Fill and Sign the Adoption Order California Form

ADOPT-215 Adoption Order Clerk stamps date here when form is filed. 1 Your name (adopting parent): a. ––––– b. ––––– Relationship to child: ––––– Address: ––––– Street: ––––– City: ––––– State: ––––– Zip: ––––– Daytime telephone number: ( ––––– ) ––––– Fill in court name and street address: Lawyer (if any): (Name, address, telephone number, and State Superior Court of California, County of Bar number): ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– 2 Type of adoption: (Check one) Agency (name): ––––– Fill in case number if known: Case Number: Independent International (name of agency): ––––– ––––– Stepparent ––––– Relative ––––– 3 Child’s name after adoption: First Name: ––––– Middle Name: ––––– Last Name: ––––– Date of birth: ––––– Age: ––––– Place of birth: ––––– City: ––––– State: ––––– Country: ––––– 4 Name of adoption agency (if any): ––––– 5 Hearing date: ––––– Dept.: ––––– Div.: ––––– Rm.: ––––– Judge: ––––– Clerk’s office telephone number: ( ––––– ) ––––– 6 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) a. Is 12 or older and agrees to the adoption b. Is under 12 Judicial Council of California, www.courtinfo.ca.gov Adoption Order ADOPT-215, Page 1 of 2 Revised July 1, 2007, Mandatory Form Family Code, §§ 8612, 8714, 8714.5, 8902, 8912, 9000 electronic form ã 2001- 2007 WWW.LawCA.com Law Publishers Case Number: ––––– Your name: ––––– 8 The judge has reviewed the report and other documents and evidence and finds that each adopting parent: a. Is at least 10 years older than the child d. Has a suitable home for the child and b. Will treat the child as his or her own e. Agrees to adopt the child c. Will support and care for the child 9 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: First Name: ––––– Middle Name: ––––– Last Name: ––––– 10 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. 11 The judge approves the Contact After Adoption Agreement (ADOPT-310) As submitted As amended on ADOPT-310 12 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. 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-220, Adoption of Indian Child ADOPT-215, Adoption Order ADOPT-310, Contact After Adoption Agreement in a sealed envelope, marked “Confidential” and addressed Chief, Division of Social Services to: 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: ––––– on (date): Date: ––––– Clerk, by: , Deputy Revised July 1, 2007 Adoption Order ADOPT-215, Page 2 of 2