Mendocino — MAD-170

Source: https://www.mendocino.courts.ca.gov/system/files/forms-and-filings/mad-170.pdf

SUPERIOR COURT OF CALIFORNIA, COUNTY OF MENDOCINO For Court Use Only UKIAH Courthouse TEN MILE Branch Court 100 North State Street 700 South Franklin Street Ukiah, CA 95482 Fort Bragg, CA 95437 In the matter of the Petition of:

Petitioner.

ORDER re: PETITION FOR AUTHORIZATION TO Case No. INSPECT ADOPTION and BIRTH RECORD INFORMATION and/or TO OBTAIN COPIES

The Court having reviewed all the attached records received from the State Department of Social Services and the foregoing verified petition, and find that good and compelling cause existed to review said records, now makes the following ORDER: ORDERED that the Petition is GRANTED and that the Bureau of Vital Statistics shall furnish Petitioner with a copy of the original birth record, upon payment of the fees required by law. OR ORDERED that the Petition is DENIED as exceptional circumstances and good cause has not been shown for the release or inspection of said documents.

ORDERED that the Petition is DENIED because no record was located. See attached letter from the
Department of Social Services.

ORDERED that the Petition is DENIED for the following reasons:

OR

The Court needs additional information to decide whether the petition should be granted. Petitioner and/or
Petitioner’s Attorney is directed to appear for Hearing regarding the petition on at
in Department of the above-stated branch of the
Mendocino County Superior court.

IT IS SO ORDERED.

Dated:

Hon. Judge of the Superior Court

MAD-170 (new 1225)