Gestational Surrogacy Cover Sheet {LASC FAM 104}

LASC FAM 104 - GESTATIONAL SURROGACY COVER SHEET. This form is used in the Superior Court of California, County of Los Angeles for cases related to gestational surrogacy, where a child is conceived through assisted reproduction agreements involving gestational carriers. This form provides the court with necessary information about the jurisdiction, venue, and compliance with specific family code requirements for such cases. It includes sections that determine whether the court has jurisdiction over the case and whether the venue is appropriate in Los Angeles County. The form requires the petitioner(s) to affirm compliance with the relevant provisions of the California Family Code Section 7960 and 7962, including details about the gestational carrier agreement, in vitro fertilization procedures, and the involvement of the intended parents and gestational carrier. It also includes requirements for the agreement’s execution, medical expenses coverage, and independent legal representation for all parties involved. The form asks for confirmation of any criminal background checks, scheduling requests, and whether a hearing is requested. It is signed by the petitioner's attorney, under penalty of perjury, confirming the truth and accuracy of the information provided. This cover sheet must be filed along with the associated petition for parentage and surrogacy-related legal matters. For Mandatory Use. www.FormsWorkflow.com