Form Approved for Optional Use Petition to Determine Parental Rights of Alleged Natural Father Page 1 of 2
L-0479 (Rev. February 3, 2014)
and to Determine Necessity of Consent (Family Code Section 7662)
NAME, ADDRESS AND TEL. OF ATTORNEY OR PARTY WITHOUT ATTORNEY
ATTORNEY FOR ATTORNEY BAR #
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE
341 THE CITY DRIVE
P.O. BOX 14171
ORANGE, CA 92863-1571
IN THE MATTER OF THE ADOPTION PETITION OF:
________________________________________________
________________________________________________
Adopting Parent(s)
Petition to Determine Parental Rights of
Alleged Natural Father and to Determine Necessity of Consent
(Family Code Section 7662)
CASE NUMBER:
The petitioner(s) _________________________________________________________________respectfully
represent(s) and allege(s):
1. That the minor child involved in these proceedings is ______________________________________ , born on
________________________ . Said minor is presently within the County of Orange, State of California, in the
custody of ____________________________________ , for the purpose of adoption.
2. That petitioner is a person or representative of an agency described in § 7662 of the Family Code as a party
authorized to file this petition, to wit: _______________________________________________ .
3. That _______________________________________________________ is the mother of said minor.
4. a. G That the minor’s mother was married at the time said minor was born.
b. G That minor’s mother was not married at the time minor was born, nor for 300 days proceeding such birth.
5. That the natural father of said minor is _________________________________________________________ , who
resides at __________________________________________________________________________________ .
6. a. G That the minor’s mother and said father did not cohabit.
b. G That the minor’s mother and said father cohabited for the period from ________________________ to
___________________________ .
7. That the minor’s mother and said father did not attempt to marry each other before or after the birth of said child.
8. That the father did not openly hold out the child as his natural child and receive it as such into his home.
9. That no child support payments, other than in token amounts, have been made by said father, voluntarily, or
pursuant to court order, to petitioner or any other person for the support of said minor, and he has failed to
communicate with said minor.
10. That no action has been brought, nor is any action pending for the purpose of having declared the existence or non-
existence between the parties of the relation of parent and child.
11. (If father is unknown): That the facts concerning the conception are_____________________________________
__________________________________________________________________________________________ .
12. That the father does / does not know about my pregnancy.
13. The father, to my knowledge, is / is not presently in the Armed Services.
14. (Any further relevant facts):
(over)
