SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE HEMET 880 N. State St., Hemet, CA 92543 INDIO 46-200 Oasis St., Indio, CA 92201 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address): RIVERSIDE 4175 Main St, Riverside, CA 92501 RI-A815 FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): IN THE MATTER OF THE PETITION OF: CASE NUMBER: ORDER FOR FREEDOM FROM PARENTAL CUSTODY AND CONTROL On the day of , the verified petition now on file in this Court came on for hearing, and a citation having been issued requiring (NAME(S) OF CITEE(S) to appear at this time and place, and due service of said citation having been made as directed by the Court and required by law, and (FULL NAMES OF PETITIONER(S) being present in Court, and citee(s) having (failed to appear) (appeared) and evidence both oral and documentary being offered and received, and the written report of the probation officer having been filed herein and considered by the Court; and the Court finds that said minor(s) is/are under the age of eighteen years, to wit: of the age of years on of said section, in that: and the Court further finds that a return of custody to the parent(s) would be detrimental to the minor(s) and freeing the minor(s) from the custody of his/her/their parent(s) is in the best interest of the minor(s). NOW THEREFORE, said adjudged to be free from the custody and control of said parent(s), and of all persons claiming to be the father and/or mother of said minor(s). The petition is granted pursuant to California Family Code Section: . is/are hereby declared and , and of the age of that said minor(s) is/are a person(s) defined in Subdivision (NAME OF MINOR(S)) (DATE) (JUDGE OF THE SUPERIOR COURT) Page 1 of 1 Adopted for Mandatory Use Riverside Superior Court RI-A815 [Rev. 6/24/11] ORDER FOR FREEDOM FROM PARENTAL CUSTODY AND CONTROL Family Code § 7800 riverside.courts.ca.gov.localfrms/localfrms.shtml American LegalNet, Inc. www.FormsWorkFlow.com