ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY
TELEPHONE NO.: FAX NO. (Optional):
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF IMPERIAL
939 W. MAIN STREET
EL CENTRO, CA 92243
PETITIONER:
RESPONDENT:
APPLICATION AND ORDER FOR INVESTIGATION
CASE NUMBER:
(Stepparent Adoption, Family. Code Section 9001)
Petitioner, ____________________, hereby requests an order directing the Court Mediator to
conduct an investigation of this case, and file a report including recommendation with the court,
on or before
___________________________________.
(within 60 days)
ORDER
GOOD CAUSE APPEARING, THEREFORE, IT IS THE FOR COURT USE ONLY
ORDER OF THE COURT
The Court Mediator shall conduct an investigation, and timely
file a report including recommendation with the court. The
report ☐will ☐will not include a home study of petitioner’s
home (Family Code, Section 9001(c)).
Absent a waiver, petitioner shall bear the cost of the
investigation report up to $700 (Family Code, Section 9002).
Dated: _______________ ____________________________________
Judge of the Superior Court
Form Adopted for Mandatory Use
AD-01 (Adopted 01/01/09,
Revised 01/01/12, 01/01/13) APPLICATION AND ORDER FOR INVESTIGATION