San Bernardino — 13-21910-360

Source: https://sanbernardino.courts.ca.gov/system/files/13-21910-360orderonpetitionforbirthrecordinformation.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 STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: IN THE MATTER OF:

ORDER ON PETITION FOR BIRTH RECORD INFORMATION CASE NUMBER:

After reviewing the verified petition and the records provided by California Department of Social Services, the court finds good and compelling cause is shown to grant the following orders:

clerk is ordered to furnish Petitioner with a copy of the following documents, upon payment of any fees required□The

by law: __________________________________________________________________________________________

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clerk is ordered to permit Petitioner to examine the following records: _________________________________□The

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Date: ___________________________ ____________________________________________________ Judicial Officer of the Superior Court

Form 13-21910-360 ORDER ON PETITION FOR BIRTH RECORD INFORMATION Health & Saf. Code §102705 Rev 08/10/16 Family Code §8619, 9200