Application And Order To Obtain Copies From Adoption Case Order {13-21912-360}

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY TELEPHONE NO.: EMAIL ADDRESS: ATTORNEY FOR (Name): STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: FAX NO.: SUPERIOR COURT OF CALIFORNIA, COUNTY OF IN THE MATTER OF: APPLICATION TO OBTAIN COPIES FROM ADOPTION CASE AND ORDER CASE NUMBER: If you do not know the case number, enclose a $15.00 research fee plus a self-addressed stamped envelope for the return of the documents. If you are the original petitioner of the adoption, enclose a copy of your driver license. I, _____________________________________________, do hereby request the court for permission to obtain a copy or certified copy of the following: Adoption Order Adoption Request Adoption Agreement Other: __________________________________________________________________________________________ If you do not know the case the number complete items 1 through 4 1. Child's name: __________________________________________ Child's date of birth _____________________ 2. City and State where the adoption took place:______________________________________________________ 3. Date or approximate date of adoption: ___________________________ Type of adoption: _________________ 4. Adopting parent's name: _______________________________________________________________________ 5. Relationship to adopted individual: _______________________________________________________________ 6. Reason for the request: (may attach additional pages) ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: ____________________________ Signature: ___________________________________________ Form 13-21912-360 Rev 8/18/16 APPLICATION AND ORDER TO OBTAIN COPIES FROM ADOPTION CASE AND ORDER Family Code §9200 American LegalNet, Inc. www.FormsWorkFlow.com Case Name: Case Number: ORDER Denied Set for Hearing: ______________________________________________________________ Good cause appearing therefore, permission is hereby granted the above named applicant to obtain a copy and/or certified copy of the following: Adoption Order Adoption Request Adoption Agreement Other: _________________________________________________________________________________________ / / / Dated: __________________ __________________________________________ Judicial Officer of Superior Court Form 13-21912-360 Rev 8/18/16 APPLICATION AND ORDER TO OBTAIN COPIES FROM ADOPTION CASE AND ORDER Family Code §9200 American LegalNet, Inc. www.FormsWorkFlow.com