SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES

In the Matter of: / CASE NUMBER
NOTICE OF HEARING TO
INCARCERATED PARENT
PURSUANT TO 366.2 (B) W.I.C.
, a minor child.
THIS NOTICE IS TO INFORM YOU THAT A HEARING REGARDING THE ABOVE-NAMED CHILD WILL
BE HELD IN DEPARTMENT ON AT 8:30 A.M. IN THE
LOS ANGELES JUVENILE COURT LOCATED AT:
201 CENTRE PLAZA DRIVE, MONTEREY PARK, CALIFORNIA 91754
TO: / Inmate Name
Institution/Booking Number
c/o Warden
Address
City / State / Zip

The Social Worker’s recommendations for visitation and placement will be:

Name of Social Worker:
Office: / Telephone:
Address:
City: / State: / Zip:

I want to attend my child’s hearing in person. I understand that a new hearing date will be set and that I
will be brought to court for the hearing.

I do not want to attend the hearing, but want to make a statement to the judge about the proposed visitation
or placement plan. My comments are on the attached sheet(s). I understand that the hearing will proceed
without my presence.

I understand that any written comments I make will be given to the judge deciding my child’s case and that the
judge will consider my comments. I agree that this form and its comments may also be shared with the other
parties, attorneys and social worker involved in the case. My expected release date is .

DATED: SIGNED:

76N755H DCS 4387 (Rev. 5/92)

COMMENTS

(Use as many sheets as necessary)

WRITTEN COMMENTS MUST BE MAILED IN THE ENCLOSED ENVELOPE NOT LESS THAN
SEVEN (7) DAYS PRIOR TO THE ABOVE HEARING DATE.

CERTIFICATE OF MAILING

I, James H. Dempsey, Executive Officer/Clerk, hereby certify that I am not a party to the above action and that
I deposited in the United States Mail, at Los Angeles, California, first class postage prepaid, in a sealed envelope,
a copy of the above Notice to Incarcerated Parent to each of the person(s) named below:

Executed under the laws of the State of California, this day of ,20,

JAMES H. DEMPSEY, Executive Officer/Clerk.

By: , Deputy

76N755H DCS 4387 (Rev. 5/92)