ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
FOR COURT USE ONLY
TELEPHONE NO.:
FAX NO.:
EMAIL ADDRESS:
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
IN THE MATTER OF THE PETITION OF:
CASE NUMBER:
PETITION FOR DECLARING CHILD(REN) FREE FROM PARENTAL
CUSTODY AND CONTROL
1. The petitioner(s) _________________________________________ respectfully represent(s) and allege(s) that the
child(ren) listed below is/are a person(s) under the age of eighteen and that said person(s) is/are within the county of
San Bernardino:
Name: ______________________________ Date of Birth: __ ___________ City/State of Birth_____________________
Name: ______________________________ Date of Birth _______________ City/State of Birth ____________________
2. Petitioner(s) request a judgment declaring the child(ren) free from the custody and control of:
______________________________________________________________________ pursuant to Family Code §:
□
7822 Abandonment
□
The child has been left without provision for the child’s identification by the child’s parent(s)
□
The child has been left by the parent(s) named above in the care and custody of a non-parent for a period of
six months without any provision for the child’s support, or without communication from the parent(s), with the
intent on the part of the parent(s) to abandon the child
□
The parent named above has left the child in the care and custody of the other parent for a period of one
year without any provision for the child’s support, or without communication from the parent, with the intent
on the part of the parent to abandon the child
□
7825 The parent(s) named above are convicted of a felony, the facts of which are of such a nature so as to prove the
unfitness of the parent(s) to have the future custody and control of the child
□
7826 The parent(s) named above have been declared by a court of competent jurisdiction, wherever situated, to be
developmentally disabled or mentally ill
□
7827 The parent(s) named above are mentally disabled and are likely to remain so in the foreseeable future
SB-9006
PETITION DECLARING CHILD(REN) FREE FROM PARENTAL CUSTODY AND CONTROL
Family Code §7800
Revised 6/24/2016
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