Form JV-321 "Request for Prospective Adoptive Parent Designation" - California

What Is Form JV-321?

This is a legal form that was released by the California Superior Court - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2010;
  • The latest edition provided by the California Superior Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form JV-321 by clicking the link below or browse more documents and templates provided by the California Superior Court.

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Download Form JV-321 "Request for Prospective Adoptive Parent Designation" - California

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Request for Prospective Adoptive
Clerk stamps date here when form is filed.
JV-321
Parent Designation
After filling out this form, bring it to the clerk of the court. If you want to keep
an address or telephone number confidential, do not write that information on
this form. Instead, include that information in Confidential Information—
Prospective Adoptive Parent (form JV-322).
1
Information about the person or persons you want to be designated as
prospective adoptive parents:
a.
Name:
Fill in court name and street address:
b.
Name:
Superior Court of California, County of
c.
Street address:
d.
City:
State:
Zip:
e.
Telephone number:
If you are not a person in
, fill out below.
2
1
Fill in child's name and date of birth:
a.
Name:
Child's Name:
b. I am the
child
child’s attorney
other
(specify role):
Date of Birth:
c.
Street address:
Fill in case number:
d.
City:
State:
Zip:
Case Number:
e.
Telephone number:
3
If you are not the child’s attorney and you know who the child’s attorney is, fill out below.
a.
Name of child’s attorney:
b.
Street address of child’s attorney:
c. City:
State:
Zip:
Telephone number of child’s attorney:
d.
4
The child is 10 years of age or older. Child’s telephone number:
or
Telephone number is confidential.
5
The child has lived with the person from (date):
to the present.
1
In order for the person in
to become a prospective adoptive parent, the child must be living with that person
now.
6
Date of Welfare and Institutions Code section 366.26 hearing:
The person in
1
should not file this form with the court until a Welfare and Institutions Code section 366.26
hearing has been scheduled.
7
The person in
is committed to adopting the child.
1
Request for Prospective Adoptive
Judicial Council of California, www.courts.ca.gov
JV-321,
Page 1 of 2
Rev. September 1, 2020, Mandatory Form
Parent Designation
Welfare & Institutions Code, §§ 366.24, 366.26(n)
Cal. Rules of Court, rule 5.726
Request for Prospective Adoptive
Clerk stamps date here when form is filed.
JV-321
Parent Designation
After filling out this form, bring it to the clerk of the court. If you want to keep
an address or telephone number confidential, do not write that information on
this form. Instead, include that information in Confidential Information—
Prospective Adoptive Parent (form JV-322).
1
Information about the person or persons you want to be designated as
prospective adoptive parents:
a.
Name:
Fill in court name and street address:
b.
Name:
Superior Court of California, County of
c.
Street address:
d.
City:
State:
Zip:
e.
Telephone number:
If you are not a person in
, fill out below.
2
1
Fill in child's name and date of birth:
a.
Name:
Child's Name:
b. I am the
child
child’s attorney
other
(specify role):
Date of Birth:
c.
Street address:
Fill in case number:
d.
City:
State:
Zip:
Case Number:
e.
Telephone number:
3
If you are not the child’s attorney and you know who the child’s attorney is, fill out below.
a.
Name of child’s attorney:
b.
Street address of child’s attorney:
c. City:
State:
Zip:
Telephone number of child’s attorney:
d.
4
The child is 10 years of age or older. Child’s telephone number:
or
Telephone number is confidential.
5
The child has lived with the person from (date):
to the present.
1
In order for the person in
to become a prospective adoptive parent, the child must be living with that person
now.
6
Date of Welfare and Institutions Code section 366.26 hearing:
The person in
1
should not file this form with the court until a Welfare and Institutions Code section 366.26
hearing has been scheduled.
7
The person in
is committed to adopting the child.
1
Request for Prospective Adoptive
Judicial Council of California, www.courts.ca.gov
JV-321,
Page 1 of 2
Rev. September 1, 2020, Mandatory Form
Parent Designation
Welfare & Institutions Code, §§ 366.24, 366.26(n)
Cal. Rules of Court, rule 5.726
Case Number:
Child’s name:
8
The person in
has (check all that apply):
1
a.
Applied for an adoptive home study.
b.
In a case in which tribal customary adoption is the permanent plan, been identified by the Indian child’s
tribe as the prospective adoptive parent.
c.
Cooperated with an adoptive home study.
d.
Signed an adoptive placement agreement.
e.
Requested de facto parent status.
f.
Been designated by the juvenile court or the licensed adoption agency as the adoptive parent.
g.
Discussed a postadoption contact agreement with the social worker, child’s attorney, child’s Court
Appointed Special Advocate (CASA) volunteer, adoption agency, or court.
h.
Worked to overcome any impediments that have been identified by the California Department of Social
Services or the licensed adoption agency.
i.
Attended any of the classes required of a prospective adoptive parent.
j.
Taken other steps toward adopting the child (explain):
If you need more space, attach a sheet of paper and write “JV-321, Item 8—Steps Toward Adoption” at the
top. Number of pages attached:
I declare under penalty of perjury under the laws of the State of California that the information in items 1 through 8 is true
and correct, which means if I lie on this form, I am committing a crime.
Date:
Type or print your name
Sign your name
Type or print your name
Sign your name
NOTICE
If you are not the child, child’s parent, or child’s legal guardian, you may have a right to challenge a decision by the
juvenile court, but only in very limited circumstances. You may need a court order granting you access to records in the
juvenile case file. For more information, please see Information on Requesting Access to Records for Persons With a
Limited Right to Appeal (form JV-291-INFO). You can get form JV-291-INFO at any courthouse or county law library
or online at www.courts.ca.gov/forms.
Request for Prospective Adoptive
Rev. September 1, 2020
JV-321,
Page 2 of 2
Parent Designation
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