ADOPT-225 - Parent Of Indian Child Agrees To End Parental Rights

Summary

Parent Of Indian Child Agrees To End Parental Rights

Text

Form ID: ADOPT-225
Title: Parent Of Indian Child Agrees To End Parental Rights
Effective Date: 2005-01-01
Mandatory Form: yes
Info Page: https://selfhelp.courts.ca.gov/jcc-form/ADOPT-225
Primary Download URL: https://www.courts.ca.gov/documents/adopt225.pdf
Form Detail Page:
Parent Of Indian Child Agrees To End Parental Rights
(ADOPT-225)
Tells the court that the parent of an Indian Child agrees with the adoption request and agrees to end their parental rights.  Once completed, this form must be attached to the Adoption Request (ADOPT-200).
Get form ADOPT-225
Effective: January 1, 2005
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PDF Text:
Judicial Council of California, www.courts.ca.gov 
Rev. January 1, 2005, Mandatory Form 
25 U.S.C. § 1913
Parent of Indian Child Agrees 
to End Parental Rights
ADOPT-225 Parent of Indian Child Agrees 
to End Parental Rights
Clerk stamps date here when form is filed.
Fill in court name and street address:
Superior Court of California, County of
Case Number:
1 I want my child to be adopted by (name(s)):
a.
b.
Their relationship to Indian child: (Check all that apply)
Related to child (specify):
Members of child’s tribe Indian parents
None of the above
2 The parent(s) in   1 meet do not meet    the placement
preference requirements of the Indian Child Welfare Act.
3 Indian child (name):
Date of birth: Age:
Child’s tribe(s):
Enrollment #:
Check here if you do not know the enrollment #.
4 Your name:
Mother Father (Check only one. Each parent fills out a separate form.)
Your address (skip this if you have a lawyer):
City: State: Zip:
Phone #: Your tribe(s): Enrollment #:
Check here if you do not know the enrollment #.
Your lawyer (if you have one): (Name, address, phone #, and State Bar #):
5 I am the parent in  1   and I understand and say:
a. I agree to give up my parental rights.
b. I agree to the adoption of my child by the parent(s) listed in  1  .
c. I understand what will happen when I sign this form.
d. No one has threatened me or made promises to me to get me to sign this form.
e. I understand that until the judge signs an Adoption Order (ADOPT-215) or an order to end my parental rights, I 
can change my mind and my child will be returned to me.
f. I want the court to let me know if the adoption is canceled so I can ask the court to give custody of my child 
back to me. The court will give the custody of my child back to me if the judge decides it is in my child’s best 
interest.
g. I do not give up any of my rights under the Indian Child Welfare Act by signing this form.
h. My child was at least 10 days old when I signed this form.
i. I understand that notice of the adoption request will be sent to any Indian tribe of which my child may be a 
member or eligible for membership.
ADOPT-225, Page 1 of 2

For your protection and privacy, please press the Clear 
button after you have printed the form.
Rev. January 1, 2005
Parent of Indian Child Agrees 
to End Parental Rights
Your name:
Case Number:
6 Indian child’s biological Indian grandmothers (names; include maiden names if you know them):
Date:
Type or print your name
 Signature of Indian parent
Judge’s Certification
I, Judge ,
Superior Court of California, County of , certify
This form was completed in writing and recorded before me.
I fully explained the terms and consequences to (name of parent):
The parent fully understood the terms and consequences.
The parent speaks English or used an interpreter at the hearing.
Certified:
Date:
Judge (or Judicial Officer)
ADOPT-225, Page 2 of 2

Retrieval chunks

• #1

  Form ID: ADOPT-225 Title: Parent Of Indian Child Agrees To End Parental Rights Effective Date: 2005-01-01 Mandatory Form: yes Info Page: https://selfhelp.courts.ca.gov/jcc-form/ADOPT-225 Primary Download URL: https://www.courts.ca.gov/documents/adopt225.pdf Form Detail Page: Parent Of Indian Child Agrees To End…

• #2

  back to me. The court will give the custody of my child back to me if the judge decides it is in my child’s best interest. g. I do not give up any of my rights under the Indian Child Welfare Act by signing this form. h. My child was at least 10 days old when I signed this form. i. I understand that notice of the a…