Child’s name after adoption:
Age:Date of birth:
Name of adoption agency (if any):
Div.:Dept.: Judicial Officer:Rm.:
Parent keeping parental rights:
If there are more names, attach a sheet of paper, write “ADOPT-215, Item 5” at the top, and list the
additional names and each person’s relationship to child.
The judge finds that the child
(check all that apply):
Judge will fill out section below.
Your name (adopting parent(s)):
Relationship to child:
Lawyer (if any): (Name, address, telephone number, and State
Daytime telephone number:
People present at the hearing:
Place of birth (if known):
Clerk’s office telephone number:
The judge has reviewed the report and other documents and evidence and finds that each adopting parent:
Will support and care for the child
Has a suitable home for the child and
Agrees to adopt the child
Is at least 10 years older than the child or
meets the criteria in Fam. Code, § 8601(b)
Will treat the child as his or her own
Clerk stamps date here when form is filed.
Fill in court name and street address:
Superior Court of California, County of
Court fills in case number when form is filed.
Other people present (list each name and relationship to child):
Lawyer for adopting parent(s)
Is 12 or older and agrees to the adoption
Is under 12
This is a tribal customary adoption and the child’s consent is not required.
ADOPT-215, Page 1 of 2
Judicial Council of California, www.courts.ca.gov
Revised July 1, 2013, Mandatory Form
Family Code, §§ 8601.5, 8612, 8714, 8714.5,
8900, 8900.5, 8902, 8912, 9000;
Welfare and Institutions Code, § 366.24;
Cal. Rules of Court, rule 5.730