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See more details on Adoption - Surrogate's forms

The New York State Unified Court System's Adoption Forms page, located under the Surrogate's Court section, provides fillable forms covering every stage of the adoption process for both agency and private placement adoptions.

Scope of Adoption Forms

  • Petitions
  • Consent and agreement documents
  • Venue and investigation orders
  • Financial disclosure affidavits
  • Final orders of adoption and certificates

Specialized Proceedings

  • Temporary guardianship
  • Certification of qualified adoptive parents
  • Post-adoption contact agreements and enforcement
  • Access to sealed adoption records and birth certificates
  • Registration of foreign adoption orders
  • Adult adoptions

Government Agency Forms

  • Adoption reporting (Department of Health)
  • Birth parent registry (Office of Children and Family Services)
  • Requests for father or private adoption information
  • Procedural checklists for agency and private placement proceedings

Available Formats

Most forms are available in PDF, Word, and WordPerfect formats.

Sorting by Form Title (ascending)
Adoption Information Registry Birth Parent Registration Form DOH-4455
Adoption–Order on Petition for Access to Sealed Adoption Records 27-E
Adoption: Family Court/Surrogate Court Request Form OCFS-4156
Affidavit (Change of Circumstance Since Certification as Qualified Adoptive Parents) (Private Placement) 1-Ca
Affidavit (Change of Circumstances Since Certification as Qualified Adoptive Parent) 21-E
Affidavit and Consent of Person Having Lawful Custody (Other Than Birth or Legal Parent - Private Placement) 2-E
Affidavit and Report (Disinterested Person - Extension of Expired Certification) 26-A
Affidavit and Report (Disinterested Person Certification Proceeding) (Private Placement) 23
Affidavit Identifying Party (Agency) 8-A
Affidavit Identifying Party (Private Placement) 8-B
Affidavit of Financial Disclosure - Parents (Agency) 9-A
Affidavit of Financial Disclosure - Parents (Private Placement) 9-B
Affidavit of No Appeal 10-C
Affidavit of Service of Notice of Petition for Access to Sealed Adoption Records 27-C
Affirmation Regarding Venue 1-E
Agency Adoption Proceeding Checklist
Agreement of Adoption (Private Placement) 2-B
Agreement of Adoption and Consent (Agency) 2-A
Application for Certified Copy of Adoption Order (After Sealing of Records) 16-A
Application for Certified Copy of Adoption Order (Before Sealing of Records) 15-A
Certificate of Adoption 14
Child’s Medical History 1-D
Consent of Child Over 14 (Agency) 2-C
Consent of Child Over 14 (Private Placement) 2-D
Consent to Adult Adoption by Adoptee 29-B
Consent to Adult Adoption by Spouse 29-C
Determination of Family Court Judge Regarding Venue 1-F
Extra-Judicial Consent (Birth or Legal Parent - Private Placement Step-Parent) 2-Ga
Extra-Judicial Consent (Birth or Legal Parent - Private Placement) 2-G
Judicial Consent (Birth or Legal Parent - Private Placement Step-Parent) 2-Fa
Judicial Consent (Birth or Legal Parent Private Placement) 2-F
Notice (Denial or Withdrawal of Application) (Removal of Child) 21-D
Notice (Temporary Guardianship of the Person) 21-C
Notice of Petition for Access to Sealed Adoption Records 27-B
Notice of Proposed Adoption 4
NYS OCFS Request/Response for Name and/or Address of Father of Child Born Out of Wedlock OCFS-2725
Order (Certification as a Qualified Adoptive Parent) 24
Order (Conditional Certification as a Qualified Adoptive Parent) 25
Order (Temporary Guardianship of the Person) 21-B
Order Determining Petition for Enforcement of Post-Adoption Contact Agreement (After Adoption Finalization) 18
Order Directing Service of Notice 3
Order for Certified Copy of Adoption Order (After Sealing of Records) 16-B
Order for Certified Copy of Adoption Order (Before Sealing of Records) 15-B
Order of Adoption (Agency) 13-A
Order of Adoption (Private Placement) 13-B
Order of Child Protective Inquiry
Order of Foreign Adoption and Name Change 28-A
Order of Incorporation of Post-Adoption Contact Agreement 14-A
Order of Investigation 6
Order of Publication 5
Order Regarding Venue 1-G
Order Removing Child From Adoptive Home 12
Order to Show Cause (Removal of Child From Adoptive Home) 11
Petition (Certification as a Qualified Adoptive Parent) 22
Petition for Access to Sealed Adoption Records 27-A
Petition for Access to Sealed Birth Certificate 30
Petition for Adoption (Agency) 1-A
Petition for Adoption (Private Placement) 1-C
Petition for Enforcement of Post-Adoption Contact Agreement (After Adoption Finalization) 17
Petition for Extention of Expired Certification 26
Petition for Registration of Foreign Adoption Order 28
Petition for Temporary Guardianship 21-A
Petiton for Adult Adoption 29-A
Private Placement Adoption Proceeding Checklist
Report of Adoption (To Be Completed and Certified By the Court) DOH-1928
Report of Investigation (Private Placement) 7
Request for Information - Private Adoption OCFS-3937
Supplemental Affidavit (Agency) 10-A
Supplemental Affidavit (Private Placement) 10-B
Uniform Adoption - Attorney's Affidavit (Agency & Private Placement) UCS-836
Verified Schedule (Agency) 1-B
Waiver of Notice of Petition for Access to Sealed Adoption Records / Consent 27-D