JV-327

Prospective Adoptive Parent 
Designation Order

Clerk stamps date here when form is filed.

1

This order was made:
a.

On the court’s own motion
At the request of                                 
(name):  
(relationship to the child):  
The request was made:

Orally at the hearing held on (date):

b.

c.

(1)

(2)

The court finds and orders: 

The child’s current caregiver or caregivers
(name):  
(name):  

In writing by filing Form JV-321, Request for Prospective 
Adoptive Parent Designation, on (date):

Fill in court name and street address:

Superior Court of California, County of

2

3

4

Fill in child's name and date of birth:

Child's Name:

Date of Birth:

Fill in case number:

Case Number:

is           are    designated as the child’s prospective adoptive 

parent or parents because:
a.

The child has lived with the caregiver or caregivers for at least 
six months
The child’s permanent plan is tribal customary adoption, and the 
tribe has identified the caregiver or caregivers as the child’s 
prospective adoptive parent or parents
The caregiver or caregivers currently express a commitment to 
adopting the child and
The caregiver or caregivers have taken at least one step to 
facilitate the adoption.

b.

c.

d.

The child’s current caregiver or caregivers
(name):  

(name):  

      does         do    not qualify as the prospective adoptive parent or parents of the child, and the request for 
designation as the prospective adoptive parent or parents is denied, because: 

The child has not lived with the caregiver or caregivers for at least six months.
The caregiver or caregivers do not currently express a commitment to adopting the child.
The caregiver or caregivers have not taken any steps to facilitate the adoption.

Other (explain):

The court thinks that the request for designation as a prospective adoptive parent will be contested or wants 
more evidence on the request, and orders a hearing on the request. 
The hearing will be on (date):                             at (time):                      a.m.         p.m. 
in Department                             of the superior court located at: 

a.
b.
c.

d.

Date:

Judicial Council of California, www.courts.ca.gov 
Revised July 1, 2010, Mandatory Form
Welfare and Institutions Code, §§ 366.24, 366.26(n)
Cal. Rules of Court, rule 5.726

Prospective Adoptive Parent 
Designation Order

JV-327, Page 1 of 1

Judge (or Judicial Officer)