Adoption Forms

Form Number

Title

PDF

DOC

WPD

 

Order of Child Protective Inquiry

PDFDoc

 

WordPerfect

DOH-1928

Report of Adoption (to be completed and certified by the court if the child was born outside New York City)

PDF  

VR-47

Notification of Order of Adoption (to be completed and certified by the court if the child was born in New York City)

PDFDoc

 

 

DOH-4455

Adoption Information Registry Birth Parent Registration Form

PDF  

LDSS-2725

NYS OCFS Request/Response for Name and/or address of Father of Child Born Out of Wedlock

 Doc 

OCFS-3937

Request for Information - Private Adoption

PDF  

OCFS-4156

Adoption: Family Court/Surrogate Court Request Form

PDF  

UCS-836

Attorney’s Affirmation – Agency And Private Placement Adoptions

PDF

  

1-A

Petition For Adoption (Agency)

PDF WordPerfect

1-B

Verified Schedule (Agency)

PDFDocWordPerfect

1-C

Petition for Adoption (Private Placement)

PDFDocWordPerfect

1-Ca

Affirmation – Change Of Circumstance – Private Placement

PDFDoc 

1-D

Child's Medical History

PDF WordPerfect

1-E

Affirmation Regarding Venue

PDFDoc 

1-F

Determination of Family Court Judge Regarding Venue

PDFDocWordPerfect

1-G

Order Regarding Venue

PDFDocWordPerfect

2-A

Agreement of Adoption & Consent (Agency)

PDF WordPerfect

2-B

Agreement of Adoption (Private Placement)

PDF WordPerfect

2-C

Consent of Child Over 14 (Agency)

PDF WordPerfect

2-D

Consent of Child Over 14 (Private Placement)

PDF WordPerfect

2-E

Affirmation And Consent – Person Having Lawful Custody – Private Placement

PDFDoc 

2-F

Judicial Consent (Birth or Legal Parent Private Placement)

PDF WordPerfect

2-Fa

Judicial Consent Of Birth Or Legal Parent To Adoption By Step-Parent

PDFDocWordPerfect

2-G

Extra-Judicial Consent (Birth or Legal Parent - Private Placement)

PDFDocWordPerfect

2-Ga

Extra-Judicial Consent (Birth or Legal Parent - Private Placement Step-Parent)

PDF WordPerfect

3

Order Directing Service of Notice

PDFDocWordPerfect

4

Notice of Proposed Adoption

PDF WordPerfect

5

Order of Publication

PDFDocWordPerfect

6

Order of Investigation

PDFDocWordPerfect

7

Report of Investigation (Private Placement)

PDFDocWordPerfect

8-A

Affirmation – Identifying Party-Agency

PDFDoc 

8-B

Affirmation – Identifying Party

PDFDoc 

9-A

Affirmation Of Financial Disclosure – Parents (Agency)

PDFDoc 

9-B

Affirmation Of Financial Disclosure – Parents

PDFDoc 

10-A

Supplemental Affirmation - Agency

PDFDoc 

10-B

Supplemental Affirmation - Private – Placement 

PDFDoc 

10-C

Affirmation Regarding Status Of Appeal

PDFDoc 

11

Order to Show Cause (Removal of child from Adoptive Home)

PDFDocWordPerfect

12

Order Removing Child From Adoptive Home

PDFDocWordPerfect

13-A

Order Of Adoption (Agency)

PDFDocWordPerfect

13-B

Order Of Adoption (Private-placement)

PDFDocWordPerfect

14

Certificate Of Adoption

PDF WordPerfect

14-A

Order Of Incorporation Of Post-adoption Contact Agreement

PDFDocWordPerfect

15-A

Application for Certified Copy of Adoption Order (Before sealing of records)

PDF WordPerfect

15-B

Order for Certified Copy of Adoption Order (Before sealing of records)

PDF WordPerfect

16-A

Application for Certified Copy of Adoption Order (After sealing of records)

PDF WordPerfect

16-B

Order For Certified Copy of Adoption Order (After sealing of records)

PDFDocWordPerfect

17

Petition For Enforcement Of Post-adoption Contact Agreement (After Adoption Finalization)

PDFDocWordPerfect

18

Order Determining Petition For Enforcement Of Post-adoption Contact Agreement (After Adoption Finalization)

PDFDocWordPerfect

21-A

Petition for Temporary Guardianship

PDFDocWordPerfect

21-B

Order (Temporary Guardianship of the Person)

PDFDocWordPerfect

21-C

Notice (Temporary Guardianship of the Person)

PDF  

21-D

Notice (Denial or Withdrawal of Application) (Removal of Child)

PDF WordPerfect

21-E

Affidavit – Change Of Circumstances Since Certification As Qualified Adoptive Parent

PDFDoc 

22

Petition (Certification as a Qualified Adoptive Parent)

PDF WordPerfect

23

Affirmation And Report -disinterested Person – Certification Proceeding

PDFDoc 

24

Order (Certification as a Qualified Adoptive Parent)

PDFDocWordPerfect

25

Order (Conditional Certification as a Qualified Adoptive Parent)

PDFDocWordPerfect

26

Petition for Extention of Expired Certification

PDF WordPerfect

26-A

Affirmation And Report – Disinterested Person – Extension Of Expired Certification

PDFDoc 

27-A

Adoption-Petition for Access to Sealed Adoption Records

PDF WordPerfect

27-B

Adoption–Notice of Petition for Access to Sealed Adoption Records

PDF WordPerfect

27-C

Affirmation Of Service Of Petition For Access To Sealed Adoption Records

PDFDoc 

27-D

Adoption–Waiver of Notice of Petition for Access to Sealed Adoption Records

PDF WordPerfect

27-E

Adoption–Order on Petition for Access to Sealed Adoption Records

PDFDoc 

28

Petition for Registration of Foreign Adoption Order

PDFDocWordPerfect

28-A

Order of Foreign Adoption and Name Change

PDFDocWordPerfect

29a

Petition for Adult Adoption

PDFDocWordPerfect

29b

Consent to Adult Adoption by Adoptee

PDFDocWordPerfect

30

Petition For Access To Sealed Birth Certificate

PDFDoc