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L1310 (The Superior Court of California - County of Orange)

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REQUEST FOR RELEASE OF CONFIDENTIAL ADOPTION AND/OR RELATED INFORMATION AND ORDER
L-1310 (Rev. 09/11) FC 9200
ATTORNEY OR PARTY (Name and Address): TELEPHONE NO.:
ATTORNEY FOR (NAME):
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE
STREET ADDRESS: 341 THE CITY DRIVE
MAILING ADDRESS: P.O. BOX 14171
CITY AND ZIP CODE: ORANGE, CA 92863-1571
Case Name:
REQUEST FOR RELEASE OF CONFIDENTIAL ADOPTION AND/OR RELATED
INFORMATION AND ORDER
Case Number:
(YOU MUST PROVIDE A VALID COPY OF YOUR GOVERNMENT ISSUED IDENTIFICATION WITH THIS REQUEST. NO FEE IS
REQUIRED.)
1. Case Number: _______________________________________
NOTE: If case number (starting with “A” or “AD”) is furnished, no need to complete items 4, 5, and 6 below.
2. Adopted name of child: ________________________________________________________________
3. Name of child prior to adoption: _________________________________________________________
4. Name of adoptive parents: ______________________________________________________________
5. Name of natural parents: _______________________________________________________________
6. Approximate date of adoption in Orange County: Month ____ Day ____ Year ____
7. Approximate birth date of child: Month ____ Day ____ Year ____
8. I am the: Adoptive father/mother Natural father/mother Adopted child
Other: ______________________________________________________
9. I desire: Certified copy of adoption decree
Other: ______________________________________________________
REQUEST FOR RELEASE OF CONFIDENTIAL ADOPTION AND/OR RELATED INFORMATION AND ORDER
L-1310 (Rev. 09/11) FC 9200
10. Name(s) of person(s) submitting request:
Present Name: ___________________________________________________________________________________
Former Name: ___________________________________________________________________________________
11. Telephone number of person making request: _________________________________________________________
12. STOP HERE if you are the adoptive parent, attorney of record, or an employee of the Social Services/Probation Dept.
13. If you are not a person listed on Item 12, the Clerk must have written authority of the Court before providing
information. The Court will not give such authorization except in “exceptional circumstances” (Family Code 9200)
Explain here the reason(s) you require the information requested: _________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Dated: _____________________, 20___. ___________________________________________
Signature
NOTE: In the case of request by adoptive parent, this signature will be compared with that in the adoption petition
before any release of information.
__________________________________________________________________________________________________
Based upon the circumstances outlined above, the court orders:
Authority is granted to the Clerk to release adoption information to the person requesting.
Request is denied.
Dated: ___________________________________ ___________________________________________
JUDGE OF THE SUPERIOR COURT
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L1310 (The Superior Court of California - County of Orange)

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Completed 8 February 2021

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