Form EM-109 Notice of Hearing - Emancipation of Minor - California

Form EM-109 or the "Notice Of Hearing '- Emancipation Of Minor" is a form issued by the California Courts.

Download a PDF version of the Form EM-109 down below or find it on the California Courts Forms website.

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EM-109
ATTORNEY OR PARTY WITHOUT ATTORNEY
STATE BAR NUMBER:
FOR COURT USE ONLY
NAME:
FIRM NAME:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
TELEPHONE NO.:
FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
IN THE MATTER OF (name):
Petitioner, a minor
NOTICE OF HEARING—EMANCIPATION OF MINOR
CASE NUMBER:
CONSENT AND WAIVER OF NOTICE
1.
The minor (name):
has filed a petition asking the court
to declare the minor an EMANCIPATED MINOR. If the petition is granted, the minor will be considered to be over the age of
majority for purposes set forth in California Family Code section 7050.
2.
A HEARING for the court to consider the petition will be held:
in Dept.:
Room:
on (date):
at (time):
TO PARENTS:
IF THE PETITION IS GRANTED, THE MINOR, THE MINOR'S REPRESENTATIVE, OR THE DISTRICT ATTORNEY MAY LATER
PETITION THE COURT TO RESCIND THE DECLARATION OF EMANCIPATION AND YOU MAY BE LIABLE FOR SUPPORT AND
MEDICAL COVERAGE FOR THE MINOR.
Date:
PETITIONER
CLERK
(TYPE OR PRINT NAME)
CONSENT AND WAIVER OF NOTICE
The undersigned give up the right to notice of a hearing on the Petition for Declaration of Emancipation, and consent to a declaration
of emancipation without a hearing.
a.
Mother:
Dated:
Signature:
Address:
Telephone number:
b.
Father:
Dated:
Signature:
Address:
Telephone number:
c.
Legal guardian:
Signature:
Dated:
Address:
Telephone number:
d.
Social worker:
Probation officer:
Signature:
Dated:
Address:
Telephone number:
e.
District attorney:
Signature:
Dated:
Address:
Telephone number:
Page 1 of 1
Form Adopted for Mandatory Use
Family Code, § 7000 et seq.
NOTICE OF HEARING—EMANCIPATION OF MINOR
Judicial Council of California
EM-109 [Rev. September 1, 2018]
For your protection and privacy, please press the Clear
This Form button after you have printed the form.
Print this form
Save this form
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EM-109
ATTORNEY OR PARTY WITHOUT ATTORNEY
STATE BAR NUMBER:
FOR COURT USE ONLY
NAME:
FIRM NAME:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
TELEPHONE NO.:
FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
IN THE MATTER OF (name):
Petitioner, a minor
NOTICE OF HEARING—EMANCIPATION OF MINOR
CASE NUMBER:
CONSENT AND WAIVER OF NOTICE
1.
The minor (name):
has filed a petition asking the court
to declare the minor an EMANCIPATED MINOR. If the petition is granted, the minor will be considered to be over the age of
majority for purposes set forth in California Family Code section 7050.
2.
A HEARING for the court to consider the petition will be held:
in Dept.:
Room:
on (date):
at (time):
TO PARENTS:
IF THE PETITION IS GRANTED, THE MINOR, THE MINOR'S REPRESENTATIVE, OR THE DISTRICT ATTORNEY MAY LATER
PETITION THE COURT TO RESCIND THE DECLARATION OF EMANCIPATION AND YOU MAY BE LIABLE FOR SUPPORT AND
MEDICAL COVERAGE FOR THE MINOR.
Date:
PETITIONER
CLERK
(TYPE OR PRINT NAME)
CONSENT AND WAIVER OF NOTICE
The undersigned give up the right to notice of a hearing on the Petition for Declaration of Emancipation, and consent to a declaration
of emancipation without a hearing.
a.
Mother:
Dated:
Signature:
Address:
Telephone number:
b.
Father:
Dated:
Signature:
Address:
Telephone number:
c.
Legal guardian:
Signature:
Dated:
Address:
Telephone number:
d.
Social worker:
Probation officer:
Signature:
Dated:
Address:
Telephone number:
e.
District attorney:
Signature:
Dated:
Address:
Telephone number:
Page 1 of 1
Form Adopted for Mandatory Use
Family Code, § 7000 et seq.
NOTICE OF HEARING—EMANCIPATION OF MINOR
Judicial Council of California
EM-109 [Rev. September 1, 2018]
For your protection and privacy, please press the Clear
This Form button after you have printed the form.
Print this form
Save this form
Clear this form

Download Form EM-109 Notice of Hearing - Emancipation of Minor - California

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