2b_cb[0] (0.35 conf)
j_v_page_item_c_cb was JV-569[0].Page1[0].item2c_cb[0] (0.35 conf)
j_v_page_item_cb__3 was JV-569[0].Page1[0].item2d_cb[0] (0.35 conf)
j_v_page_item_e_cb was JV-569[0].Page1[0].item2e_cb[0] (0.35 conf)
j_v_page_item_f_cb was JV-569[0].Page1[0].item2f_cb[0] (0.35 conf)
j_v_page_item_g_cb was JV-569[0].Page1[0].item2g_cb[0] (0.28 conf)
j_v_page_item_h_cb was JV-569[0].Page1[0].item2h_cb[0] (0.35 conf)
j_v_page_item_cb__4 was JV-569[0].Page1[0].item2i_cb[0] (0.35 conf)
j_v_page_item_cb__5 was JV-569[0].Page1[0].item2j_cb[0] (0.35 conf)
j_v_page_item_cb__6 was JV-569[0].Page1[0].item3_cb[0] (0.35 conf)
j_v_page_item_tf__8 was JV-569[0].Page1[0].item3a_tf[0] (0.35 conf)
j_v_page_item_cb__7 was JV-569[0].Page1[0].item3a_cb[0] (0.35 conf)
j_v_page_area_field_name_cb__1 was JV-569[0].Page1[0].#area[2].FieldName_cb[0] (0.34 conf)
j_v_page_area_date_field__1 was JV-569[0].Page1[0].#area[2].DateField15[0] (0.31 conf)
j_v_page_area_field_name_cb__2 was JV-569[0].Page1[0].#area[3].FieldName_cb[1] (0.34 conf)
j_v_page_area_date_field__2 was JV-569[0].Page1[0].#area[3].DateField16[0] (0.31 conf)
j_v_page_text_field was JV-569[0].Page1[0].TextField6[0] (0.31 conf)
j_v_subform_childsname_ft__1 was JV-569[0].#subform[1].childsname_ft[0] (0.35 conf)
j_v_subform_case_number_ft__1 was JV-569[0].#subform[1].CaseNumber_ft[0] (0.34 conf)
j_v_subform_item_b_tf was JV-569[0].#subform[1].item3b_tf[0] (0.35 conf)
j_v_subform_item_b_cb was JV-569[0].#subform[1].item3b_cb[0] (0.35 conf)
j_v_area_field_name_cb__1 was JV-569[0].#subform[1].#area[0].FieldName_cb[0] (0.37 conf)
j_v_subform_area_date_field__1 was JV-569[0].#subform[1].#area[0].DateField1[0] (0.32 conf)
j_v_area_field_name_cb__2 was JV-569[0].#subform[1].#area[1].FieldName_cb[1] (0.37 conf)
j_v_subform_area_date_field__2 was JV-569[0].#subform[1].#area[1].DateField2[0] (0.32 conf)
j_v_subform_item_c_tf was JV-569[0].#subform[1].item3c_tf[0] (0.35 conf)
j_v_subform_item_c_cb was JV-569[0].#subform[1].item3c_cb[0] (0.35 conf)
j_v_area_field_name_cb__3 was JV-569[0].#subform[1].#area[2].FieldName_cb[2] (0.37 conf)
j_v_subform_area_date_field__3 was JV-569[0].#subform[1].#area[2].DateField3[0] (0.32 conf)
j_v_area_field_name_cb__4 was JV-569[0].#subform[1].#area[3].FieldName_cb[3] (0.37 conf)
j_v_subform_area_date_field__4 was JV-569[0].#subform[1].#area[3].DateField4[0] (0.32 conf)
j_v_subform_item_tf__1 was JV-569[0].#subform[1].item3d_tf[0] (0.35 conf)
j_v_subform_item_cb__1 was JV-569[0].#subform[1].item3d_cb[0] (0.35 conf)
j_v_area_field_name_cb__5 was JV-569[0].#subform[1].#area[4].FieldName_cb[4] (0.37 conf)
j_v_subform_area_date_field__5 was JV-569[0].#subform[1].#area[4].DateField5[0] (0.32 conf)
j_v_area_field_name_cb__6 was JV-569[0].#subform[1].#area[5].FieldName_cb[5] (0.37 conf)
j_v_subform_area_date_field__6 was JV-569[0].#subform[1].#area[5].DateField6[0] (0.32 conf)
j_v_subform_item_e_tf was JV-569[0].#subform[1].item3e_tf[0] (0.35 conf)
j_v_subform_item_e_cb was JV-569[0].#subform[1].item3e_cb[0] (0.35 conf)
j_v_area_field_name_cb__7 was JV-569[0].#subform[1].#area[6].FieldName_cb[6] (0.37 conf)
j_v_subform_area_date_field__7 was JV-569[0].#subform[1].#area[6].DateField7[0] (0.32 conf)
j_v_area_field_name_cb__8 was JV-569[0].#subform[1].#area[7].FieldName_cb[7] (0.37 conf)
j_v_subform_area_date_field__8 was JV-569[0].#subform[1].#area[7].DateField8[0] (0.32 conf)
j_v_subform_item_f_tf was JV-569[0].#subform[1].item3f_tf[0] (0.35 conf)
j_v_subform_item_f_cb was JV-569[0].#subform[1].item3f_cb[0] (0.35 conf)
j_v_area_field_name_cb__9 was JV-569[0].#subform[1].#area[8].FieldName_cb[8] (0.37 conf)
j_v_subform_area_date_field__9 was JV-569[0].#subform[1].#area[8].DateField9[0] (0.32 conf)
j_v_area_field_name_cb__10 was JV-569[0].#subform[1].#area[9].FieldName_cb[9] (0.37 conf)
j_v_subform_area_date_field__10 was JV-569[0].#subform[1].#area[9].DateField10[0] (0.32 conf)
j_v_subform_item_g_tf was JV-569[0].#subform[1].item3g_tf[0] (0.25 conf)
j_v_subform_item_g_cb was JV-569[0].#subform[1].item3g_cb[0] (0.25 conf)
j_v_area_field_name_cb__11 was JV-569[0].#subform[1].#area[10].FieldName_cb[10] (0.37 conf)
j_v_subform_area_date_field__11 was JV-569[0].#subform[1].#area[10].DateField11[0] (0.32 conf)
j_v_area_field_name_cb__12 was JV-569[0].#subform[1].#area[11].FieldName_cb[11] (0.37 conf)
j_v_subform_area_date_field__12 was JV-569[0].#subform[1].#area[11].DateField12[0] (0.32 conf)
j_v_subform_item_h_tf was JV-569[0].#subform[1].item3h_tf[0] (0.35 conf)
j_v_subform_item_h_cb was JV-569[0].#subform[1].item3h_cb[0] (0.35 conf)
j_v_area_field_name_cb__13 was JV-569[0].#subform[1].#area[12].FieldName_cb[12] (0.37 conf)
j_v_subform_area_date_field__13 was JV-569[0].#subform[1].#area[12].DateField13[0] (0.32 conf)
j_v_area_field_name_cb__14 was JV-569[0].#subform[1].#area[13].FieldName_cb[13] (0.37 conf)
j_v_subform_area_date_field__14 was JV-569[0].#subform[1].#area[13].DateField14[0] (0.32 conf)
j_v_subform_childsname_ft__2 was JV-569[0].#subform[2].childsname_ft[1] (0.35 conf)
j_v_subform_case_number_ft__2 was JV-569[0].#subform[2].CaseNumber_ft[1] (0.34 conf)
j_v_subform_item_tf__2 was JV-569[0].#subform[2].item3i_tf[0] (0.35 conf)
j_v_subform_item_cb__2 was JV-569[0].#subform[2].item3i_cb[0] (0.35 conf)
j_v_area_field_name_cb__15 was JV-569[0].#subform[2].#area[15].FieldName_cb[14] (0.37 conf)
j_v_subform_area_date_field__15 was JV-569[0].#subform[2].#area[15].DateField13[1] (0.32 conf)
j_v_area_field_name_cb__16 was JV-569[0].#subform[2].#area[16].FieldName_cb[15] (0.37 conf)
j_v_subform_area_date_field__16 was JV-569[0].#subform[2].#area[16].DateField14[1] (0.32 conf)
j_v_subform_item_tf__3 was JV-569[0].#subform[2].item3j_tf[0] (0.35 conf)
j_v_subform_item_cb__3 was JV-569[0].#subform[2].item3j_cb[0] (0.35 conf)
j_v_area_field_name_cb__17 was JV-569[0].#subform[2].#area[17].FieldName_cb[16] (0.37 conf)
j_v_subform_area_date_field__17 was JV-569[0].#subform[2].#area[17].DateField13[2] (0.32 conf)
j_v_area_field_name_cb__18 was JV-569[0].#subform[2].#area[18].FieldName_cb[17] (0.37 conf)
j_v_subform_area_date_field__18 was JV-569[0].#subform[2].#area[18].DateField14[2] (0.32 conf)
j_v_subform_item_k_tf was JV-569[0].#subform[2].item3k_tf[0] (0.35 conf)
j_v_subform_item_k_cb was JV-569[0].#subform[2].item3k_cb[0] (0.35 conf)
j_v_area_field_name_cb__19 was JV-569[0].#subform[2].#area[19].FieldName_cb[18] (0.37 conf)
j_v_subform_area_date_field__19 was JV-569[0].#subform[2].#area[19].DateField13[3] (0.32 conf)
j_v_area_field_name_cb__20 was JV-569[0].#subform[2].#area[20].FieldName_cb[19] (0.37 conf)
j_v_subform_area_date_field__20 was JV-569[0].#subform[2].#area[20].DateField14[3] (0.32 conf)
j_v_subform was JV-569[0].#subform[2].T22[0] (0.35 conf)
j_v_subform_printname_tf was JV-569[0].#subform[2].printname_tf[0] (0.35 conf)

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

Suggested Screen 0:

j_v_page_court_info_ft
j_v_page_case_number_ft
j_v_page_childsname_ft
j_v_page_item_cb__1
j_v_page_item_tf__1
j_v_page_item_tf__2
j_v_page_item_tf__3
j_v_page_item_tf__4
j_v_page_item_tf__5
j_v_page_item_tf__6
j_v_page_item_tf__7
j_v_page_item_cb__2
j_v_page_item_b_cb
j_v_page_item_c_cb
j_v_page_item_cb__3
j_v_page_item_e_cb
j_v_page_item_f_cb
j_v_page_item_g_cb
j_v_page_item_h_cb
j_v_page_item_cb__4
j_v_page_item_cb__5
j_v_page_item_cb__6
j_v_page_item_tf__8
j_v_page_item_cb__7
j_v_page_area_field_name_cb__1
j_v_page_area_date_field__1
j_v_page_area_field_name_cb__2
j_v_page_area_date_field__2
j_v_page_text_field
j_v_subform_childsname_ft__1
j_v_subform_case_number_ft__1
j_v_subform_item_b_tf
j_v_subform_item_b_cb
j_v_area_field_name_cb__1
j_v_subform_area_date_field__1
j_v_area_field_name_cb__2
j_v_subform_area_date_field__2
j_v_subform_item_c_tf
j_v_subform_item_c_cb
j_v_area_field_name_cb__3
j_v_subform_area_date_field__3
j_v_area_field_name_cb__4
j_v_subform_area_date_field__4
j_v_subform_item_tf__1
j_v_subform_item_cb__1
j_v_area_field_name_cb__5
j_v_subform_area_date_field__5
j_v_area_field_name_cb__6
j_v_subform_area_date_field__6
j_v_subform_item_e_tf
j_v_subform_item_e_cb
j_v_area_field_name_cb__7
j_v_subform_area_date_field__7
j_v_area_field_name_cb__8
j_v_subform_area_date_field__8
j_v_subform_item_f_tf
j_v_subform_item_f_cb
j_v_area_field_name_cb__9
j_v_subform_area_date_field__9
j_v_area_field_name_cb__10
j_v_subform_area_date_field__10
j_v_subform_item_g_tf
j_v_subform_item_g_cb
j_v_area_field_name_cb__11
j_v_subform_area_date_field__11
j_v_area_field_name_cb__12
j_v_subform_area_date_field__12
j_v_subform_item_h_tf
j_v_subform_item_h_cb
j_v_area_field_name_cb__13
j_v_subform_area_date_field__13
j_v_area_field_name_cb__14
j_v_subform_area_date_field__14
j_v_subform_childsname_ft__2
j_v_subform_case_number_ft__2
j_v_subform_item_tf__2
j_v_subform_item_cb__2
j_v_area_field_name_cb__15
j_v_subform_area_date_field__15
j_v_area_field_name_cb__16
j_v_subform_area_date_field__16
j_v_subform_item_tf__3
j_v_subform_item_cb__3
j_v_area_field_name_cb__17
j_v_subform_area_date_field__17
j_v_area_field_name_cb__18
j_v_subform_area_date_field__18
j_v_subform_item_k_tf
j_v_subform_item_k_cb
j_v_area_field_name_cb__19
j_v_subform_area_date_field__19
j_v_area_field_name_cb__20
j_v_subform_area_date_field__20
j_v_subform
j_v_subform_printname_tf

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

Proof of Service—Petition for Access to Juvenile Case File

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