DV-180 - Agreement and Judgment of Parentage

Summary

Agreement and Judgment of Parentage

Text

Form ID: DV-180
Title: Agreement and Judgment of Parentage
Effective Date: 2014-07-01
Mandatory Form: yes
Languages: 汉语, 한국어, español, Tiếng Việt
Info Page: https://selfhelp.courts.ca.gov/jcc-form/DV-180
Primary Download URL: https://www.courts.ca.gov/documents/dv180.pdf
Alternate Download URLs: https://www.courts.ca.gov/documents/dv180c.pdf, https://www.courts.ca.gov/documents/dv180k.pdf, https://www.courts.ca.gov/documents/dv180s.pdf, https://www.courts.ca.gov/documents/dv180v.pdf
Form Detail Page:
Agreement and Judgment of Parentage
(DV-180)
Use this form if both parties agree that they are the parents of the children involved in the case.
Get form DV-180
汉语
Get form DV-180 in Chinese Simplified
(Chinese Simplified)
한국어
Get form DV-180 in Korean
(Korean)
español
Get form DV-180 in Spanish
(Spanish)
Tiếng Việt
Get form DV-180 in Vietnamese
(Vietnamese)
Effective: July 1, 2014
Go to
How-to instructions for Domestic Violence
Go to
Domestic Violence Form Packets
PDF Text:
Agreement and Judgment 
of  Parentage
Judicial Council of California, www.courts.ca.gov 
Revised July 1, 2014, Mandatory Form 
Family Code, §§ 6323, 7600 et seq.
Agreement and Judgment of Parentage 
(Domestic Violence Prevention)
DV-180, Page 1 of 3
Name:
a.
b.
We are the parents of the children listed below.
3.
To the best of our knowledge (check each box that is true):
4.
1.
2.
This form is used only when parents agree to be named as legal parents of  
their children. Parents complete       through      .
Address:
City: State: Zip:
Child’s Name
a.
b.
c.
d.
Date of Birth Sex
Agreement of Parentage
Clerk stamps date here when form is filed.
Fill in court name and street address:
Superior Court of California, County of
Court fills in case number when form is filed.
Case Number:
DV-180
Protected Person:1
Address (If you have a lawyer for this case, give your lawyer’s  
information. If you do not have a lawyer and want to keep your home  
address private, give a different mailing address instead. You do not  
have to give your telephone, fax, or e-mail.): 
Firm Name:
Your lawyer in this case (if you have one):
Name: State Bar No.:
Telephone: 
Address: 
Fax:
E-Mail Address: 
Zip:State:City:  
Name:
Relationship to the children in this case (check one): Mother Father
Restrained Person:2
Relationship to the children in this case (check one): Mother Father
No Other Parentage Case3
No other person has signed a voluntary declaration of paternity for the children.
There is no court case in which someone other than us claims to be or is alleged to be the parent of the 
children.
No court has ordered or found that someone other than us is a parent of the children.
There is no pending adoption or guardianship case for the children.
The children in this case are (specify):4
Check here if you need more space. List additional children on an attached sheet of paper and write “DV-180, 
Children” as a title. 
5. The mother was not married to another person when the children were conceived.
1 9

We ask the court to order the children’s birth certificates to be amended by (check each order you want):
1.
Changing the last name of the children to: 2.
Revised July 1, 2014 DV-180, Page 2 of 3
• Right to a trial. You can ask a judge, in a separate case, to decide if you are the parent of the children in this  
case. You can bring evidence and witnesses to that trial. And you can question the witnesses against you.
• Right to genetic tests. You can ask a judge, in a separate case, to order genetic tests to see if you are the parent  
of the children in this case. The court may order you to pay for those tests.
If you sign this form, the court may decide you are the legal parent. 
The court may order you to:
• Pay child support. Child support may be taken out of your paycheck without notifying you first. Child support  
can be a lot of money, and it usually lasts until the child turns 18. If you do not support the children as ordered,  
you can face criminal charges.
• Pay other expenses and costs. The court may also order that you pay other expenses for the children in this case.  
You will have all the legal duties of a parent.
• We are saying that we are the legal parents of the children in this case.
• If either of us has a lawyer for this agreement, that lawyer has read and explained this information to the person  
being represented and that person understands it.
• We have read and understand this form.
• If someone translated this form, we understood the translation.
We have read and understand the rights listed in this form. Both people named in       and       give 
up these rights and freely agree that the court can make orders naming us as legal parents of the 
children listed on this form. We declare under penalty of perjury under the laws of the State of 
California that the foregoing is true and correct. 
Date
Date
Date
Date
Type or print Protected Person’s name Protected Person signs here
Type or print Restrained Person’s name Restrained Person signs here
Protected Person’s lawyer signs here
Type or print Restrained Person’s lawyer’s name Restrained Person’s lawyer signs here
21
Before you sign this form, you can hire a lawyer. 
If you cannot afford to pay for a lawyer to represent you, call the local bar association for help. You can also ask the  
court’s Family Law Facilitator for information on how to find a lawyer.
We ask the court to find that we are the legal parents of the children in        and to enter a judgment of parentage.4
Orders Requested5
a.
b.
Adding the father’s name.
If you sign this form, you will give up these rights:6
7
Sign below only if you understand and give up your rights.8
9
Type or print Protected Person’s lawyer’s name
Agreement and Judgment of Parentage 
(Domestic Violence Prevention)
Your name:
Case Number:

DV-180, Page 3 of 3
Name:
Name:
are the parents of the children listed below:
Number of pages attached: 
Notice of Entry of Judgment
The parties must provide self-addressed, stamped envelopes and one original and two copies of the completed  
Notice of Entry of Judgment (form FL-190) to the court.
I have read or translated or interpreted this Agreement and Judgment of Parentage, to the best of my ability, to the  
(check one):
who said that:
• He or she was unable to read or understand the English documents;
• His or her primary language is (specify): ; and 
• He or she now understands this document.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
a.
b.
(1)
(2)
Judgment of Parentage 
The court finds 10
Mother Father
Mother Father
Child’s Name
a.
b.
c.
Date of Birth Sex
Check here if you need more space. List additional children on an attached sheet of paper and write “DV-180, 
Additional Children” as a title.
The court orders11
The last names of the child(ren) are changed to (specify the FULL name of each child):
The birth certificates must be amended to conform to this court order by: 
adding the father’s name
changing the last name of the children
Other (specify):12
Date:
Judicial Officer
13
Interpreter’s Declaration14
Protected Person Restrained Person
Date:
Date:
Type or print interpreter’s name
Type or print interpreter’s name
Interpreter signs here
Interpreter signs here
Revised July 1, 2014
Agreement and Judgment of Parentage 
(Domestic Violence Prevention)
(specify):
Your name:
Case Number:
For your protection and privacy, please press the Clear 
This Form button after you have printed the form.

Retrieval chunks

• #1

  Form ID: DV-180 Title: Agreement and Judgment of Parentage Effective Date: 2014-07-01 Mandatory Form: yes Languages: 汉语, 한국어, español, Tiếng Việt Info Page: https://selfhelp.courts.ca.gov/jcc-form/DV-180 Primary Download URL: https://www.courts.ca.gov/documents/dv180.pdf Alternate Download URLs: https://www.cou…

• #2

  No other person has signed a voluntary declaration of paternity for the children. There is no court case in which someone other than us claims to be or is alleged to be the parent of the children. No court has ordered or found that someone other than us is a parent of the children. There is no pending adoption or …

• #3

  Date Type or print Protected Person’s name Protected Person signs here Type or print Restrained Person’s name Restrained Person signs here Protected Person’s lawyer signs here Type or print Restrained Person’s lawyer’s name Restrained Person’s lawyer signs here 21 Before you sign this form, you can hire a lawyer…

• #4

  Agreement and Judgment of Parentage (Domestic Violence Prevention) (specify): Your name: Case Number: For your protection and privacy, please press the Clear This Form button after you have printed the form.