JV-364
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY
TELEPHONE NO. : E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name):
FAX NO.: (Optional)
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: JUVENILE DEPENDENCY CASE NUMBER:
CHILD'S NAME:
TERMINATION OF DEPENDENCY
(Juvenile)
DEPENDENCY AND JUVENILE COURT JURISDICTION OF THE ABOVE-REFERENCED CHILD ARE TERMINATED.
ORDER FOR REVIEW HEARING SET ON (DATE):
IS VACATED
Date:
JUDICIAL OFFICER
Page 1 of 1 Form Adopted for Mandatory Use Judicial Council of California JV-364 [Rev. January 1, 2007]
TERMINATION OF DEPENDENCY
(Juvenile)
Cal. Rules of Court, rule 5.730 www.courtinfo.ca.gov American LegalNet, Inc. www.FormsWorkflow.com
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