San Bernardino — SB-9006

Source: https://sanbernardino.courts.ca.gov/system/files/sb-9006.pdf

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY

TELEPHONE NO.: FAX NO.: EMAIL ADDRESS: ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME:

IN THE MATTER OF THE PETITION OF:

PETITION FOR DECLARING CHILD(REN) FREE FROM PARENTAL CASE NUMBER:
CUSTODY AND CONTROL

1. The petitioner(s) _________________________________________ respectfully represent(s) and allege(s) that the child(ren) listed below is/are a person(s) under the age of eighteen and that said person(s) is/are within the county of San Bernardino:

Name: ______________________________ Date of Birth: __ ___________ City/State of Birth_____________________

Name: ______________________________ Date of Birth _______________ City/State of Birth ____________________

2. Petitioner(s) request a judgment declaring the child(ren) free from the custody and control of:

______________________________________________________________________ pursuant to Family Code §:

Abandonment□7822

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 □The
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

parent named above has left the child in the care and custody of the other parent for a period of one □The
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

The parent(s) named above are convicted of a felony, the facts of which are of such a nature so as to prove the□7825

unfitness of the parent(s) to have the future custody and control of the child

The parent(s) named above have been declared by a court of competent jurisdiction, wherever situated, to be□7826

developmentally disabled or mentally ill

The parent(s) named above are mentally disabled and are likely to remain so in the foreseeable future□7827

SB-9006 PETITION DECLARING CHILD(REN) FREE FROM PARENTAL CUSTODY AND CONTROL Family Code §7800 Revised 6/24/2016 Page 1 of 2

Case Short Title: Case Number:

3. The names and addresses of parent(s), guardian and relative are:

Father: ____________________________________________________________________________________________

Mother: ___________________________________________________________________________________________

Guardian:__________________________________________________________________________________________

Relative(s):_________________________________________________________________________________________

Additional facts in support of allegations: (Give additional facts in detail, added pages may be used for this purpose)

is in the best interest of the child(ren) to be declared free from the custody and control of the above-named□It

parent(s).

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) are provided in Family Code § 7800 et seq, and for such other and further relief as the court may deem proper.

Date: ________________________ Print Name: __________________________________________ SIGN

Signature: ___________________________________________

Date: ________________________ Print Name: __________________________________________ SIGN

Signature: ___________________________________________

VERIFICATION

I am the petitioner(s) in the above-entitled matter; I have read the foregoing petition and know the contents thereof and that the same is true of my own knowledge except as to those matters which are therein stated upon information and belief, and as to those matters that I believe to be true.

I declare under penalty of perjury that the foregoing is true and correct.

Executed on ________________________ at ____________________________________________________, California

SIGN SIGN

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Signature of Petitioner Signature of Petitioner

SIGN

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Signature of Attorney for Petitioner

SB-9006 Family Code §7800 Revised 6/24/2016 Page 2 of 2