ATTORNEY OR PARTY WITHOUT ATTORNEY(Name, state bar number, and address): FOR COURT USE ONLY TELEPHONE NO.: ATTORNEY FOR (Name): FAX NOS.: SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO JUVENILE COURT, 2851 MEADOW LARK DR., SAN DIEGO, CA 92123-2792 NORTH COUNTY DIVISION, 325 S. MELROSE DR., VISTA, CA 92081-6643 In The Matter of for Freedom The Petition of : from Parental Custody and Control CASE NO.: REQUEST FOR DISMISSAL FREEDOM FROM PARENTAL CUSTODY AND CONTROL (CCP 581, Family Code section 7800 et. seq.) , attorney for: Probation Officer/Social Worker, requests the Court to dismiss the above-entitled matter as follows: 1. 2. With prejudice Without prejudice Entire action Petition only As to:* This disposes of all parties and causes of action. Date: Signature *If dismissal requested is of specified parties only, of specified causes of action only or of specified papers only, so state and identify the parties, or papers, to be dismissed. Title Consent to the above dismissal is given.** Date: Signature Attorney(s) for **Executed only when required by CCP 581(b)(2), 581(e) or 581(i). Type or print attorney(s) name(s) ORDER The request for dismissal in the above-entitled matter is approved. The clerk is ordered to enter the dismissal as requested. Date: Judge of the Superior Court Dismissal entered as ordered on Dismissal entered on Dismissal not entered as ordered because: Attorney/requested party notified on as to only Date: Clerk, by , Deputy SDSC CIV-35 (Rev. 4-03) REQUEST FOR DISMISSAL FREEDOM FROM PARENTAL CUSTODY AND CONTROL American LegalNet, Inc. www.FormsWorkflow.com