JUV-279 (Rev.12/18) REQUEST FOR DISMISSAL - ADOPTIONS Code Civ. Proc. 247 581 Optional Form Fam. Code 247247 8719-8720;8804-8805;8916-8917; 9006 ATTORNEY OR PARTY WITHOUT ( Name, state bar number, and address) : TELEPHONE NO.: FAX NO.: ATTORNEY FOR (Name): FOR COURT USE ONLY SUPERIOR COURT OF CA CENTRAL DIVISION, JUVENILE COURT, 2851 MEADOW LARK DR., SAN DIEGO, CA 92123 NORTH COUNTY DIVISION, 325 S. MELROSE DR., VISTA, CA 9208 1 In The Matter of the Adoption of A MINOR REQUEST FOR DISMISSAL - ADOPTIONS CASE NO.: Petitioner: Probation Officer/Social Worker: Requests the court to dismiss the above-entitled matter as follows: Adoption Request Petition for Freedom from Parental Custody and Control Petition for Termination of Parental Rights Other: With prejudice Without prejudice Date: Signature ORDER The request for dismissal in the above-entitled matter is approved. The clerk is ordered to enter the dismissal as requested. Set a hearing. Date: Judge of the Superior Court Dismissal entered as ordered on Hearing set: Attorney/requesting party notified California Department of Social Services notified HHSA notified Clerk of the Superior Court Date: by , Deputy American LegalNet, Inc. www.FormsWorkFlow.com