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 SAN BERNARDINO
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
IN THE MATTER OF PETITION OF:
CITATION - FREEDOM FROM PARENTAL CUSTODY AND CONTROL
CASE NUMBER:
THE PEOPLE OF THE STATE OF CALIFORNIA,
To__________________________________________________________________________________ and to all persons claiming to
be the father or mother of minor person(s) named _________________________________________________________________
By order of this Court you are hereby cited and advised that you may appear before the Judge Presiding in
Department_________,__________________________________________________________________________
Address of the above-entitled court on
______________________________________ ___at _________ am/pm of that day, then and there to show cause, if any you have,
why said person should not be declared free from the control of (his/her) (their) parents according to the petition on file herein.
If the Court finds that the interest of the minor(s) requires his or her protection, the Court shall appoint counsel to represent the
minor(s). Such counsel shall be appointed whether or not the minor(s) is able to afford counsel. If you appear without counsel and
are unable to afford counsel, the Court shall appoint counsel for you if you request appointed counsel.
The purpose of this action, to free the minor(s) from the custody of (his/her) (their) parent(s), is to permit the adoption of said
minor(s) to a suitable adopting parent.
The Court may continue these proceedings, not to exceed thirty (30) days, as necessary to appoint counsel and enable counsel to
become familiar with these proceedings.
Given under my hand and seal of the Superior Court of the County of San Bernardino, State of California, this ___________ day of
______________________________, _________.
Clerk, by ________ Clerk, by ____________________________________ , Deputy
SB-9003 ABF 13-9003-301 CITATION FREEDOM FROM PARENTAL CUSTODY AND CONTROL Family Code §7800
Revised 6/17/2016 Page 1 of 2
(SEAL)
PROOF OF SERVICE
1. At the time of service I was at least 18 years of age and not a party to this proceeding. I served copies of the Citation for
2. a. Person cited (name):________________________________________________
b. Person served: (1) person in item 2a
(2) other (specify name and title or relationship to the person named in item 2a): _____________________
___________________________________________________________________________________________
c. Address (specify): __________________________________________________________________________________________
3. I served the person named in item 2
a. by personally delivering the copies (1) on (date): ________________________ (2) at (time):______________________
b. by mailing the copies to the person served, addressed as shown in item 2c, by first-class mail, postage prepaid,
(1) on (date):____________________________ (2) from (city): ______________________________________
c. with two copies of the Notice and acknowledgement of Receipt-Civil and a postage-paid return envelope addressed to me.
(Attach completed Notice and Acknowledgement of Receipt-Civil (form POS-015).)
d. to an address outside California with return receipt requested. (Attach completed return receipt.)
e. other (specify other manner of service, and the authorizing code section and order of the court):____________________
__________________________________________________________________________________________________
4. a. Person serving (name, address, and telephone number):___________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
b. Fee for service: $_____________
c. Not a registered California process server.
d. Exempt from registration under Business and Professions Code section 22350(b)
e. Registered California process server.
f. Employee or independent contractor.
g. Registration No. (specify): ______________________________________________________________________
(1) County (specify): ______________________________________ (2) Expiration (date):______________________
5. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
6. I am a California Sheriff and I certify that the foregoing is true and correct.
Date: ________________________________________
(SIGNATURE OF PERSON SERVING)
SB-9003 ABF-13-9003-301 CITATION FREEDOM FROM PARENTAL CUSTODY AND CONTROL Page 2 of 2
Revised 4/6/2016
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