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 DR., SAN DIEGO, CA 92123 NORTH COUNTY DIVISION, 325 S. MELROSE DR., SUITE 130,VISTA, CA 92081 IN THE MATTER OF THE PETITION OF ORDER WAIVING NOTICE AND TERMINATING PARENTAL RIGHTS CASE NUMBER The petition of __________________________________ for an order waiving notice and an order terminating the parental rights of the alleged father, _________________________________, of _______________________________, a minor, was heard on ______________, ex parte without an appearance. The Health and Human Services Agency has filed a report concluding that the father of the child is _______________________________ and his whereabouts are unknown. Notice to ________________________________________ is waived, his parental rights are terminated and his consent is not required for the adoption of ____________________________________. IT IS SO ORDERED. Date: ________________________ __________________________________________ Judge of the Superior Court SDSC JUV-251 (New 9/12) ORDER WAIVING NOTICE AND TERMINATING PARENTAL RIGHTS Fam. Code § 7667 American LegalNet, Inc. www.FormsWorkFlow.com