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Here is the text we could read:

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.

Case Number:

ADOPT-215 Adoption Order

1 Adopting parent(s)

a. Name:
b. Name:
Relationship to child:
Street address:
City:
Daytime telephone number:
Lawyer (if any) (name, address, telephone number, e-mail address,
and State Bar number):

State:

Zip:

2 Information about the child

Child’s name after adoption:
First name:
Middle name:
Last name:
Date of birth:
Place of birth (if known):
City:

3 Name of adoption agency (if any):

4 Hearing details
Hearing date:
Judicial officer:
People present at the hearing:

Age:

State:

Country:

Dept.:

Div.:

Rm.:

Clerk’s office telephone number:

Lawyer for adopting parent(s)
Child’s lawyer

Adopting parent(s)
Child
Parent keeping parental rights:
Other people present (list each name and relationship to child):
a.
b.

If there are more names, attach a sheet of paper, write “ADOPT-215, Item 4” at the top, and list the
additional names and each person’s relationship to child.

The hearing is waived pursuant to Family Code section 9000.5 (Check this box only if this is an adoption confirming
parentage of a parent who was married to or in a state-registered domestic partnership, including a registered domestic
partnership or civil union from another jurisdiction, with the legal parent at the time the child was born.)

Judge will fill out section below.

5 The judge finds that the child (check all that apply):

a.
b.
c.

Is 12 or older and agrees to the adoption
Is under 12
Is not required to consent because this is a tribal customary adoption.

Judicial Council of California,
Rev. January 1, 2021, Mandatory Form
Family Code, §§ 8601.5, 8612, 8714, 8714.5,
8900, 8900.5, 8902, 8912, 9000, 9000.5;
Welfare and Institutions Code, § 366.24;
Cal. Rules of Court, rule 5.730

Adoption Order

ADOPT-215, Page 1 of 2

Your name:

Case Number:

6 The judge has reviewed the report and other documents and evidence and finds that each adopting parent:

Is at least 10 years older than the child or
meets the criteria in Fam. Code, § 8601(b);

b. Will treat the child as their own;

c. Will support and care for the child;
d. Has a suitable home for the child; and
e. Agrees to adopt the child.

This case is an adoption by a relative petitioned under Family Code section 8714.5.

The adopting relative

The child, who is 12 or older,

has requested that the child’s name

before adoption be listed on this order. (Fam. Code, § 8714.5(g).) The child’s name before adoption was:
First name:

Middle name:

Last name:

The child is an Indian child. The judge finds that this adoption meets the placement requirements of the
Indian Child Welfare Act or that there is good cause to give preference to these adopting parents. The clerk
will fill out below.
The judge approves the Contact After Adoption Agreement ( )
As amended on ADOPT-310

As submitted

This is a tribal customary adoption. The tribal customary adoption order of the

tribe dated containing pages and attached hereto is fully incorporated into this order of adoption.

This is an adoption under the Hague Adoption Convention. Verification of Compliance with Hague Adoption
Convention Attachment (form ADOPT-216) is attached and fully incorporated into this order.
This is an adoption involving an additional parent or parents.
agreed to this adoption and will maintain their existing parental rights.
parental rights, signed by both the existing parent(s) and the adopting parent(s), was filed with the court.

All persons with existing parental rights
An agreement waiving termination of

13 The judge believes the adoption is in the child’s best interest and orders this adoption.

The child’s name after adoption will be:

First name:
The adopting parent or parents and the child are now parent and child under the law, with all the rights and duties
of the parent-child relationship or, in the case of a tribal customary adoption, all the rights and duties set out in the
tribal customary adoption order and Welfare and Institutions Code section 366.24.

Middle name:

Last name:

The judge believes it will serve public policy and the best interest of the child to grant the request of the
adopting parent or parents for the court to make this order effective as of (date): .

Date:

(Date of Signature)

Clerk will fill out section below.

Judge (or Judicial Officer)

14 Clerk’s Certificate of Mailing

For the adoption of an Indian child, the clerk certifies:
I am not a party to this adoption. I placed a filed copy of:

Adoption Request (form ADOPT-200)
Adoption Order (form ADOPT-215)

Adoption of Indian Child (form ADOPT-220)
Contact After Adoption Agreement (form ADOPT-310)

in a sealed envelope, marked “Confidential” and addressed to:

Chief, Division of Social Services
Bureau of Indian Affairs
1849 C Street, NW
Mail Stop 310-SIB
Washington, DC 20240

The envelope was mailed by U.S. mail, with full postage, from:
Place:
Date:

Clerk, by:

Rev. January 1, 2021

Adoption Order

on (date):

, Deputy

ADOPT-215, Page 2 of 2

Adoption Order

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): 76
Average fields per page: 38
Reading Level: Grade 7
LIST Grouping(s): FA-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.

page_stamp_court_case_info_ft was ADOPT-215[0].Page1[0].Stamp_court_case[0].CourtInfo_ft[0] (0.58 conf)
page_stamp_court_case_number was ADOPT-215[0].Page1[0].Stamp_court_case[0].CaseNumber_ft[0] (0.39 conf)
adop_page_list_l_parent was ADOPT-215[0].Page1[0].List1[0].LI1[0].ParentA[0] (0.40 conf)
adop_page_list_l_parent_b was ADOPT-215[0].Page1[0].List1[0].LI1[0].ParentB[0] (0.40 conf)
page_list_l_relation_child_ft was ADOPT-215[0].Page1[0].List1[0].LI1[0].RelationChild_ft[0] (0.40 conf)
adop_page_list_l_street_ft was ADOPT-215[0].Page1[0].List1[0].LI1[0].Street_ft[0] (0.42 conf)
adop_page_list_l_city_ft was ADOPT-215[0].Page1[0].List1[0].LI1[0].City_ft[0] (0.41 conf)
adop_page_list_l_state_ft was ADOPT-215[0].Page1[0].List1[0].LI1[0].State_ft[0] (0.41 conf)
adop_page_list_l_zip_ft was ADOPT-215[0].Page1[0].List1[0].LI1[0].Zip-ft[0] (0.42 conf)
adop_page_list_l_phone_ft was ADOPT-215[0].Page1[0].List1[0].LI1[0].Phone_ft[0] (0.41 conf)
page_list_l_state_bar_ft was ADOPT-215[0].Page1[0].List1[0].LI1[0].StateBar_ft[0] (0.41 conf)
adop_page_list_l_multi_line_field_atty_ft was ADOPT-215[0].Page1[0].List1[0].LI1[0].MultiLine_Field[0].Atty_ft[0] (0.43 conf)
page_list_l_child_new_name was ADOPT-215[0].Page1[0].List2[0].LI1[0].ChildNewName_ft[0] (0.39 conf)
page_list_l_first_name_ft__1 was ADOPT-215[0].Page1[0].List2[0].LI1[0].FirstName_ft[0] (0.41 conf)
adop_page_list_l_mid_name_ft__1 was ADOPT-215[0].Page1[0].List2[0].LI1[0].MidName_ft[0] (0.42 conf)
page_list_l_last_name_ft__1 was ADOPT-215[0].Page1[0].List2[0].LI1[0].LastName_ft[0] (0.41 conf)
adop_page_list_l_bdate_dt was ADOPT-215[0].Page1[0].List2[0].LI1[0].Bdate_dt[0] (0.43 conf)
adop_page_list_l_age_ft was ADOPT-215[0].Page1[0].List2[0].LI1[0].Age_ft[0] (0.43 conf)
adop_page_list_l_place_ft__1 was ADOPT-215[0].Page1[0].List2[0].LI1[0].Place_ft[0] (0.41 conf)
page_list_l_child_city_ft was ADOPT-215[0].Page1[0].List2[0].LI1[0].ChildCity_ft[0] (0.37 conf)
page_list_l_child_state_ft was ADOPT-215[0].Page1[0].List2[0].LI1[0].ChildState_ft[0] (0.42 conf)
page_list_l_child_country_ft was ADOPT-215[0].Page1[0].List2[0].LI1[0].ChildCountry_ft[0] (0.35 conf)
adop_page_list_l_agency_ft was ADOPT-215[0].Page1[0].List3[0].LI1[0].Agency_ft[0] (0.48 conf)
adop_page_list_l_hearting_dt was ADOPT-215[0].Page1[0].List4[0].LI1[0].Hearting_dt[0] (0.43 conf)
adop_page_list_l_dept_ft was ADOPT-215[0].Page1[0].List4[0].LI1[0].Dept_ft[0] (0.43 conf)
adop_page_list_l_div_ft was ADOPT-215[0].Page1[0].List4[0].LI1[0].Div_ft[0] (0.39 conf)
adop_page_list_l_rm_ft was ADOPT-215[0].Page1[0].List4[0].LI1[0].Rm_ft[0] (0.42 conf)
page_list_l_judicial_officer was ADOPT-215[0].Page1[0].List4[0].LI1[0].JudicialOfficer[0] (0.41 conf)
adop_page_list_l_clerk was ADOPT-215[0].Page1[0].List4[0].LI1[0].Clerk[0] (0.43 conf)
adop_page_list_l_check_box__1 was ADOPT-215[0].Page1[0].List4[0].LI1[0].CheckBox1[0] (0.44 conf)
adop_page_list_l_check_box__2 was ADOPT-215[0].Page1[0].List4[0].LI1[0].CheckBox2[0] (0.44 conf)
adop_page_list_l_check_box__3 was ADOPT-215[0].Page1[0].List4[0].LI1[0].CheckBox3[0] (0.44 conf)
adop_page_list_l_checkbox was ADOPT-215[0].Page1[0].List4[0].LI1[0].Checkbox4[0] (0.43 conf)
adop_page_list_l_check_box__4 was ADOPT-215[0].Page1[0].List4[0].LI1[0].CheckBox5[0] (0.44 conf)
page_list_l_parent_right_ft was ADOPT-215[0].Page1[0].List4[0].LI1[0].ParentRight_ft[0] (0.39 conf)
adop_page_list_l_check_box__5 was ADOPT-215[0].Page1[0].List4[0].LI1[0].CheckBox6[0] (0.44 conf)
adop_page_list_l_ft was ADOPT-215[0].Page1[0].List4[0].LI1[0].a\._ft[0] (0.41 conf)
adop_page_list_l_b_ft was ADOPT-215[0].Page1[0].List4[0].LI1[0].b_ft[0] (0.41 conf)
adop_page_list_l_check_box__6 was ADOPT-215[0].Page1[0].List4[0].LI1[0].CheckBox7[0] (0.44 conf)
adop_page_list_l_check_box__7 was ADOPT-215[0].Page1[0].List5[0].LI1[0].CheckBox8[0] (0.44 conf)
adop_page_list_l_check_box__8 was ADOPT-215[0].Page1[0].List5[0].LI2[0].CheckBox9[0] (0.44 conf)
adop_page_list_l_check_box__9 was ADOPT-215[0].Page1[0].List5[0].LI3[0].CheckBox10[0] (0.44 conf)
page_p_e_header_grp_name was ADOPT-215[0].Page2[0].PE_P2Header\.grp[0].YourName[0] (0.46 conf)
page_p_e_grp_case_number was ADOPT-215[0].Page2[0].PE_P2Header\.grp[0].CaseNumber_ft[0] (0.46 conf)
adop_page_list_l_check_box__10 was ADOPT-215[0].Page2[0].List7[0].LI1[0].CheckBox1[0] (0.44 conf)
adop_page_list_l_relative_child_cb__1 was ADOPT-215[0].Page2[0].List7[0].LI1[0].RelativeChild_cb[0] (0.40 conf)
adop_page_list_l_relative_child_cb__2 was ADOPT-215[0].Page2[0].List7[0].LI1[0].RelativeChild_cb[1] (0.40 conf)
page_list_l_first_name_ft__2 was ADOPT-215[0].Page2[0].List7[0].LI1[0].BeforeFirstName_ft[0] (0.40 conf)
adop_page_list_l_mid_name_ft__2 was ADOPT-215[0].Page2[0].List7[0].LI1[0].BeforeMidName_ft[0] (0.40 conf)
page_list_l_last_name_ft__2 was ADOPT-215[0].Page2[0].List7[0].LI1[0].BeforeLastName_ft[0] (0.40 conf)
adop_page_list_l_check_box__11 was ADOPT-215[0].Page2[0].List8[0].LI1[0].CheckBox[0] (0.44 conf)
adop_page_list_l_check_box__12 was ADOPT-215[0].Page2[0].List9[0].LI1[0].CheckBox3[0] (0.44 conf)
adop_page_list_l_adopt_cb__1 was ADOPT-215[0].Page2[0].List9[0].LI1[0].adopt310_cb[0] (0.41 conf)
adop_page_list_l_adopt_cb__2 was ADOPT-215[0].Page2[0].List9[0].LI1[0].adopt310_cb[1] (0.41 conf)
adop_page_list_l_check_box__13 was ADOPT-215[0].Page2[0].List10[0].LI1[0].CheckBox[0] (0.44 conf)
adop_page_list_l_order_ft was ADOPT-215[0].Page2[0].List10[0].LI1[0].order_ft[0] (0.41 conf)
adop_page_list_l_tribe_dt was ADOPT-215[0].Page2[0].List10[0].LI1[0].TribeDt_dt[0] (0.36 conf)
adop_page_list_l_number_ft was ADOPT-215[0].Page2[0].List10[0].LI1[0].Number_ft[0] (0.43 conf)
adop_page_list_l_check_box__14 was ADOPT-215[0].Page2[0].List11[0].LI1[0].CheckBox5[0] (0.44 conf)
adop_page_list_l_check_box__15 was ADOPT-215[0].Page2[0].List12[0].LI1[0].CheckBox6[0] (0.44 conf)
adop_page_list_l_check_box__16 was ADOPT-215[0].Page2[0].List12[0].LI1[0].CheckBox7[0] (0.44 conf)
adop_page_list_l_check_box__17 was ADOPT-215[0].Page2[0].List12[0].LI1[0].CheckBox8[0] (0.44 conf)
page_list_l_first_name_ft__3 was ADOPT-215[0].Page2[0].List13[0].LI1[0].AdptFirstName_ft[0] (0.41 conf)
page_list_l_mid_name_ft was ADOPT-215[0].Page2[0].List13[0].LI1[0].AdptMidName_ft[0] (0.42 conf)
page_list_l_last_name_ft__3 was ADOPT-215[0].Page2[0].List13[0].LI1[0].AdptLastName_ft[0] (0.41 conf)
adop_page_list_l_check_box__18 was ADOPT-215[0].Page2[0].List13[0].LI1[0].CheckBox9[0] (0.44 conf)
adop_page_list_l_date_dt was ADOPT-215[0].Page2[0].List13[0].LI1[0].Date1_dt[0] (0.43 conf)
adop_page_sign_sub_date_dt was ADOPT-215[0].Page2[0].SignSub[0].Date_dt[0] (0.39 conf)
adop_page_list_l_check_box__19 was ADOPT-215[0].Page2[0].List14[0].LI1[0].CheckBox10[0] (0.44 conf)
adop_page_list_l_check_box__20 was ADOPT-215[0].Page2[0].List14[0].LI1[0].CheckBox11[0] (0.44 conf)
adop_page_list_l_check_box__21 was ADOPT-215[0].Page2[0].List14[0].LI1[0].CheckBox12[0] (0.44 conf)
adop_page_list_l_check_box__22 was ADOPT-215[0].Page2[0].List14[0].LI1[0].CheckBox13[0] (0.44 conf)
adop_page_list_l_place_ft__2 was ADOPT-215[0].Page2[0].List14[0].LI1[0].Place_ft[0] (0.41 conf)
page_list_l_mail_date_dt was ADOPT-215[0].Page2[0].List14[0].LI1[0].MailDate_dt[0] (0.42 conf)
page_list_l_clerk_date_dt was ADOPT-215[0].Page2[0].List14[0].LI1[0].ClerkDate_dt[0] (0.39 conf)
adop_page_list_l_clerk_ft was ADOPT-215[0].Page2[0].List14[0].LI1[0].Clerk_ft[0] (0.43 conf)

We've done our best to group similar variables togther to avoid overwhelming the user.

Suggested Screen 0:

page_stamp_court_case_info_ft
page_stamp_court_case_number
adop_page_list_l_parent
adop_page_list_l_parent_b
page_list_l_relation_child_ft
adop_page_list_l_street_ft
adop_page_list_l_city_ft
adop_page_list_l_state_ft
adop_page_list_l_zip_ft
adop_page_list_l_phone_ft
page_list_l_state_bar_ft
adop_page_list_l_multi_line_field_atty_ft
page_list_l_child_new_name
page_list_l_first_name_ft__1
adop_page_list_l_mid_name_ft__1
page_list_l_last_name_ft__1
adop_page_list_l_bdate_dt
adop_page_list_l_age_ft
adop_page_list_l_place_ft__1
page_list_l_child_city_ft
page_list_l_child_state_ft
page_list_l_child_country_ft
adop_page_list_l_agency_ft
adop_page_list_l_hearting_dt
adop_page_list_l_dept_ft
adop_page_list_l_div_ft
adop_page_list_l_rm_ft
page_list_l_judicial_officer
adop_page_list_l_clerk
adop_page_list_l_check_box__1
adop_page_list_l_check_box__2
adop_page_list_l_check_box__3
adop_page_list_l_checkbox
adop_page_list_l_check_box__4
page_list_l_parent_right_ft
adop_page_list_l_check_box__5
adop_page_list_l_ft
adop_page_list_l_b_ft
adop_page_list_l_check_box__6
adop_page_list_l_check_box__7
adop_page_list_l_check_box__8
adop_page_list_l_check_box__9
page_p_e_header_grp_name
page_p_e_grp_case_number
adop_page_list_l_check_box__10
adop_page_list_l_relative_child_cb__1
adop_page_list_l_relative_child_cb__2
page_list_l_first_name_ft__2
adop_page_list_l_mid_name_ft__2
page_list_l_last_name_ft__2
adop_page_list_l_check_box__11
adop_page_list_l_check_box__12
adop_page_list_l_adopt_cb__1
adop_page_list_l_adopt_cb__2
adop_page_list_l_check_box__13
adop_page_list_l_order_ft
adop_page_list_l_tribe_dt
adop_page_list_l_number_ft
adop_page_list_l_check_box__14
adop_page_list_l_check_box__15
adop_page_list_l_check_box__16
adop_page_list_l_check_box__17
page_list_l_first_name_ft__3
page_list_l_mid_name_ft
page_list_l_last_name_ft__3
adop_page_list_l_check_box__18
adop_page_list_l_date_dt
adop_page_sign_sub_date_dt
adop_page_list_l_check_box__19
adop_page_list_l_check_box__20
adop_page_list_l_check_box__21
adop_page_list_l_check_box__22
adop_page_list_l_place_ft__2
page_list_l_mail_date_dt
page_list_l_clerk_date_dt
adop_page_list_l_clerk_ft

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

Adoption Order

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