SUPERIOR COURT OF CALIFORNIA COUNTY OF SANTA CRUZ Juvenile Division Watsonville Branch 1 Second Street Watsonville, CA 95076 FOR COURT USE ONLY CASE NAME: TERMINATION OF PARENTAL RIGHTS - JUVENILE CASE NUMBER: Form Adopted for OPTIONAL USE Superior Court of Santa Cruz County SUPCV 1031 11 / 02 / 18 TERMINATION OF PARENTAL RIGHTS Page 1 of 1 SUP CV 1 031 TO: Department of Child Support Services 420 May Avenue Santa Cruz, CA 95060 1. A petition regarding the child(ren) below has been filed in juvenile court. Date of Birth Sex 2. Parental rights were terminated on regarding: (Date) MOTHER Name: Date of Birth: Social Security Number: FATHER Name: Date of Birth: Social Security Number: Date: JUDGE OF THE JUVENILE COURT American LegalNet, Inc. www.FormsWorkFlow.com