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Here is the text we could read:

FL-356

FOR COURT USE ONLY

CONFIDENTIAL

PARTY WITHOUT ATTORNEY or ATTORNEY STATE BAR NO.:

STATE:

ZIP CODE:

FAX NO.:

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:

PETITIONER:

RESPONDENT:
OTHER PARENT/PARTY:

CONFIDENTIAL REQUEST
FOR SPECIAL IMMIGRANT JUVENILE FINDINGS—FAMILY LAW

CASE NUMBER:

To the person filing this request: You must file this request in the case identified in 6, below, at the same time as or any time after
the petition and a request for an order of sole physical custody of the child named in 4.*

To the court clerk: You must file this request in a confidential part of the case file.

1. A COURT HEARING WILL BE HELD AS FOLLOWS:

a. Date:

Time:

Dept.:

Room:

Address of court

same as noted above

other (specify):

2. I am the I allege the following facts and request that the court

other parent or party.

respondent
make the specified findings and conclusions.

petitioner

3. This court has jurisdiction to make a custody determination about the child in item 4 under the Uniform Child Custody Jurisdiction
and Enforcement Act (UCCJEA). (Fam. Code, §§ 3400–3465.) If not currently on file with the court, Declaration Under Uniform
Child Custody Jurisdiction and Enforcement Act (UCCJEA) (form FL-105) is attached.

4. The child (name):*

is a national of (country):

5. The child's parents are (name each):

(date of birth):

6. The following petition has been filed

at the same time as this request.

earlier in this case

Petition—Marriage/Domestic Partnership (form ), asking for sole physical custody of the child named in 4.

Petition to Determine Parental Relationship (form ), asking for sole physical custody of the child named in 4.

Petition for Custody and Support of Minor Children (form ), asking for sole physical custody of the child named in 4.

Request for Domestic Violence Restraining Order (form ), asking for sole physical custody of the child named in 4.

Adoption Request (form ) asking to adopt the child named in 4.

Another petition and request for sole physical custody of the child named in 4

(specify):

This court made final orders about physical custody of the child on . The orders remain in effect.
The case in item 6 is pending in this court.

(date):

* (Prepare and file a separate form FL-356 for each child for whom you are requesting Special Immigrant Juvenile findings.)
Form Adopted for Mandatory Use
Judicial Council of California
FL-356 [Rev. January 1, 2021]

CONFIDENTIAL REQUEST
FOR SPECIAL IMMIGRANT JUVENILE FINDINGS—FAMILY LAW

Code of Civil Procedure, § 155;
Family Code, §§ 3020–3031;
8 U.S.C. § 1101(a)(27)(J); 8 C.F.R. § 204.11

Page 1 of 2

PETITIONER:

RESPONDENT:

OTHER PARENT/PARTY:

CASE NUMBER:

FL-356

8. After the court has made final orders in this case, identified in item 6, the child will be legally placed under the custody of an

individual appointed by the court. The court will have jurisdiction to determine requests to modify or terminate these orders, unless
another court acquires valid jurisdiction, until the child reaches 18 years of age.

I understand that section 3026 of the Family Code prohibits the court from ordering reunification services as part of a child custody
proceeding. After the court has issued final orders giving sole physical custody to one parent, return of the child to the physical
custody of another parent (i.e., reunification) will not be legally possible while those orders are in effect.

I REQUEST THAT THE COURT MAKE THE FOLLOWING FINDINGS:

10. The child has been placed in the custody of (name):

who is an individual appointed by the court as described in the orders referred to in 7, 8, and 9.

11. Reunification with (specify name or names):

is not viable under California law because of (check all that apply).

abuse

neglect

abandonment

another legal basis (specify):

Facts supporting this finding (specify):

12. It is not in the best interest of the child to be returned to the child's or the parent's country of nationality or country of last habitual

Continued on .

residence (specify country or countries):

Facts supporting this finding (specify):

Continued on .

13.

Additional documents in support of the request are attached and incorporated into this form. Number of pages attached:

I declare under penalty of perjury under the laws of the State of California that the information on this form is true and correct.

Date:

FL-356 [Rev. January 1, 2021]

CONFIDENTIAL REQUEST
FOR SPECIAL IMMIGRANT JUVENILE FINDINGS—FAMILY LAW

Page 2 of 2

(SIGNATURE)

Confidential Request for Special Immigrant Juvenile Findings—Family Law

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): 68
Average fields per page: 34
Reading Level: Grade 9
LIST Grouping(s): FA-00-00-00-00, CO-00-00-00-00, CO-07-00-00-00.

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.

f_l_page_add_info_party_ft was FL-356[0].Page1[0].AddInfo[0].PartyAttyAddInfo_ft[0] (0.47 conf)
f_l_page_add_info_textfield__1 was FL-356[0].Page1[0].AddInfo[0].Textfield1[0] (0.34 conf)
f_l_page_add_info_textfield__2 was FL-356[0].Page1[0].AddInfo[0].Textfield2[0] (0.34 conf)
f_l_page_add_info_textfield__3 was FL-356[0].Page1[0].AddInfo[0].Textfield3[0] (0.34 conf)
f_l_page_add_info_textfield__4 was FL-356[0].Page1[0].AddInfo[0].Textfield4[0] (0.34 conf)
f_l_page_add_info_textfield__5 was FL-356[0].Page1[0].AddInfo[0].Textfield5[0] (0.34 conf)
f_l_page_add_info_textfield__6 was FL-356[0].Page1[0].AddInfo[0].Textfield6[0] (0.34 conf)
f_l_page_add_info_phone_ft was FL-356[0].Page1[0].AddInfo[0].Phone_ft[0] (0.38 conf)
f_l_page_add_info_fax_ft was FL-356[0].Page1[0].AddInfo[0].Fax_ft[0] (0.39 conf)
f_l_page_add_info_email_ft was FL-356[0].Page1[0].AddInfo[0].Email_ft[0] (0.39 conf)
f_l_page_add_info_atty_ft was FL-356[0].Page1[0].AddInfo[0].AttyFor_ft[0] (0.39 conf)
l_page_court_info_county_ft was FL-356[0].Page1[0].CourtInfo[0].CrtCounty_ft[0] (0.37 conf)
l_page_court_info_street_ft was FL-356[0].Page1[0].CourtInfo[0].Street_ft[0] (0.32 conf)
l_page_court_info_add_ft was FL-356[0].Page1[0].CourtInfo[0].MailingAdd_ft[0] (0.41 conf)
f_l_page_court_info_city_zip_ft was FL-356[0].Page1[0].CourtInfo[0].CityZip_ft[0] (0.37 conf)
f_l_page_court_info_branch was FL-356[0].Page1[0].CourtInfo[0].Branch_ft[0] (0.41 conf)
l_page_title_party_name_petitioner was FL-356[0].Page1[0].TitlePartyName[0].Petitioner_ft[0] (0.34 conf)
l_page_title_party_name_respondent was FL-356[0].Page1[0].TitlePartyName[0].Respondent_ft[0] (0.34 conf)
l_page_title_party_name_parent was FL-356[0].Page1[0].TitlePartyName[0].OtherParent_ft[0] (0.37 conf)
f_l_page_case_number_ft__1 was FL-356[0].Page1[0].CaseNumber[0].CaseNumber_ft[0] (0.40 conf)
f_l_page_list_hearing_dt was FL-356[0].Page1[0].List1[0].LI1[0].DateofHearing_dt[0] (0.37 conf)
f_l_page_list_timeof_hearing_tf was FL-356[0].Page1[0].List1[0].LI1[0].TimeofHearing_tf[0] (0.37 conf)
f_l_page_list_check_box__1 was FL-356[0].Page1[0].List1[0].LI1[0].CheckBox1[0] (0.37 conf)
f_l_page_list_department_tf was FL-356[0].Page1[0].List1[0].LI1[0].DepartmentNo_tf[0] (0.38 conf)
f_l_page_list_check_box__2 was FL-356[0].Page1[0].List1[0].LI1[0].CheckBox2[0] (0.37 conf)
f_l_page_list_courtroom_tf was FL-356[0].Page1[0].List1[0].LI1[0].Courtroom_tf[0] (0.35 conf)
f_l_page_list_area_check_box__1 was FL-356[0].Page1[0].List1[0].LI2[0].#area[0].CheckBox1[0] (0.37 conf)
f_l_page_list_area_check_box__2 was FL-356[0].Page1[0].List1[0].LI2[0].#area[1].CheckBox2[0] (0.37 conf)
f_l_page_list_otherspecify_ft was FL-356[0].Page1[0].List1[0].LI2[0].Otherspecify_ft[0] (0.37 conf)
f_l_page_list_person_alleging__1 was FL-356[0].Page1[0].List2[0].LI1[0].PersonAlleging_cb[0] (0.39 conf)
f_l_page_list_person_alleging__2 was FL-356[0].Page1[0].List2[0].LI1[0].PersonAlleging_cb[1] (0.39 conf)
f_l_page_list_person_alleging__3 was FL-356[0].Page1[0].List2[0].LI1[0].PersonAlleging_cb[2] (0.39 conf)
f_l_page_list_textfield__1 was FL-356[0].Page1[0].List4[0].LI1[0].Textfield1[0] (0.37 conf)
f_l_page_list_b_ft was FL-356[0].Page1[0].List4[0].LI1[0].DOB2a_ft[0] (0.37 conf)
f_l_page_list_placeborn was FL-356[0].Page1[0].List4[0].LI1[0].Placeborn[0] (0.37 conf)
f_l_page_list_text_field__1 was FL-356[0].Page1[0].List5[0].LI1[0].TextField1[0] (0.33 conf)
f_l_page_list_text_field__2 was FL-356[0].Page1[0].List5[0].LI1[0].TextField2[0] (0.33 conf)
f_l_page_list_petition_filed_cb__1 was FL-356[0].Page1[0].List6[0].PetitionFiled_cb[0] (0.38 conf)
f_l_page_list_petition_filed_cb__2 was FL-356[0].Page1[0].List6[0].PetitionFiled_cb[1] (0.38 conf)
f_l_page_list_check_box__3 was FL-356[0].Page1[0].List6[0].LI1[0].CheckBox1[0] (0.37 conf)
f_l_page_list_check_box__4 was FL-356[0].Page1[0].List6[0].LI2[0].CheckBox1[0] (0.37 conf)
f_l_page_list_check_box__5 was FL-356[0].Page1[0].List6[0].LI3[0].CheckBox1[0] (0.37 conf)
f_l_page_list_check_box__6 was FL-356[0].Page1[0].List6[0].LI4[0].CheckBox1[0] (0.37 conf)
f_l_page_list_check_box__7 was FL-356[0].Page1[0].List6[0].LI5[0].CheckBox1[0] (0.37 conf)
f_l_page_list_check_box__8 was FL-356[0].Page1[0].List6[0].LI6[0].CheckBox1[0] (0.37 conf)
f_l_page_list_text_field__3 was FL-356[0].Page1[0].List6[0].LI6[0].TextField6[0] (0.33 conf)
f_l_page_list_check_box__9 was FL-356[0].Page1[0].List7[0].LI1[0].CheckBox1[0] (0.37 conf)
f_l_page_list_field was FL-356[0].Page1[0].List7[0].LI1[0].#field[1] (0.35 conf)
f_l_page_list_check_box__10 was FL-356[0].Page1[0].List7[0].LI1[0].CheckBox2[0] (0.37 conf)
f_l_page_caption_sf_ft__1 was FL-356[0].Page2[0].CaptionPx_sf[0].Petitioner_ft[0] (0.38 conf)
f_l_page_caption_sf_ft__2 was FL-356[0].Page2[0].CaptionPx_sf[0].Respondent_ft[0] (0.38 conf)
f_l_page_caption_sf_parent_ft was FL-356[0].Page2[0].CaptionPx_sf[0].OtherParent_ft[0] (0.38 conf)
f_l_page_case_number_ft__2 was FL-356[0].Page2[0].CaptionPx_sf[0].CaseNumber_ft[0] (0.36 conf)
f_l_page_list_text_field__4 was FL-356[0].Page2[0].List10[0].LI1[0].TextField[0] (0.33 conf)
f_l_page_list_text_field__5 was FL-356[0].Page2[0].List11[0].LI1[0].TextField1[0] (0.33 conf)
f_l_page_list_check_box__11 was FL-356[0].Page2[0].List11[0].LI1[0].CheckBox1[0] (0.37 conf)
f_l_page_list_check_box__12 was FL-356[0].Page2[0].List11[0].LI1[0].CheckBox2[0] (0.37 conf)
f_l_page_list_check_box__13 was FL-356[0].Page2[0].List11[0].LI1[0].CheckBox3[0] (0.37 conf)
f_l_page_list_check_box__14 was FL-356[0].Page2[0].List11[0].LI1[0].CheckBox4[0] (0.37 conf)
f_l_page_list_textfield__2 was FL-356[0].Page2[0].List11[0].LI1[0].Textfield[0] (0.37 conf)
f_l_page_list_text_field__6 was FL-356[0].Page2[0].List11[0].LI1[0].TextField4[0] (0.33 conf)
f_l_page_list_item_attachment__1 was FL-356[0].Page2[0].List11[0].LI1[0].item10attachment_cb[0] (0.35 conf)
f_l_page_list_text_field__7 was FL-356[0].Page2[0].List12[0].LI1[0].TextField1[0] (0.33 conf)
f_l_page_list_text_field__8 was FL-356[0].Page2[0].List12[0].LI1[0].TextField2[0] (0.33 conf)
f_l_page_list_item_attachment__2 was FL-356[0].Page2[0].List12[0].LI1[0].item11attachment_cb[0] (0.35 conf)
f_l_page_list_minor_ckbox was FL-356[0].Page2[0].List13[0].LI1[0].MinorCkbox[0] (0.38 conf)
f_l_page_list_text_field__9 was FL-356[0].Page2[0].List13[0].LI1[0].TextField1[0] (0.33 conf)
f_l_page_sig_sub_date was FL-356[0].Page2[0].SigSub[0].SigDate[0] (0.37 conf)

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

Confidential Request for Special Immigrant Juvenile Findings—Family Law

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