Application And Order Re Release Of Adoption Records {CV-01}

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address) TELEPHONE NO: For Court Use Only ATTORNEY FOR (Name) SUPERIOR COURT OF CALIFORNIA, COUNTY OF SUTTER STREET ADDRESS: 1175 CIVIC CENTER BLVD. MAILING ADDRESS: SAME CITY AND ZIP CODE: YUBA CITY, CA 95993 IN THE MATTER OF: , An Adopted Minor. APPLICATION AND ORDER RELEASE OF ADOPTION RECORDS CASE NUMBER: I am the: [] Birth Parent [] Adoptive Parent [] Person previously-adopted For reasons set forth below, permission is hereby sought: [] To determine the existence and/or status of any filed Petition or Request for Adoption involving the above-named individual. [] To obtain a certified copy of the Adoption Order. [] Other:__________________________________________________________________________ Other name by which the adopted child is/was known: ___________________________________________ Name of adoptive parents: __________________________________________________________________ Date of adoption: _______________________________ Case number (if known): ____________________________________ Family Code § 9200 prohibits release of any adoption information "except in exceptional circumstances and for good cause approaching the necessitous." Reasons for request and the facts in support of the request (attach corroborative documents, if appropriate: ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ I declare under penalty of perjury that the foregoing is true and correct. Dated: ________________________ Signature: ______________________________________ Print Name: _____________________________________ Application and Order Release of Adoption Records Superior Court of California, County of Sutter Optional Form (Revised Adopted June 1, 2017) American LegalNet, Inc. www.FormsWorkFlow.com CV-01 Page 1 of 2 ORDER [] The request for disclosure of adoption information is hereby denied. There is insufficient showing as required by Family Code Section 9200. [] Good cause appearing, the request for disclosure of adoption information is hereby granted. The Court finds, in balancing the rights of all concerned individuals, that exceptional circumstances exist necessitating the release of the information herein requested. [] [] The Court orders that the information herein requested shall be released to the requesting party. The Court orders that only the following information shall be released to the requesting party: ____________________________________________________________________________________ ____________________________________________________________________________________ Date:________________________________ _______________________________________ Judge of the Superior Application and Order Release of Adoption Records Superior Court of California, County of Sutter Optional Form (Revised Adopted June 1, 2017) American LegalNet, Inc. www.FormsWorkFlow.com CV-01 Page 2 of 2