Delaware > Statewide > Family Court
Petition For Termination Of Parental Rights 112 - Delaware
| Petition For Termination Of Parental Rights Form. This is a Delaware form and can be used in Family Court Statewide . |
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Form 112 (Rev. 10/10) The Family Court of the State of Delaware In and For New Castle Kent Sussex County PETITION FOR TERMINATION OF PARENTAL RIGHTS Petitioner Name D.O.B. Street Address P.O. Box Number City/State/Zip Code Home Phone Number Work Phone Number Respondent Name D.O.B. Street Address P.O. Box Number City/State/Zip Code Home Phone Number Work Phone Number File Number Petition Number Relation to Child(ren) Relation to Child(ren) ) ) No No If a hearing is scheduled in this matter, will Petitioner need an interpreter? Yes (If yes, specify language If a hearing is scheduled in this matter, will Respondent need an interpreter? Yes (If yes, specify language 2nd Petitioner (if any) Name D.O.B. Street Address P.O. Box Number City/State/Zip Code Home Phone Number Work Phone Number 2nd Respondent (if any) Name D.O.B. Street Address P.O. Box Number City/State/Zip Code Home Phone Number Work Phone Number ) ) No No If a hearing is scheduled in this matter, will Petitioner need an interpreter? Yes (If yes, specify language If a hearing is scheduled in this matter, will Respondent need an interpreter? Yes (If yes, specify language Guardian Ad Litem (if any) Name Street Address P.O. Box Number City/State/Zip Code Home Phone Number Work Phone Number Attorney for Guardian Ad Litem (if any) If a hearing is scheduled in this matter, will Guardian Ad Litem need an interpreter? Yes (If yes, specify language ) No 1 of 7 American LegalNet, Inc. www.FormsWorkFlow.com Form 112 (Rev. 10/10) IN THE INTEREST OF THE FOLLOWING CHILD(REN): (Complete the table below for each child for which petitioner wants parental rights terminated. Attach additional sheets if necessary.) Child's Name Child's Date of Birth Child's Place of Birth (City, State) Child's Gender (Check one) Male Male Male Female Female Female 1. Complete the table below regarding the child(ren)'s parents (individuals holding parental rights): NAME Address Date of Birth Social Security Number MOTHER FATHER 2. If you do not know the name/address of the child(ren)'s mother and/or father, write in the space provided below what you have done to try to locate him/her/them. I have attached to this Petition the following affidavits: Affidavit that a Party's Address is Unknown Affidavit that Biological Father's Name is Unknown Affidavit of Non-Disclosure (e.g., Affidavit that mother knows the name of the biological father but is unwilling to disclose his name) 3. Name(s) of the person(s) or organization having the guardianship, care, control or custody of the child(ren): Address of person(s) or organization: 4. Name(s) of the person(s) to whom parental rights are sought to be transferred (i.e. proposed adoptive parent(s)) if this Petition is granted: Address of person(s) or organization if address is different from address of Petitioner(s): 5. Proposed adoptive parent(s)' relationship to child(ren) if proposed adoptive parent is NOT the Petitioner: 6. I acknowledge the following is true with regards to the child(ren) named in this petition: Adoption of the child is possible, appropriate, and a Petition for Adoption will be filed with this Court. In the case where both parents' parental rights are sought to be terminated with regard to the child(ren) named in this Petition, the possibility of placement of the child with blood relatives has been explored. 2 of 7 American LegalNet, Inc. www.FormsWorkFlow.com Form 112 (Rev. 10/10) Results of these efforts: Each birth parent has been advised of the right to file an affidavit as provided in 13 Del. C. ยงยง 961-965. Termination of Parental Rights is in the best interests of the child. If there are two Respondents, both consent to the termination and transfer of their parental rights and the Consent to Termination and Transfer of Parental Rights for each Respondent is attached to this Petition. If there is only one Respondent, he/she consents to the termination and transfer of his/her parental rights and the Consent to Termination and Transfer of Parental Rights for that Respondent is attached to this Petition. If there are two Respondents, only one Respondent consents to the termination and transfer of his/her parental rights and the Consent to Termination and Transfer of Parental Rights for the consenting Respondent is attached to this Petition. 7. I have attached to this Petition the Grounds for Termination of Parental Rights for each child named above. I have indicated at least one Ground for Termination of Parental Rights for each child named in this petition. Petitioner Sworn to subscribed before me: Date 2nd Petitioner (if any) Sworn to subscribed before me: Date Mediator/Notary Public Date Mediator/Notary Public Date 3 of 7 American LegalNet, Inc. www.FormsWorkFlow.com Form 112 (Rev. 10/10) Affidavit of Truth I/We, ___________________________________________state the information in this Petition for Termination of Parental Rights is true and correct to the best of my/our knowledge. Petitioner 2nd Petitioner SWORN TO AND SUBSCRIBED BEFORE ME on this date, __________________________. Notary 4 of 7 American LegalNet, Inc. www.FormsWorkFlow.com Form 112 (Rev. 10/10) GROUNDS FOR TERMINATION OF PARENTAL RIGHTS Complete a separate Grounds for Termination of Parental Rights form for each child named in the Petition for Termination of Parental Rights. Thus, if there are 2 children, then 2 Grounds for Termination of Parental Rights forms MUST be completed and attached to the Petition. NAME OF THE CHILD: Indicate the grounds for Termination of Parental Rights (Place an "X" next to the grounds that apply.) 1. The parent(s) of the child, or the person(s) or organization holding parental rights over such child agree (consent) that this Petition should be granted. A Consent to Termination and Transfer of Parental Rights is attached to the Petition. Respondent has abandoned the child AND intended to abandon the child as evidenced by the fact that: (Place an "X" next to which situation applies) a. The child is younger than 6 months old at the time of filing this Petition, Respondent FAILED to: Pay reasonable prenatal, natal and postnatal expenses in accordance with Respondent's financial means; AND Visit regularly with the child; AND Manifest (show) an ability and willingness to assume legal and physical custody of the child (if the child was NOT in the physical custody of the other parent). b. The child is at least 6 months old at the time of filing this Petition AND for at least 6 consecutive months (6 mont
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