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;

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
To keep other people from
seeing what you entered on
After filling out this form, bring it to the clerk of the court. If you want to keep
your form, please press the
an address or telephone number confidential, do not write the information on
Clear This Form button at the
this form. Instead, fill out Form JV-322, Confidential Information—Prospective
end of the form when finished.
Adoptive Parent.
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:
Telephone number: (
)
e.
2
If you are not a person in
, fill out below.
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:
d. Telephone number of child’s attorney: (
)
4
The child is 10 years of age or older. Child’s telephone number:
or
Telephone number is confidential.
The child has lived with the person from
(date):
to the present.
5
In order for the person in
1
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
should not file this form with the court until a Welfare and Institutions Code section 366.26
1
hearing has been scheduled.
7
The person in
is committed to adopting the child.
1
JV-321,
Page 1 of 2
Judicial Council of California, www.courts.ca.gov
Request for Prospective Adoptive
Revised July 1, 2010, Mandatory Form
Parent Designation
Welfare and 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
To keep other people from
seeing what you entered on
After filling out this form, bring it to the clerk of the court. If you want to keep
your form, please press the
an address or telephone number confidential, do not write the information on
Clear This Form button at the
this form. Instead, fill out Form JV-322, Confidential Information—Prospective
end of the form when finished.
Adoptive Parent.
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:
Telephone number: (
)
e.
2
If you are not a person in
, fill out below.
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:
d. Telephone number of child’s attorney: (
)
4
The child is 10 years of age or older. Child’s telephone number:
or
Telephone number is confidential.
The child has lived with the person from
(date):
to the present.
5
In order for the person in
1
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
should not file this form with the court until a Welfare and Institutions Code section 366.26
1
hearing has been scheduled.
7
The person in
is committed to adopting the child.
1
JV-321,
Page 1 of 2
Judicial Council of California, www.courts.ca.gov
Request for Prospective Adoptive
Revised July 1, 2010, Mandatory Form
Parent Designation
Welfare and Institutions Code, §§ 366.24, 366.26(n)
Cal. Rules of Court, rule 5.726
Case Number:
Child’s name:
8
The person in
1
has (check all that apply):
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 prospective adoptive parent
Taken other steps toward adopting the child (explain):
j.
If you need more space, attach a sheet of paper and write “JV-321, Item 8—Steps Toward Adoption” at
Number of pages attached:
the top.
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
JV-321,
Revised July 1, 2010
Request for Prospective Adoptive
Page 2 of 2
Parent Designation
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