Fill and Sign the California Objection 497299220 Form

Clerk sta m ps date here when form is filed. JV-325 Pr o of of N otice of Hearing 1 Notice of the h e aring o n Prospective adoptiv e parent d e signation Inten t to remove Emerg e nc y re m o v al set fo r (date): ––––– a t (time): ––––– i n department ––––– of the super i or cou r t at (addres s ): ––––– ––––– ––––– Fill in court name and street address: was giv e n to : S u pe r i or C o u r t of Cal i for n i a , Co u nty of a . The adoption agenc y (name of agency employee notified): ––––– ––––– ––––– (1 ) Orally, in person, o n (date): ––––– ––––– a t (time ) : ––––– ––––– (2 ) Orally, b y telephone, o n (date): ––––– ––––– at (time): ––––– Fill in child's na m e and date of birth: Phone number: ––––– Child's Name: ––––– (3 ) B y p erso n ally deli v eri n g c o p i es to the perso n s erve d on (date): ––––– at (time): ––––– Date of Birth: ––––– (4 ) By placing c opie s in a se a l ed envelop e and depositin g th e Clerk fills in case number when form is filed . envelope directly in the U.S . mail wi t h pos t age pa i d Case Number: ––––– at my place o f business for same-day coll e ction and ma i ling w i th the U.S. mail, f ollo w i n g o u r ordi n ary b u sine s s practi ce addressed as follows: ––––– ––––– ––––– b . The caregive r (na m e): ––––– (1 ) Orally, i n person, on (date): ––––– a t (time): ––––– (2 ) Orally, b y telephone, o n (date): ––––– at (time): ––––– Phone number: ––––– o r Confidential phone number i n cour t file (3 ) By p erso n all y deliv e r i n g co p ies to the p e r s o n s e rve d o n (date): ––––– a t (time): ––––– (4 ) By pl a cing copies in a sealed envelop e a n d depositing the envelope directly in the U.S. mail with postage pai d at m y place of busine s s for s ame-d ay collectio n an d mailing with the U.S. mail, following ou r ordinary busines s practic e addressed as follows: ––––– ––––– o r Confidential address in cour t file c . The child’s attorne y (name): ––––– (1 ) Orally, in pe r s on, o n (da t e): ––––– a t (time ) : ––––– (2 ) Orall y , b y t e l e ph o n e , o n (da t e): ––––– a t ( time) : ––––– Phone number: ––––– or Co nf i d e n tial p h o n e nu m ber in c o urt file JV-325, Page 1 of 3 Proof of Notice of HearingJV-325 J u dici a l Co u ncil of Ca l if o rn i a Revised January 1, 2007Ma n d a t o r y For m W el f ar e a n d I ns t i t u t i o n s C o d e , § 3 6 6 . 2 6 (n) C a l . R u l e s o f Co u rt, r u les 5.726, 5.727, 5.728 electronic form ã 2005-7 WWW.LawCA.co m Law Publishers 35 Case Num b er: Child’s name: ––––– ––––– (3 ) B y personally deliver i n g copies to the perso n serve d o n (date): ––––– a t (time ) : ––––– (4 ) B y placin g copies in a se a l e d envelope an d depositing th e enve l ope directly in the U. S . mail with postag e pai d at m y place of busine s s for same-day colle c tio n and mailing with the U.S. m a il, followin g our ordinar y busines s pra c tic e address e d as follows: ––––– ––––– ––––– d. The child i f 10 years of ag e o r olde r (name): ––––– (1 ) Orally, i n person, on (date): ––––– a t (time): ––––– (2 ) Orally, b y telephone, o n (date): ––––– a t (time): ––––– Phone number: ––––– or Confidential phone number i n cour t file (3 ) By personally delive r ing copies to the p e r s o n s e rve d o n (date): ––––– a t (time): ––––– (4 ) By pl a cing copies in a sealed envelop e an d depositing the envelop e directly in the U.S. mail with postag e pai d at m y place of busine s s for s ame-da y collectio n an d mailing with the U.S. mail, following ou r ordinary busines s pra c tic e addressed as follows: ––––– o r Confidential address in cour t file e. T he child’s identi f ied I ndian tribe, if an y (name of tribe and person notified): ––––– (1) O r a l ly, in person, on (da t e): ––––– a t (time): ––––– (2) O r a l ly, by telephone, o n (da t e): ––––– a t (time): ––––– Phone number: ––––– o r Confident i al phone numbe r in court f i le (3) By pe rso n ally del i veri n g c o p i es to the pe rson served o n ( date): ––––– a t (time): ––––– (4) By placing copies in a sealed envelop e and d e po s iting the envelop e directly in th e U.S . mail wit h postage pai d a t my plac e o f business for same-day collect io n an d mailing with the U.S. mail, following our ordinary busines s practic e a ddr e ssed as follows: ––––– ––––– ––––– f. The child’ s India n c usto d ian, if a ny (name): ––––– (1) O r a l ly, in person, on (da t e): ––––– a t (time): ––––– (2) O r a l ly, by telephone, o n (da t e): ––––– a t (time): ––––– Phone number: ––––– o r Confident i al phone numbe r in court f i le 3) By pe rso n ally del i veri n g c o p i es to the pe rson served o n ( date): ––––– a t (time): ––––– (4) By placing copies in a sealed envelop e and d e po s iting the envelop e directly in th e U.S . mail wit h postage pai d a t my plac e o f business for same-day collect io n an d mailing with the U.S. mail, following our ordinary busines s practic e a ddr e ssed as follows: ––––– ––––– ––––– o r Confidential address in cou r t fi l e Revised January 1, 2007 Proof of Notice of Hearin g JV- 3 25 , P age 2 of 3 Case Num b er: Child’s name: ––––– ––––– : g. T he child’s Court Appointed Speci a l Advocate (CASA ) progra m , if any (nam e of perso n notified): ––––– (1 ) Orally, i n person, on (date): ––––– a t ( time): ––––– 2 ) Orally, b y telephone, o n (date): ––––– a t (time): ––––– Phone number: ––––– or Confidential phon e number in cour t file (3 ) B y personally deliver i n g copies to the perso n serve d o n (date): ––––– a t (time ) : ––––– (4 ) B y placin g copies in a se a l e d envelope an d depositing th e enve l ope directly in the U. S . mail with postag e pai d at m y place of busine s s for same-day colle c tio n and mailing with the U.S. m a il, followin g our ordinar y busines s pra c tic e address e d as follows: ––––– ––––– ––––– 2 A t the tim e o f notice I was a t le a s t 18 y e ar s of age and n ot a party to this matter. I l i ve or am employed in the count y where the mailing occurred. M y res i dence or busi ness address i s (specify): ––––– ––––– ––––– 3 I declare u n d e r pe na lty of perj u r y u n der the l aws of t he S tate of Californ i a that the inf o rmati o n i n i tems 2 a n d 3 i s true and correct, which means if I lie on t h i s form , I a m committing a crime. Date: ––––– Typ e o r print y o ur n a m e Si g n y o u r n ame Revised January 1, 2007 Proof of Not i ce of Hearin g JV- 3 25 , P age 3 of 3