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 WordPerfect
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 WordPerfect
LDSS-2725 NYS OCFS Request/Response for Name and/or address of Father of Child Born Out of Wedlock PDF Doc WordPerfect
OCFS-3937 Request for Information - Private Adoption PDF - -
OCFS-4156 Adoption: Family Court/Surrogate Court Request Form PDF - -
UCS-836 Uniform Adoption - Attorney's Affidavit (Agency & Private Placement)

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1-A Petition For Adoption (Agency) PDF Doc WordPerfect
1-B Verified Schedule (Agency) PDF Doc WordPerfect
1-C Petition for Adoption (Private Placement) PDF Doc WordPerfect
1-Ca Affidavit (Change of circumstance since certification as qualified adoptive parents) (Private Placement) PDF Doc WordPerfect
1-D Child's Medical History PDF Doc WordPerfect
1-E Affirmation Regarding Venue PDF Doc WordPerfect
1-F Determination of Family Court Judge Regarding Venue PDF Doc WordPerfect
1-G Order Regarding Venue PDF Doc WordPerfect
2-A Agreement of Adoption & Consent (Agency) PDF Doc WordPerfect
2-B Agreement of Adoption (Private Placement) PDF Doc WordPerfect
2-C Consent of Child Over 14 (Agency) PDF Doc WordPerfect
2-D Consent of Child Over 14 (Private Placement) PDF Doc WordPerfect
2-E Affidavit And Consent of Person Having Lawful Custody (Other than Birth or Legal Parent - Private Placement) PDF Doc WordPerfect
2-F Judicial Consent (Birth or Legal Parent Private Placement) PDF Doc WordPerfect
2-Fa Judicial Consent (Birth or Legal Parent - Private Placement Step-Parent) PDF Doc WordPerfect
2-G Extra-Judicial Consent (Birth or Legal Parent - Private Placement) PDF Doc WordPerfect
2-Ga Extra-Judicial Consent (Birth or Legal Parent - Private Placement Step-Parent) PDF Doc WordPerfect
3 Order Directing Service of Notice PDF Doc WordPerfect
4 Notice of Proposed Adoption PDF Doc WordPerfect
5 Order of Publication PDF Doc WordPerfect
6 Order of Investigation PDF Doc WordPerfect
7 Report of Investigation (Private Placement) PDF Doc WordPerfect
8-A Affidavit Identifying Party (Agency) PDF Doc WordPerfect
8-B Affidavit Identifying Party (Private Placement) PDF Doc WordPerfect
9-A Affidavit of Financial Disclosure - Parents (Agency) PDF Doc WordPerfect
9-B Affidavit of Financial Disclosure - Parents (Private-Placement) PDF Doc WordPerfect
10-A Supplemental Affidavit (Agency) PDF Doc WordPerfect
10-B Supplemental Affidavit (Private Placement) PDF Doc WordPerfect
10-C Affidavit Of No Appeal PDF Doc WordPerfect
11 Order to Show Cause (Removal of child from Adoptive Home) PDF Doc WordPerfect
12 Order Removing Child From Adoptive Home PDF Doc WordPerfect
13-A Order Of Adoption (Agency) PDF Doc WordPerfect
13-B Order Of Adoption (Private-placement) PDF Doc WordPerfect
14 Certificate Of Adoption PDF Doc WordPerfect
14-A Order Of Incorporation Of Post-adoption Contact Agreement PDF Doc WordPerfect
15-A Application for Certified Copy of Adoption Order (Before sealing of records) PDF Doc WordPerfect
15-B Application for Certified Copy of Adoption Order (Before sealing of records) PDF Doc WordPerfect
16-A Application for Certified Copy of Adoption Order (After sealing of records) PDF Doc WordPerfect
16-B Order For Certified Copy of Adoption Order (After sealing of records) PDF Doc WordPerfect
17 Petition For Enforcement Of Post-adoption Contact Agreement (After Adoption Finalization) PDF Doc WordPerfect
18 Order Determining Petition For Enforcement Of Post-adoption Contact Agreement (After Adoption Finalization) PDF Doc WordPerfect
21-A Petition for Temporary Guardianship PDF Doc WordPerfect
21-B Order (Temporary Guardianship of the Person) PDF Doc WordPerfect
21-C Notice (Temporary Guardianship of the Person) PDF Doc WordPerfect
21-D Notice (Denial or Withdrawal of Application) (Removal of Child) PDF Doc WordPerfect
21-E Affidavit (Change of circumstances since certification as qualified adoptive parent) PDF Doc WordPerfect
22 Petition (Certification as a Qualified Adoptive Parent) PDF Doc WordPerfect
23 Affidavit & Report (Disinterested Person Certification Proceeding) (Private Placement) PDF Doc WordPerfect
24 Order (Certification as a Qualified Adoptive Parent) PDF Doc WordPerfect
25 Order (Conditional Certification as a Qualified Adoptive Parent) PDF Doc WordPerfect
26 Petition for Extention of Expired Certification PDF Doc WordPerfect
26-A Affidavit & Report (Disinterested Person - Extension of Expired Certification) PDF Doc WordPerfect
27-A Petition for Access to Sealed Adoption Records PDF Doc WordPerfect
27-B Notice of Petition for Access to Sealed Adoption Records PDF Doc WordPerfect
27-C Affidavit of Service of Notice of Petition for Access to Sealed Adoption Records PDF Doc WordPerfect
27-D Waiver of Notice of Petition for Access to Sealed Adoption Records / Consent PDF Doc WordPerfect
27-E Adoption–Order on Petition for Access to Sealed Adoption Records PDF Doc WordPerfect
28 Petition for Registration of Foreign Adoption Order PDF Doc WordPerfect
28-A Order of Foreign Adoption and Name Change PDF Doc WordPerfect
29-A Petiton for Adult Adoption PDF - -
29-B Consent to Adult Adoption By Adoptee PDF - -
29-C Consent to Adult Adoption By Spouse PDF - -
30 Petition for Access to Sealed Birth Certificate

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WordPerfect

  Agency Adoption Proceeding Checklist PDF - -
  Private Placement Adoption Proceeding Checklist PDF - -