The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02

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Here is the text we could read:

ATTORNEY OR PARTY WITHOUT ATTORNEY

STATE BAR NUMBER:

FOR COURT USE ONLY

EM-100

NAME:

FIRM NAME:

STREET ADDRESS:

CITY:

TELEPHONE 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):

STATE:

FAX NO.:

ZIP CODE:

PETITION FOR DECLARATION OF EMANCIPATION OF MINOR

ORDER DENYING PETITION

CASE NUMBER:

ORDER PRESCRIBING NOTICE

DECLARATION OF EMANCIPATION

Petitioner, a minor

2.
3.

My name:
My address:
I am a resident of or temporarily domiciled in this county.
I request that the court declare me to be emancipated.
a.
b.

I am at least 14 years of age and my date of birth is:
I am willingly living separate and apart from my parents or legal guardian, with the consent of my parents or legal guardian. I
have been living apart from them since
I am managing my own financial affairs. I have completed my declaration of income and expenses on form EM-115 and
attached it to this petition.
No part of my income comes from any activity that is a crime under the laws of the State of California or of the United States.

(date):

d.
My mother's name is:
Her address is:

My father's name is:
His address is:

Her consent to my emancipation is attached.
Notice to her should not be required because (state reasons):

His consent to my emancipation is attached.
Notice to him should not be required because (state reasons):
I have a legal guardian.

My guardian's name is:
My guardian's address is:

This person's name is:
This person's address is:

My guardian's consent to my emancipation is attached.
Notice to my guardian should not be required because (state reasons):
Other person entitled to notice.

This person's consent to my emancipation is attached.
Notice to this person should not be required because (state reasons):
I am a

dependent child

[probation] ward of the Juvenile Court of

Case number (if known):
social worker
My
His / her consent is attached.

probation officer is (name):

(place):

Date:

County.

I declare under penalty of perjury that the foregoing is true and correct and that this declaration is executed at

, California.

Form Adopted for Mandatory Use
Judicial Council of California
EM-100 [Rev. September 1, 2018]

PETITION FOR DECLARATION OF EMANCIPATION OF MINOR,
ORDER PRESCRIBING NOTICE, DECLARATION OF
EMANCIPATION, AND ORDER DENYING PETITION

(SIGNATURE)

Page 1 of 2

Family Code § 7000, et seq.
www.courts.ca.gov.

NAME OF MINOR

CASE NUMBER:

EM-100

The court finds that
a.

The addresses of the following are unknown.

All persons entitled to notice of this proceeding have consented to the emancipation and waived notice of hearing.

ORDER PRESCRIBING NOTICE

(1)

(2)

(3)

Father

Mother

Legal guardian

Other (specify):

Notice to the following persons cannot or should not be given:

10.

IT IS ORDERED that notice of this proceeding

is not required. The declaration of emancipation may proceed without hearing.

is required to the following persons:

(1)

(2)
(3)

Father

Mother
Legal guardian

Juvenile Court of
for service on social worker or probation officer

County

(4)

(5)

Legal guardian

This matter is set for hearing on (date):

at (time):

in (dept.):

DECLARATION OF EMANCIPATION WITHOUT HEARING
(Only if the court has ordered item 10a above.)

(JUDGE OF THE SUPERIOR COURT)

The court finds that the petitioner is a person described by Family Code section 7120. All notice requirements have been met or
waived by the court. Emancipation is not contrary to the best interests of the child.
THE PETITION IS GRANTED. THE PETITIONER IS DECLARED TO BE EMANCIPATED FOR PURPOSES SET FORTH IN
FAMILY CODE SECTION 7050 ET SEQ.

The court finds that the petition on its face fails to establish that the petitioner is a person described by Family Code section 7120.
THE PETITION IS DENIED.

ORDER DENYING PETITION

(JUDGE OF THE SUPERIOR COURT)

Date:

[SEAL]

CLERK'S CERTIFICATE
(Of Declaration of Emancipation)
I certify that the foregoing is a true and correct copy of the original on file in my office.

(JUDGE OF THE SUPERIOR COURT)

Date:

Clerk, by

EM-100 [Rev. September 1, 2018]

PETITION FOR DECLARATION OF EMANCIPATION OF MINOR,
ORDER PRESCRIBING NOTICE, DECLARATION OF
EMANCIPATION, AND ORDER DENYING PETITION

, Deputy

Page 2 of 2

Petition for Declaration of Emancipation of Minor, Order Prescribing Notice, Declaration of Emancipation, and Order Denying Petition

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the California state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from selfhelp.courts.ca.gov (2023-03)
Page(s): 2
Fields(s): 84
Average fields per page: 42
Reading Level: Grade 7
LIST Grouping(s): CO-00-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

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page_caption_court_info_add was topmostSubform[0].Page1[0].Caption[0].CourtInfo[0].MailingAdd_ft[0] (0.44 conf)
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topmost_subform_page_caption_atty_info_phone_ft was topmostSubform[0].Page1[0].Caption[0].AttyInfo[0].Phone_ft[0] (0.38 conf)
topmost_subform_page_caption_atty_info_fax_ft was topmostSubform[0].Page1[0].Caption[0].AttyInfo[0].Fax_ft[0] (0.40 conf)
topmost_subform_page_caption_atty_info_email_ft was topmostSubform[0].Page1[0].Caption[0].AttyInfo[0].Email_ft[0] (0.40 conf)
topmost_subform_page_caption_atty_info_ft was topmostSubform[0].Page1[0].Caption[0].AttyInfo[0].AttyFor_ft[0] (0.38 conf)
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topmost_page_date_field__3 was topmostSubform[0].Page2[0].DateField1[0] (0.40 conf)
topmost_page_date_field__4 was topmostSubform[0].Page2[0].DateField1[1] (0.40 conf)
topmost_page_date_field__5 was topmostSubform[0].Page2[0].DateField1[2] (0.40 conf)
topmost_page_date_field__6 was topmostSubform[0].Page2[0].DateField1[3] (0.40 conf)
topmost_subform_page_nine__1 was topmostSubform[0].Page2[0].NineA[0] (0.39 conf)
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topmost_subform_page_nine_b__3 was topmostSubform[0].Page2[0].NineB3[0] (0.39 conf)
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topmost_subform_page_nine__2 was topmostSubform[0].Page2[0].NineD[0] (0.39 conf)
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We've done our best to group similar variables togther to avoid overwhelming the user.

Suggested Screen 0:

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Petition for Declaration of Emancipation of Minor, Order Prescribing Notice, Declaration of Emancipation, and Order Denying Petition

About This Form:

Identified Data Fields:

Create an Interactive Version of this Form:

The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02