Revocation of all verbal and written Consents

May 16, 2023

Enter Name

Enter Address

Date

Hon. [ENTER NAME]

San Bernardino Juvenile Dependency Court

860 East Gilbert Street San Bernardino,

CA 92415

Phone: 909-269-8900

Fax: 909-269-8910

RE: Revocation of all verbal and written Consents

Respectfully,

The undersigned makes this letter with reference to Case No. [Enter Case Number]. The undersigned hereby revokes any and all oral and written consents made to the social worker in the aforesaid Case.  

Thank you for your prompt consideration.

Respectfully,

__________

Enter Name

Enter Name

Enter Address

Date

Hon. [ENTER NAME]

San Bernardino Juvenile Dependency Court

860 East Gilbert Street San Bernardino,

CA 92415

Phone: 909-269-8900

Fax: 909-269-8910

RE: Revocation of all verbal and written Consents

Respectfully,

The undersigned makes this letter with reference to Case No. [Enter Case Number]. The undersigned hereby revokes any and all oral and written consents made to the social worker in the aforesaid Case.  

Thank you for your prompt consideration.

Respectfully,

__________

Enter Name

Enter Name

Enter Address

Date

Hon. [ENTER NAME]

San Bernardino Juvenile Dependency Court

860 East Gilbert Street San Bernardino,

CA 92415

Phone: 909-269-8900

Fax: 909-269-8910

RE: Revocation of all verbal and written Consents

Respectfully,

The undersigned makes this letter with reference to Case No. [Enter Case Number]. The undersigned hereby revokes any and all oral and written consents made to the social worker in the aforesaid Case.  

Thank you for your prompt consideration.

Respectfully,

__________

Enter Name

Enter Name

Enter Address

Date

Hon. [ENTER NAME]

San Bernardino Juvenile Dependency Court

860 East Gilbert Street San Bernardino,

CA 92415

Phone: 909-269-8900

Fax: 909-269-8910

RE: Revocation of all verbal and written Consents

Respectfully,

The undersigned makes this letter with reference to Case No. [Enter Case Number]. The undersigned hereby revokes any and all oral and written consents made to the social worker in the aforesaid Case.  

Thank you for your prompt consideration.

Respectfully,

__________

Enter Name

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