ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):

FOR COURT USE ONLY

JV-305

FAX NO. (Optional):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF

                 TELEPHONE NO.:

E-MAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

CASE NAME:

CITATION FOR PUBLICATION UNDER WELFARE AND 
INSTITUTIONS CODE SECTION 294

CASE NUMBER:

1.   To (names of persons to be notified, if known, including names on birth certificate):

and anyone claiming to be a parent of (child's name):

born on (date):

at (name of hospital or other place of birth and city and state):

2.  A hearing will be held

on (date):

at (time):

in Dept.:

Room:

located at     

  court address above   

  other (specify address):

3.   At the hearing the court will consider the recommendations of the social worker or probation officer.

4.   The social worker or probation officer will recommend that your child be freed from your legal custody so that the child may be
      adopted. If the court follows the recommendation, all your parental rights to the child will be terminated.

5.   You have the right  to be present at the hearing, to present evidence, and you have the right to be represented by an
      attorney. If you do not have an attorney and cannot afford to hire one, the court will appoint an attorney for you.

6.   If the court terminates your parental rights, the order may be final.

7.   The court will proceed with this hearing whether or not you are present.

Date:

Clerk, by

, Deputy

Requests for Accommodations
Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter services are available if you ask at least five 
days before the proceeding.  Contact the clerk’s office or go to www.courtinfo.ca.gov/forms for Request for Accommodations by Persons With 
Disabilities and Response (form MC-410).  (Civil Code, § 54.8.)

Form Adopted for Mandatory Use 
Judicial Council of California 
JV-305 [Rev. January 1, 2007]

CITATION FOR PUBLICATION UNDER WELFARE 
AND INSTITUTIONS CODE SECTION 294

Page 1 of 1

Welfare and Institutions Code, § 294;
Cal. Rules of Court, rule 5.725
www.courtinfo.ca.gov