Form 13-21908-360 ORDER ON PETITION TO OBTAIN ORIGINAL Health & Saf. Code §102705
Rev 08/18/16 UNSEALED/UN-REDACTED BIRTH CERTIFICATE Family Code §8619, 9200
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
TELEPHONE NO.: FAX NO.:
EMAIL ADDRESS:
ATTORNEY FOR (Name):
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
IN THE MATTER OF:
ORDER ON PETITION TO OBTAIN ORIGINAL UNSEALED/UN-REDACTED
BIRTH CERTIFICATE
CASE NUMBER:
After reviewing the verified petition, the court finds good and compelling cause therefore, permission is hereby
granted that the above named petitioner to obtain a copy of the original birth certificate, unsealed and/or un-redacted.
The petition to obtain original unsealed/un-redacted birth certificate is denied.
The clerk is directed to set the petition for a hearing on __________________________________________________
at _____________________ in department _______________________________ located at the above entitled court.
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Date: ___________________________ ____________________________________________________
Judicial Officer of the Superior Court