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): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO CENTRAL DIVISION, JUVENILE COURT, 2851 MEADOW LARK, SAN DIEGO, CA 92123 NORTH COUNTY DIVISION, 325 S. MELROSE DR., SUITE 130, VISTA, CA 92081 IN THE MATTER OF DATE OF BIRTH A MINOR CASE NUMBER CITATION FOR FREEDOM FROM PARENTAL CUSTODY AND CONTROL To (name): You are advised that you are required to appear in the Superior Court of the State of California, County of San Diego, in Department at the court location indicated above on , at m., to show cause, if you have any, why (names) minor(s) should not be declared free from parental custody and control (*for the purpose of placement for adoption) as requested in the petition. The presence of the minor children is required by statute. *Strike this portion if not applicable. You are advised that if the parent(s) are present at the time and place above stated the judge will read the petition and, if requested, may explain the effect of the granting of the petition and, if requested, the judge shall explain any term or allegation contained therein and the nature of the proceeding, its procedures and possible consequences and may continue the matter for not more than 30 days for the appointment of counsel or to give counsel time to prepare. The court may appoint counsel to represent the minor whether or not the minor is able to afford counsel. If any parent appears and is unable to afford counsel, the court shall appoint counsel to represent each parent who appears unless such representation is knowingly and intelligently waived. If you wish to seek the advice of an attorney in this matter, you should do so promptly so that your pleading, if any, may be filed on time. Clerk of the Superior Court Date: by , Deputy This citation was called in open court at the date and time noted above with / without response. Clerk of the Superior Court by , Deputy SDSC CIV-036 (Rev. 11/13) CITATION FOR FREEDOM FROM PARENTAL CUSTODY AND CONTROL (See reverse side for Proof of Service) Fam. Code §§ 7880, 7881 & 7882 Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com CHILD'S NAME CASE NUMBER PROOF OF SERVICE OF CITATION (FOR FREEDOM FROM PARENTAL CUSTODY AND CONTROL) (Use separate proof of service for each person served) 1. I served the person cited (name): With the citation and petition as follows: a. by serving (1) Person cited. (2) Person and title or relationship to person cited (name, etc.): Delivery at home business (1) date: (2) time: (3) address: c. Mailing: (1) date: (2) place: (3) address: 2. Manner of service: (check proper box) a. Personal Service By personally delivering copies (Code Civ. Proc. § 415.10). b. Substituted service on natural person, minor, incompetent or candidate By leaving copies at the dwelling house usual place of abode usual place of business of the person cited in the presence of (name): who was informed of the general nature of the papers, and thereafter mailing by first class mail, postage prepaid, copies to the person cited at the place where the copies were left (Code Civ. Proc. § 415.20(b)). (Attach separate declaration or affidavit stating acts relied on to establish reasonable diligence in first attempting personal service.) Mail and acknowledgment service By mailing by first-class mail copies to the person cited together with two copies of the form Notice and Acknowledgment of Receipt (JC Form #POS-015) and a return envelope, postage prepaid, addressed to the sender (Code Civ. Proc. 415.30). (Attach completed Acknowledgment of Receipt form.) Return receipt requested mail service by mailing to address outside California, with return receipt requested, copies to the person cited (Code Civ. Proc. § 415.40). (Attach signed return receipt or other evidence of actual delivery to the person served.) Other-Code Civ. Proc. § 413.10, 413.30. (Attach separate page if necessary): Additional page is attached. 3. At the time of service I was at least 18 years of age and not a party to this case. 4. Fee for service: $ 5. Name, address and telephone number of person serving: a. b. Not a registered California process server (Code Civ. Proc.§ 417.40) Registered: County, Number: California sheriff (1) Title: (2) County: and exempt (Bus. & Prof. Code § 22350) b. c. d. e. c. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: Type or print name PROOF OF SERVICE OF CITATION Signature SDSC CIV-036 (Rev. 11/13) Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com