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FORMS - Surrogates Court Forms


Adoption Forms

The PDF version of these forms are FILLABLE. They can be filled out electronically, then printed.
They however can NOT be submitted online, or saved.

Form Number Title PDF DOC WPD
  Order of Child Protective Inquiry PDF DOC WPD
DOH-1928 Report of Adoption (to be completed and certified by the court) PDF - -
DOH-4455 Adoption Information Registry Birth Parent Registration Form PDF DOC WPD
LDSS-2725 NYS OCFS Request/Response for Name and/or address of Father of Child Born Out of Wedlock PDF DOC WPD
OCFS-3937 Request for Information - Private Adoption PDF - -
OCFS-4156 Order of Adoption PDF - -
UCS-836 Uniform Adoption - Attorney's Affidavit (Agency & Private Placement) PDF - -
1-A Petition For Adoption (Agency) PDF DOC WPD
1-B Verified Schedule (Agency) PDF DOC WPD
1-C Petition for Adoption (Private Placement) PDF DOC WPD
1-Ca Affidavit (Change of circumstance since certification as qualified adoptive parents) (Private Placement) PDF DOC WPD
1-D Child's Medical History PDF DOC WPD
1-E Affirmation Regarding Venue PDF DOC WPD
1-F Determination of Family Court Judge Regarding Venue PDF DOC WPD
1-G Order Regarding Venue PDF DOC WPD
2-A Agreement of Adoption & Consent (Agency) PDF DOC WPD
2-B Agreement of Adoption (Private Placement) PDF DOC WPD
2-C Consent of Child Over 14 (Agency) PDF DOC WPD
2-D Consent of Child Over 14 (Private Placement) PDF DOC WPD
2-E Affidavit And Consent of Person Having Lawful Custody (Other than Birth or Legal Parent - Private Placement) PDF DOC WPD
2-F Judicial Consent (Birth or Legal Parent Private Placement) PDF DOC WPD
2-Fa Judicial Consent (Birth or Legal Parent - Private Placement Step-Parent) PDF DOC WPD
2-G Extra-Judicial Consent (Birth or Legal Parent - Private Placement) PDF DOC WPD
2-Ga Extra-Judicial Consent (Birth or Legal Parent - Private Placement Step-Parent) PDF DOC WPD
3 Order Directing Service of Notice PDF DOC WPD
4 Notice of Proposed Adoption PDF DOC WPD
5 Order of Publication PDF DOC WPD
6 Order of Investigation PDF DOC WPD
7 Report of Investigation (Private Placement) PDF DOC WPD
8-A Affidavit Identifying Party (Agency) PDF DOC WPD
8-B Affidavit Identifying Party (Private Placement) PDF DOC WPD
9-A Affidavit of Financial Disclosure - Parents (Agency) PDF DOC WPD
9-B Affidavit of Financial Disclosure - Parents (Private-Placement) PDF DOC WPD
10-A Supplemental Affidavit (Agency) PDF DOC WPD
10-B Supplemental Affidavit (Private Placement) PDF DOC WPD
10-C Affidavit Of No Appeal PDF DOC WPD
11 Order to Show Cause (Removal of child from Adoptive Home) PDF DOC WPD
12 Order Removing Child From Adoptive Home PDF DOC WPD
13-A Order Of Adoption (Agency) PDF DOC WPD
13-B Order Of Adoption (Private-placement) PDF DOC WPD
14 Certificate Of Adoption PDF DOC WPD
14-A Order Of Incorporation Of Post-adoption Contact Agreement PDF DOC WPD
15-A Application for Certified Copy of Adoption Order (Before sealing of records) PDF DOC WPD
15-B Application for Certified Copy of Adoption Order (Before sealing of records) PDF DOC WPD
16-A Application for Certified Copy of Adoption Order (After sealing of records) PDF DOC WPD
16-B Order For Certified Copy of Adoption Order (After sealing of records) PDF DOC WPD
17 Petition For Enforcement Of Post-adoption Contact Agreement (After Adoption Finalization) PDF DOC WPD
18 Order Determining Petition For Enforcement Of Post-adoption Contact Agreement (After Adoption Finalization) PDF DOC WPD
21-A Petition for Temporary Guardianship PDF DOC WPD
21-B Order (Temporary Guardianship of the Person) PDF DOC WPD
21-C Notice (Temporary Guardianship of the Person) PDF DOC WPD
21-D Notice (Denial or Withdrawal of Application) (Removal of Child) PDF DOC WPD
21-E Affidavit (Change of circumstances since certification as qualified adoptive parent) PDF DOC WPD
22 Petition (Certification as a Qualified Adoptive Parent) PDF DOC WPD
23 Affidavit & Report (Disinterested Person Certification Proceeding) (Private Placement) PDF DOC WPD
24 Order (Certification as a Qualified Adoptive Parent) PDF DOC WPD
25 Order (Conditional Certification as a Qualified Adoptive Parent) PDF DOC WPD
26 Petition for Extention of Expired Certification PDF DOC WPD
26-A Affidavit & Report (Disinterested Person - Extension of Expired Certification) PDF DOC WPD
27-A Petition for Access to Sealed Adoption Records PDF DOC WPD
27-B Notice of Petition for Access to Sealed Adoption Records PDF DOC WPD
27-C Affidavit of Service of Notice of Petition for Access to Sealed Adoption Records PDF DOC WPD
27-D Waiver of Notice of Petition for Access to Sealed Adoption Records / Consent PDF DOC WPD
27-E Adoption–Order on Petition for Access to Sealed Adoption Records PDF DOC WPD
28 Petition for Registration of Foreign Adoption Order PDF DOC WPD
28-A Order of Foreign Adoption and Name Change PDF DOC WPD
  Agency Adoption Proceeding Checklist PDF - -
  Private Placement Adoption Proceeding Checklist PDF - -

 

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