ADOPT-215 1 Adoption Order Clerk stamps date here when form is filed. Your name (adopting parent(s)): a. b. Relationship to child: Street address: City: State: Zip: Daytime telephone number: Lawyer (if any): (Name, address, telephone number, e-mail address, and State Bar number): Fill in court name and street address: Superior Court of California, County of 2 Child's name after adoption: First name: Middle name: Last name: Date of birth: Place of birth (if known): City: Name of adoption agency (if any): Court fills in case number when form is filed. Case Number: Age: State: Country: 3 4 Hearing details Dept.: Div.: Rm.: Hearing date: Judicial Officer: Clerk's office telephone number: People present at the hearing: Lawyer for adopting parent(s) Adopting parent(s) Child's lawyer Child Parent keeping parental rights: 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 4" at the top, and list the additional names and each person's relationship to child. The hearing is waived pursuant to Family Code section 9000.5 (Check this box only if this is an adoption confirming parentage of a stepparent who was married or in a state-registered domestic partnership with the parent who gave birth at the time the child was born.) Judge will fill out section below. 5 The judge finds that the child (check all that apply): a. Is 12 or older and agrees to the adoption b. Is under 12 c. Is not required to consent because this is a tribal customary adoption. Judicial Council of California, www.courts.ca.gov Revised January 1, 2016, Mandatory Form Family Code, §§ 8601.5, 8612, 8714, 8714.5, 8900, 8900.5, 8902, 8912, 9000, 9000.5; Welfare and Institutions Code, § 366.24; Cal. Rules of Court, rule 5.730 Adoption Order ADOPT-215, Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Case Number: Your name: 6 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 or c. Will support and care for the child; meets the criteria in Fam. Code, § 8601(b); 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. This case is an adoption by a relative 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: Last name: Middle name: First name: The child is an Indian child. The judge finds that this adoption meets the placement requirements of the Indian Child Welfare Act or that there is good cause to give preference to these adopting parents. The clerk will fill out 13 below. The judge approves the Contact After Adoption Agreement (ADOPT-310) As submitted As amended on ADOPT-310 This is a tribal customary adoption. The tribal customary adoption order of the tribe dated containing pages and attached hereto is fully incorporated into this order of adoption. This is an adoption under the Hague Adoption Convention. Verification of Compliance with Hague Adoption Convention Attachment (form ADOPT-216) is attached and fully incorporated into this order. This is an independent adoption involving an additional parent(s). All persons with existing parental rights An agreement waiving termination of agreed to this adoption and will maintain their existing parental rights. parental rights, signed by both the existing parent(s) and the adopting parent(s), was filed with the court. The judge believes the adoption is in the child's best interest and orders this adoption. The child's name after adoption will be: Last name: Middle name: First 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 or, in the case of a tribal customary adoption, all the rights and duties set out in the tribal customary adoption order and Welfare and Institutions Code section 366.24. The judge believes it will serve public policy and the best interest of the child to grant the request of the adopting parent or parents for the court to make this order effective as of (date): Date: (Date of Signature) Judge (or Judicial Officer) 7 8 9 10 11 12 13 . Clerk will fill out section below. 14 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: Adoption of Indian Child (ADOPT-220) Adoption Request (ADOPT-200) Adoption Order (ADOPT-215) Contact After Adoption Agreement (ADOPT-310) in a sealed envelope, marked "Confidential" and addressed to: Chief, Division of Social Services 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 January 1, 2016 Adoption Order ADOPT-215, Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com