SJ-AD-004LocalFillable

Order Declaring Minor Free from Parental Custody and Control

San Joaquin Superior Court · Local Forms

Verified current as of July 19, 2026

This form is used to legally remove a minor child from their parents' or guardians' custody and declare the child independent of parental control, typically when the parents are unable or unwilling to care for the child. A person would need this form if they are a social worker, child protective services official, or someone seeking to establish that a child should be freed from parental authority so the child can be placed in foster care, with relatives, or prepared for emancipation.

This form has fillable fields — you can complete it directly in the viewer on the right.
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