Form JV-536 "Local Educational Agency Response to Jv-535 - Appointment of Surrogate Parent" - California

What Is Form JV-536?

This is a legal form that was released by the California Superior Court - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2014;
  • The latest edition provided by the California Superior Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form JV-536 by clicking the link below or browse more documents and templates provided by the California Superior Court.

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Download Form JV-536 "Local Educational Agency Response to Jv-535 - Appointment of Surrogate Parent" - California

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JV-536
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
FOR COURT USE ONLY
TELEPHONE NO.:
FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
CHILD'S NAME:
LOCAL EDUCATIONAL AGENCY RESPONSE TO
CASE NUMBER:
JV-535—APPOINTMENT OF SURROGATE PARENT
This form must be completed and returned to the court at the address listed above within five business days of the date of the
appointment, termination, or replacement of a surrogate parent, or within 30 days of receipt if no surrogate is appointed.
1.
a.
Child's or youth's school:
b.
Address of school:
c. School personnel contact (name, title, and telephone):
2.
a.
Name of surrogate parent:
b.
Address:
c.
Telephone:
d.
Relationship to child or youth:
The appointed surrogate parent does not have a conflict of interest with the child or youth. (Welf. & Inst. Code, §§ 361, 726;
3.
34 C.F.R. §§ 300.519, 303.422; Gov. Code, § 7579.5(i), (j).)
The appointed surrogate parent will represent the child or youth on educational issues as required by state and federal law.
4.
The appointed surrogate parent agrees that this representation is continuous. If the surrogate parent is not able to represent
5.
the child's or youth's educational needs, the surrogate parent will inform the local educational agency.
The previous surrogate parent resigned or was terminated under section 7579.5(g) or (h) of the Government Code.
6.
a.
Name of previous surrogate parent:
b.
Address:
c.
Telephone:
d.
Relationship to child or youth:
The local educational agency has not been able to appoint a surrogate parent within 30 days of receiving form JV-535 and is
7.
continuing to make reasonable efforts to identify and appoint a surrogate parent.
Date:
(TYPE OR PRINT NAME)
(LOCAL EDUCATIONAL AGENCY REPRESENTATIVE'S SIGNATURE )
(TITLE)
Page 1 of 1
Form Adopted for Mandatory Use
Government Code, § 7579.5;
LOCAL EDUCATIONAL AGENCY RESPONSE TO
Judicial Council of California
Cal. Rules of Court, rules 5.502, 5.650
JV-535—APPOINTMENT OF SURROGATE PARENT
JV-536 [Rev. January 1, 2014]
www.courts.ca.gov
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JV-536
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
FOR COURT USE ONLY
TELEPHONE NO.:
FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
CHILD'S NAME:
LOCAL EDUCATIONAL AGENCY RESPONSE TO
CASE NUMBER:
JV-535—APPOINTMENT OF SURROGATE PARENT
This form must be completed and returned to the court at the address listed above within five business days of the date of the
appointment, termination, or replacement of a surrogate parent, or within 30 days of receipt if no surrogate is appointed.
1.
a.
Child's or youth's school:
b.
Address of school:
c. School personnel contact (name, title, and telephone):
2.
a.
Name of surrogate parent:
b.
Address:
c.
Telephone:
d.
Relationship to child or youth:
The appointed surrogate parent does not have a conflict of interest with the child or youth. (Welf. & Inst. Code, §§ 361, 726;
3.
34 C.F.R. §§ 300.519, 303.422; Gov. Code, § 7579.5(i), (j).)
The appointed surrogate parent will represent the child or youth on educational issues as required by state and federal law.
4.
The appointed surrogate parent agrees that this representation is continuous. If the surrogate parent is not able to represent
5.
the child's or youth's educational needs, the surrogate parent will inform the local educational agency.
The previous surrogate parent resigned or was terminated under section 7579.5(g) or (h) of the Government Code.
6.
a.
Name of previous surrogate parent:
b.
Address:
c.
Telephone:
d.
Relationship to child or youth:
The local educational agency has not been able to appoint a surrogate parent within 30 days of receiving form JV-535 and is
7.
continuing to make reasonable efforts to identify and appoint a surrogate parent.
Date:
(TYPE OR PRINT NAME)
(LOCAL EDUCATIONAL AGENCY REPRESENTATIVE'S SIGNATURE )
(TITLE)
Page 1 of 1
Form Adopted for Mandatory Use
Government Code, § 7579.5;
LOCAL EDUCATIONAL AGENCY RESPONSE TO
Judicial Council of California
Cal. Rules of Court, rules 5.502, 5.650
JV-535—APPOINTMENT OF SURROGATE PARENT
JV-536 [Rev. January 1, 2014]
www.courts.ca.gov
For your protection and privacy, please press the Clear
Print this form
Save this form
Clear this form
This Form button after you have printed the form.