ADOPT-215 Adoption Order
1 Your name (adopting parent): a. b. Relationship to child: Street address: State: Zip: City: ( ) Daytime telephone number: Lawyer (if any): (Name, address, telephone number, and State Bar number):
Clerk stamps date here when form is filed.
Fill in court name and street address:
Superior Court of California, County of
Type of adoption: (Check one) Agency (name): Independent International (name of agency): Stepparent Relative Child's name after adoption: First Name: Date of birth: Place of birth: City: Name of adoption agency (if any): Hearing date: Dept.: Div.: Clerk's office telephone number: ( Rm.: ) Judge:
Fill in case number if known:
Middle Name: Age: State: Country:
People present at the hearing: Adopting parents Lawyer for adopting parents Child Child's lawyer Parent keeping parental rights (stepparent/domestic partner): Other people present (list each name and relationship to child): a. b. If there are more names, attach a sheet of paper, write "ADOPT-215, Item 6" at the top, and list the additional names and each person's relationship to child.
Judge will fill out section below.
7 The judge finds that the child: (Check all that apply) Is 12 or older and agrees to the adoption a. Is under 12 b.
Judicial Council of California, www.courtinfo.ca.gov Revised July 1, 2007, Mandatory Form Family Code, §§ 8612, 8714, 8714.5, 8902, 8912, 9000
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8 The judge has reviewed the report and other documents and evidence and finds that each adopting parent: d. Has a suitable home for the child and a. Is at least 10 years older than the child e. Agrees to adopt the child b. Will treat the child as his or her own c. Will support and care for the child This case is a relative adoption petitioned under Family Code section 8714.5. The adopting relative The child, who is 12 or older, has requested that the child's name before adoption be listed on this order. (Fam. Code, § 8714.5(g).) The child's name before adoption was: Last Name: Middle Name: First Name: The child is an Indian child. The judge finds that this adoption meets the placement requirements of the Indian Child Welfare Act and that there is good cause to give preference to these adopting parents. The clerk will fill out 13 below. The judge approves the Contact After Adoption Agreement (ADOPT-310) As amended on ADOPT-310 As submitted The judge believes the adoption is in the child's best interest and orders this adoption. The child's name after adoption will be: First Name: Middle Name: Last Name: The adopting parent or parents and the child are now parent and child under the law, with all the rights and duties of the parent-child relationship. Date:
Judge (or Judicial Officer)
Clerk will fill out section below.
Clerk's Certificate of Mailing
For the adoption of an Indian child, the Clerk certifies: I am not a party to this adoption. I placed a filed copy of: ADOPT-200, Adoption Request ADOPT-215, Adoption Order ADOPT-220, Adoption of Indian Child ADOPT-310, Contact After Adoption Agreement
in a sealed envelope, marked "Confidential" and addressed to: Chief, Division of Social Services Bureau of Indian Affairs 1849 C Street, NW Mail Stop 310-SIB Washington, DC 20240 The envelope was mailed by U.S. mail, with full postage, from: Place: Date: Clerk, by: on (date): , Deputy
Revised July 1, 2007
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