Page 82 — Imperial — Local Rules July 2026

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

TELEPHONE NO.: FAX NO. (Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF IMPERIAL 939 W. Main Street El Centro, CA 92243

PETITIONER:

CASE NUMBER:

PETITION TO DECLARE MINOR FREE FROM PARENTAL CUSTODY AND CONTROL OF PARENT FOR STEPPARENT ADOPTION

Petitioner alleges:

Petitioner , is the stepfather/stepmother of the subject minor child ____________________________________, and seeks an order freeing the minor from custody and control of the father/mother ________ ____ , and termination of parental rights as to the minor.
Petitioner is seeking to adopt , and a Request for Adoption has been filed in the Superior Court of the County of Imperial.
, is an unmarried minor child and is a resident of

_______________, in Imperial County, California. 4. On or about , petitioner became the legal spouse of _______________________, the mother/father of the minor child. 5. Petitioner has known and now has physical custody of the minor since , and resides in ____________________, in Imperial County, California, as the legal spouse of ___________________. 6. The minor child’s father/mother has not contacted the minor child nor the minor child’s mother/father since . Based on the father’s/mother’s abandonment of the minor child, (Family Code 7882) petitioner requests the court terminate his/her parental rights to allow the minor child to be adopted by Petitioner:

WHEREFORE, Petitioner prays as follows:

For an order declaring the minor child, , free from custody and parental control of , and terminating all of his/her parental rights and responsibilities with respect to the minor child, ____________________________.
For such other relief as the court may deem proper.

Dated: (Petitioner)

Form Approved for Optional Use www.imperial.courts.ca.gov AD-03 (Adopted 01/01/12, PETITION TO DECLARE MINOR FREE FROM PARENTAL Revised 01/01/13) CUSTODY AND CONTROL OF PARENT FOR STEPPARENT ADOPTION