San Joaquin — Petition to Obtain Unsealed Birth Certificate

Source: https://www.sjcourts.org/sites/default/files/forms/2026-02/PETITION-TO-OBTAIN-UNSEALED-BIRTH-CERTIFICATE-FILLABLE.pdf

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

TELEPHONE NO.:

EMAIL ADDRESS:

ATTORNEY FOR:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN JOAQUIN 180 East Weber Avenue, Suite #413 Stockton, CA 95202

IN THE MATTER OF THE PETITION OF:

PETITION TO OBTAIN ORIGINAL UNSEALED AND CASE NUMBER:
UNREDACTED BIRTH CERTIFICATE

To request a copy of original birth certificate, complete this form and attach a copy of a valid photo identification or driver’s license.

I, , am the Petitioner in the above-entitled matter and declare as

follows:

1. My permanent residence address is: ,

   in the City of , County of , State of California.

2. a. I am the adoptee.

   b. I am related to the adoptee as
   (explain relationship to adoptee)

3. San Joaquin County is the residence of the adoptee OR the county wherein the Order of

   Adoption was granted.

4. The adoptee’s date of birth is and place of birth is . (day, month, year) (city, state)

5. I the adoptee was adopted by ,
   (name of adoptive parents)

   on or about , in the City of , County of , (day, month, year) State of .

6. I respectfully request permission to obtain a copy of the original birth certificate of the named adoptee for the

   following reasons (set forth good and compelling reasons or good cause approaching the necessitous):

   See attachment #6, attached hereto.

SJ-FL-006 (Optional) PETITION TO OBTAIN ORIGINAL UNSEALED AND Health & Safety Code §102705 (Revised 3/28/22) UNREDACTED BIRTH CERTIFICATE Family Code §9200

7. Attached is the VS-111 and a check made payable to CDPH Vital Records.

   VERIFICATION

I am the Petitioner in the above matter. I have read the foregoing Petition and know the contents thereof. I declare

that the same is true of my own knowledge, except as to those matters which are therein stated upon my information

and believe, 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.

Executed on , at (date) (city, state)

SIGN

(Print Name of Petitioner) (Signature of Petitioner)

SJ-FL-006 (Optional) PETITION TO OBTAIN ORIGINAL UNSEALED AND Health & Safety Code §102705 (Revised 03/28/22) UNREDACTED BIRTH CERTIFICATE Family Code §9200