SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE BLYTHE 265 N. Broadway, Blythe, CA 92225 HEMET 880 N. State St., Hemet, CA 92543 INDIO 46-200 Oasis St., Indio, CA 92201 RIVERSIDE 4175 Main St., Riverside, CA 92501 RI-A806 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address) FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): PETITIONER: RESPONDENT: Hearing Date: Time: CASE NUMBER: Department: REQUEST TO SET ADOPTION HEARING TO THE CLERK OF THE COURT: Request is hereby made to set an Adoption Matter on calendar for hearing. This matter may be heard because: All Consents have been obtained and are on file. All Termination of Parental Rights Documents have been completed and are on file. All required investigation reports have been completed and are on file. This matter will be personally presented in Court by (PETITIONER OR ATTORNEY OF RECORD) Suggested hearing dates: Dated: (SIGNATURE OF ATTORNEY OR PETITIONER) This matter has been set on calendar to be heard in Department at . , on CLERK-SUPERIOR COURT by , Deputy Adopted for Mandatory Use Riverside Superior Court RI-A806 [Rev. 05/23/13] REQUEST TO SET ADOPTION HEARING riverside.courts.ca.gov/localfrms/localfrms.shtml Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Petitioner: Respondent: Case Number: Special Requirements for Final Adoption Hearing: You must provide the Court with the following documents on the date of the Final Adoption Hearing: Decree of Adoption, Consent and Agreement Form (unsigned and undated), and Accounting Report (Agency and Independent Adoption only). For Stepparent Adoptions filed where the parental rights are to be terminated based on the failure to make contact for more than one year and the failure to provide support for the child/children when able to do so, under the provisions of Civil Code, you are reminded that the Decree of Adoption must contain a Termination Statement with regard to the Natural Parent and that the Proof of Service with original citation or Proof of Publication with Original Citation must be on file at least three days prior to the hearing date. All parties must be present at the hearing unless specifically excused by the Judge of the Superior Court. In the case of Adult Adoptions, Attorneys of Record may appear on behalf of their client providing they have "Power of Attorney" to act on their client's behalf. All documents submitted to the Court must be an original and three copies. Adult Adoptees desiring that an Amended Birth Record be issued may request that they be furnished with the appropriate form for that purpose (VS-044). Adopted for Mandatory Use Riverside Superior Court RI-A806 [Rev. 05/23/13] REQUEST TO SET ADOPTION HEARING riverside.courts.ca.gov/localfrms/localfrms.shtml Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com