JV-479

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

TELEPHONE NO.: FAX NO. (Optional):

E-MAIL ADDRESS:
ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF

STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:

NONMINOR'S NAME:

CASE NUMBER:
ORDER OF ADOPTION OF NONMINOR DEPENDENT

1. Name(s) of prospective adoptive parent(s):

2. Name of nonnminor dependent:

3. a. Date of Hearing: Dept.:

b. Judicial Officer:
c. Present: Prospective adoptive parent(s) Attorney for prospective adoptive parent(s):
Nonminor dependent Attorney for nonminor dependent:
County counsel Social worker
Other (specify): Probation officer

4. Date and place of nonminor dependent's birth (specify):

5. The prospective adoptive parent(s) is or are married/registered domestic partner(s) single.

THE COURT FINDS AND ORDERS

6. Notice was given as required by law.

7. All consents required by law have been filed with the court.

8. The nonminor dependent and prospective adoptive parent(s) are present for the hearing.

9. The court has read and considered and admits into evidence
a. the adoption assessment report prepared by the social worker.
b. the adoption assessment report prepared by the probation officer.
c. other (specify):
d. other (specify):

10. The court has considered the wishes of the nonminor dependent.

11. The nonminor dependent is is not eligible for adoption assistance program benefits, and the prospective
adoptive parent(s) has/have has/have not signed a negotiated adoption assistance agreement, a copy of
which is attached to the report.

Page 1 of 2

Form Approved for Optional Use Welfare and Institutions Code, § 366.31(f)
Judicial Council of California
ORDER OF ADOPTION OF NONMINOR DEPENDENT www.courts.ca.gov
JV-479 [New October 25, 2013]
 JV-479
CASE NUMBER:
NONMINOR'S NAME:

12. The adoption is in the best interest of the nonminor dependent.

13. The prospective adoptive parent(s) and the nonminor dependent have mutually consented to the adoption, as evidenced by their
execution of the agreement of adoption dated (insert date): filed with the court.

14. The agency has provided all documents necessary to the nonminor dependent under Welfare and Institutions Code section 391(e).

15. Agreement of Adoption of Nonminor Dependent (form JV-475) is approved.

16. The nonminor dependent is now adopted by the adoptive parent(s), and the nonminor dependent and adoptive parent(s) will
assume toward each other the legal relationship of parent(s) and child and will have all of the rights and be subject to all of the
duties and responsibilities of that relationship.

17. The birth parents of the nonminor dependent are, from the time of the adoption, relieved of all parental duties toward, and
responsibility for, the adopted nonminor dependent and have no rights over the adopted nonminor dependent.

18. The nonminor dependent's name after adoption shall be (adoptee's full name, whether keeping original birth name or changing
name): .

19. The juvenile court's dependency delinquency transition jurisdiction over the nonminor dependent is
terminated.

Date:

(TYPE OR PRINT NAME) JUDICIAL OFFICER

JV-479 [New October 25, 2013] Page 2 of 2

ORDER OF ADOPTION OF NONMINOR DEPENDENT
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