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 PETITION FOR FREEDOM FROM PARENTAL CUSTODY AND CONTROL CASE NUMBER The petition of ___________________________________________ respectfully represents and alleges that the minor(s) listed below is/are a person(s) under the age of eighteen and that said person(s) is/are within the County of San Diego: Birth Names(s) of Child(ren) ____________________________________ ____________________________________ ____________________________________ ____________________________________ Date(s) of Birth ________________________ ________________________ ________________________ ________________________ City/State of Birth _______________________________ _______________________________ _______________________________ _______________________________ Petitioner(s) request(s) a judgment declaring the child(ren) free from the custody and control of ____________________________________________, pursuant to Fam. Code §: 7822 - Abandonment The child has been left without provision for the child's identification by the child's parent(s). The child has been left by the parent(s) named above in the care and custody of a non-parent for a period of six months without any provision for the child's support, or without communication from the parent(s), with the intent on the part of the parent(s) to abandon the child. The parent named above has left the child in the care and custody of the other parent for a period of one year without any provision for the child's support, or without communication from the parent, with the intent on the part of the parent to abandon the child. 7823 - The child has been neglected or cruelly treated by the parent(s) named above, the child has been a dependent of the juvenile court, and the parent(s) have been deprived of the child's custody for one year before the filing of this petition. 7824 - The parent(s) named above suffer a disability because of the habitual use of alcohol or drugs, the child has been a dependent of the juvenile court, and the parent(s) have been deprived of the child's custody for one year before the filing of this petition. 7825 - The parent(s) named above are convicted of a felony, the facts of which are of such a nature so as to prove the unfitness of the parent(s) to have the future custody and control of the child. 7826 - The parent(s) named above have been declared by a court of competent jurisdiction to be developmentally disabled or mentally ill and have been certified to be incapable of supporting or controlling the child in a proper manner. 7827 - The parent(s) named above are mentally disabled and are likely to remain so in the foreseeable future. Additional facts in support of allegations: It is in the best interest of the child(ren) to be declared free from the custody and control of the above-named parent(s). SDSC JUV-245 (Rev. 2/13) PETITION FOR FREEDOM FROM PARENTAL CUSTODY AND CONTROL Fam. Code §§ 7800 - 7895 Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com WHEREFORE, petitioner(s) request(s) that this court inquire into such matter, and that said child(ren) be declared free from the custody and control of the above-named parent(s) as provided in Fam. Code § 7800 et seq, and for such other and further relief as the court may deem proper. Date: _____________________________ _____________________________________________ Signature of Petitioner _____________________________________________ Signature of Petitioner _____________________________________________ Signature of Petitioner's Attorney Date: _____________________________ Date: _____________________________ VERIFICATION I have read the foregoing petition and know the contents thereof. I declare that the same is true of my own knowledge, except as to those matters which are therein stated upon my information and belief, and, as to those matters I believe them to be true. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: ______________________________ _____________________________________________ Signature of Petitioner _____________________________________________ Signature of Petitioner Date: ______________________________ SDSC JUV-245 (Rev. 2/13) PETITION FOR FREEDOM FROM PARENTAL CUSTODY AND CONTROL Fam. Code §§ 7800 - 7895 Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com