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Free California Adopt 215 Adoption Order Form - PDF Form Download

California Adopt 215 Adoption Order Form Overall rating: ☆☆☆☆☆ 0 based on 0 reviews
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California ADOPT-215 Adoption Order is a legal tool intended to grant the adoption of a child and the subject. The document requires various inputs about the adopting parent/s and the nature of the adoption.


Read this document carefully to understand the provisions and select only as appropriate. Furnish particulars accurately and avoid errors and cancellations. Keep the form legible after completion of the filling of all particulars.

You may need to complete and submit ADOPT-200 Adoption Request, ADOPT-220 Adoption of Indian Child and ADOPT-310 Contact After Adoption Agreement as applicable in addition to Form ADOPT-215 Adoption Order in support of various provisions and orders requiring passing.


The form has 12 sections requiring your input. Mark your choices in appropriate boxes as and when necessary. Section 13 is reserved for the inputs by the clerk.

Leave the space for the date stamp blank and proceed to furnishing court’s name, address, and the case number if available.

Step 1: Provide your name/s as adopting parent in 1a and 1b. Mention your relationship with the child. Furnish your street address, city, state, and zip code in the respective spaces offered in form 215. Please enter your daytime phone number with area code. Provide your name, address, telephone number along with the State Bar Number of the lawyer if any in space provided for the same.

Step 2: Provide the name of the child after the adoption. Inputs required are first name, middle name, and last name, date of the birth, age of the child, place of the birth, city, state, and country.

Step 3: Specify the name of the adoption agency if any involved in the adoption of the child.

Step 4: Provide particulars of the hearing date, Department, Division, RM, Judicial Officer’s name, and telephone number of the clerk’s office.

Step 5: Mark appropriate boxes to denote the presence of the people during the hearing. Specify the name/s of parent/s with parental rights attending the hearing. Furnish names of other people in 5a and 5b if any attending the hearing. You can attach a separate sheet to continue furnishing the names of other people. However, the sheet must carry “ADOPT-215, Item 5” at the top.

Step 6: Section 6 to 12 are reserved for the observations, recordings, and decisions by the judge. However, mention your name and the case number on the foremost portion of page 2 of form 215. Date and the signature of the judge or the judicial officer are required below the section 12.

Step 7: Section 13, Clerk’s Certificate of Mailing requires input by the clerk in the case of the adoption of an Indian child. Required particulars are selection of choices of forms enclosed, place, date, and signature.

California Adopt 215 Adoption Order

Text Version of the Form

———————– Page 1———————–

ADOPT-215 Adoption Order Clerk stamps date here when form is filed.

1 Your name (adopting parent):
a.
b.
Relationship to child:
Street Address:
City: State: Zip:
Daytime telephone number: ( )

Lawyer (if any): (Name, address, telephone number, and State
Bar number): Fill in court name and street address:

Superior Court of California, County of

2 Child’s name after adoption:
First Name:
Fill in case number if known:
Middle Name: Case Number:

Last Name:

Date of birth: Age:
Place of birth:
City: State: Country:

3 Name of adoption agency (if any):

4 Hearing date:
Dept.: Div.: Rm.: Judicial Officer:
Clerk’s office telephone number: ( )

5 People present at the hearing:
Adopting parents Lawyer for adopting parents
Child Child’s lawyer
Parent keeping parental rights:
Other people present (list each name and relationship to child):
a.
b.

If there are more names, attach a sheet of paper, write “ADOPT-215, Item 5” at the top, and list the
additional names and each person’s relationship to child.

Judge will fill out section below.

6 The judge finds that the child (check all that apply):
a. Is 12 or older and agrees to the adoption
b. Is under 12
c. This is a tribal customary adoption and the child’s consent is not required.

Judicial Council of California, www.courts.ca.gov Adoption Order ADOPT-215, Page 1 of 2
Revised January 1, 2011, Mandatory Form
Family Code, §§ 8612, 8714, 8714.5, 8902, 8912, 9000;
Welfare and Institutions Code, § 366.24;
Cal. Rules of Court, rule 5.730

———————– Page 2———————–

Case Number:

Your name:

7 The judge has reviewed the report and other documents and evidence and finds that each adopting parent:
a. Is at least 10 years older than the child d. Has a suitable home for the child and
b. Will treat the child as his or her own e. Agrees to adopt the child
c. Will support and care for the child

8 This case is a relative adoption petitioned under Family Code section 8714.5.
The adopting relative The child, who is 12 or older, has requested that the child’s name
before adoption be listed on this order. (Fam. Code, § 8714.5(g).)
The child’s name before adoption was:
First Name: Middle Name: Last Name:

9 The child is an Indian child. The judge finds that this adoption meet s the placement requirements of the

Indian Child Welfare Act and that there is good cause to give preference to these adopting parents. The clerk
will fill out 13 below.

10 The judge approves the Contact After Adoption Agreement (ADOPT-310)
As submitted As amended on ADOPT-310

11 This is a tribal customary adoption, The tribal customary adoption order of the

tribe dated containing pages and attached hereto is fully incorporated into this order of adoption.

12 The judge believes the adoption is in the child’s best interest and orders this adoption.
The child’s name after adoption will be:
First Name: Middle Name: Last Name:

The adopting parent or parents and the child are now parent and child under the law, with all the rights and duties
of the parent-child relationship or, in the case of a tribal customary adoption, all the rights and duties set out in the
tribal customary adoption order and Welfare and Institutions Code section 366.24.

Date:
Judge (or Judicial Officer)

Clerk will fill out section below.

13 Clerk’s Certificate of Mailing
For the adoption of an Indian child, the Clerk certifies:
I am not a party to this adoption. I placed a filed copy of:

ADOPT-200, Adoption Request ADOPT-220, Adoption of Indian Child
ADOPT-215, Adoption Order ADOPT-310, Contact After Adoption Agreement

in a sealed envelope, marked “Confidential” and addressed to:
Chief, Division of Social Services
Bureau of Indian Affairs
1849 C Street, NW
Mail Stop 310-SIB
Washington, DC 20240
The envelope was mailed by U.S. mail, with full postage, from:

Place: on (date):

Date: Clerk, by: , Deputy

Revised January 1, 2011 Adoption Order ADOPT-215, Page 2 of 2

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