Form EM-100 at a glance
What it is: Form EM-100 is the Petition for Declaration of Emancipation of Minor, in which, under 2. a., you request that the court declare you to be emancipated.
Who signs: Enter the Date and sign at (SIGNATURE).
You are a resident of or temporarily domiciled in this county.
You are managing your own financial affairs; you have completed your declaration of income and expenses on form EM-115 and attached it to this petition.
No part of your income comes from any activity that is a crime under the laws of the State of California or of the United States.
A filled-in Form EM-100 example: a minor petitions for emancipation
How to fill out Form EM-100, box by box
Your name and address
Enter your name and your address.
Your age and date of birth
You are at least 14 years of age; enter your date of birth.
Living apart and since when
You are willingly living separate and apart from your parents or legal guardian, with the consent of your parents or legal guardian; enter the date you have been living apart from them since.
Your mother, father or legal guardian
Enter your mother's name and her address, your father's name and his address, and, if you have a legal guardian, your guardian's name and your guardian's address. Her consent to your emancipation is attached, or notice to her should not be required because you state reasons; the same applies to him and to your guardian.
Another person entitled to notice
For another person entitled to notice, enter this person's name and this person's address. This person's consent to your emancipation is attached, or notice to this person should not be required because you state reasons.
Dependent child or ward of the Juvenile Court
If you are a dependent child or a ward of the Juvenile Court, enter the County, the case number (if known) and the name of the social worker or probation officer. His or her consent is attached.
Signing under penalty of perjury
You declare under penalty of perjury that the declaration is true and correct and that this declaration is executed at the place you enter, California.
Enter the Date and sign at (SIGNATURE).
Sources
[1] Form EM-100 (Rev. September 1, 2018), Judicial Council of California (the Official source link on this page).