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Adoption Order ADOPT-215 - California
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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 2 Child's name after adoption: First Name: Middle Name: Last Name: Date of birth: Place of birth: City: Age: State: Country: Fill in case number if known: Case Number: 3 4 Name of adoption agency (if any): Hearing date: Dept.: Div.: Clerk's office telephone number: ( Rm.: ) Judicial Officer: 5 People present at the hearing: Adopting parents Lawyer for adopting parents Child Child's lawyer Parent keeping parental rights: 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 5" at the top, and list the additional names and each person's relationship to child. Judge will fill out section below. 6 The judge finds that the child (check all that apply): Is 12 or older and agrees to the adoption a. b. Is under 12 This is a tribal customary adoption and the child's consent is not required. c. ADOPT-215, Page 1 of 2 Judicial Council of California, www.courts.ca.gov Revised January 1, 2011, Mandatory Form Family Code, §§ 8612, 8714, 8714.5, 8902, 8912, 9000; Welfare and Institutions Code, § 366.24; Cal. Rules of Court, rule 5.730 Adoption Order American LegalNet, Inc. www.FormsWorkFlow.com Case Number: Your name: 7 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. 10 11 The judge approves the Contact After Adoption Agreement (ADOPT-310) As amended on ADOPT-310 As submitted This is a tribal customary adoption, The tribal customary adoption order of the tribe dated 12 containing pages and attached hereto is fully incorporated into this order of adoption. 8 9 The judge believes the adoption is in the child's best interest and orders this adoption. The child's name after adoption will be: Last Name: Middle Name: First 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 or, in the case of a tribal customary adoption, all the rights and duties set out in the tribal customary adoption order and Welfare and Institutions Code section 366.24. Date: Judge (or Judicial Officer) Clerk will fill out section below. 13 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: Revised January 1, 2011 on (date): Clerk, by: , Deputy Adoption Order ADOPT-215, Page 2 of 2
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