Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Petition To Inspect Adoption Records And Order Thereon Form. This is a California form and can be use in Siskiyou Local County.
Tags: Petition To Inspect Adoption Records And Order Thereon, California Local County, Siskiyou
PETITION AND ORDER RE ADOPTION RECORDS (SC-AD-1)
Name:_______________________________
Address:____________________________
____________________________________
Telephone:__________________________
SUPERIOR COURT OF CALIFORNIA
FOR THE COUNTY OF SISKIYOU
In the Matter of the
Adoption of
_____________________________________,
)
)
)
)
(Name)
)
__________________________________________)
CASE NO._________________
PETITION TO INSPECT
ADOPTION RECORDS; AND
ORDER THEREON
Petitioner respectfully represents:
1.
I, _________________________, am the
___________________________________________
(Print Name of Petitioner)
2.
(Relationship to Parties in This Matter, if Any)
On _______________________, a decree of adoption was entered in this matter,
(Date)
decreeing ____________________________________________________________________
(Name of Adoptee)
to be the adopted child of ___________________________________________________.
(Name/s of Adoptive Parent/s)
3.
Other name/s by which the adoptee is or has been
known__________________________.
4.
For reasons set forth below, permission is hereby sought:
5.
to determine whether an action has been filed for the adoption of the
party named above.
to obtain a certified copy of the adoption decree.
to obtain an undeleted copy of the adoption file.
Reason for request:
Medical necessity (declaration attached).
Other extraordinary circumstances, and for good cause approaching the
necessitous (declaration attached).
Other:___________________________________________ (declaration attached).
WHEREFORE, petitioner prays for an order directing the clerk of the Court to
allow inspection and copying by petitioner of the confidential court records in
this matter, including the names of the birth parents.
Date:_____________________
__________________________________
PETITIONER
Mandatory Form
Rev. 7/1/04
PAGE 1 OF 2
American LegalNet, Inc.
www.FormsWorkFlow.com
LOCAL RULES OF THE SISKIYOU COUNTY SUPERIOR COURT
SC-AD-1, page 2
In Re the Adoption of:________________________________
No._____________________
Case
VERIFICATION
I,______________________________, am the petitioner in this proceeding. I have
read the foregoing petition and know the contents thereof. The same is true of my
own knowledge, except as to matters therein alleged on 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:________________________
___________________________________
PETITIONER
ORDER
Upon consideration of the Application above, and with good cause appearing,
permission is hereby granted to the above-named applicant to obtain the information
and the services hereinabove set forth. The Court finds that the requirements of
Family Code §9200 et.seq. have been met. The clerk of the Court is ordered to
permit the inspection and copying of the file as prayed, upon payment by petitioner
of the appropriate fees and costs.
Date:________________________
___________________________________
JUDGE OF THE SUPERIOR COURT
CLERK’S CERTIFICATION
The undersigned declares:
A search of the indices for adoption from ____________________ to
_________________ has been made by the clerk, who finds no records in this office
pertaining to the adoption of ______________________________.
CLERK OF THE SUPERIOR COURT
Siskiyou County, California
Date:________________________
By:_________________________________
Deputy
Mandatory Form
Rev. 7/1/04
PAGE 2 OF 2
American LegalNet, Inc.
www.FormsWorkFlow.com
