Adoption Forms

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    
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 Uniform Adoption - Attorney's Affidavit (Agency & Private Placement) PDF    
1-A Petition For Adoption (Agency) PDF   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   WordPerfect
1-D Child's Medical History PDF   WordPerfect
1-E Affirmation Regarding Venue PDF   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   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 Affidavit And Consent of Person Having Lawful Custody (Other than Birth or Legal Parent - Private Placement) PDF   WordPerfect
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 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   WordPerfect
3 Order Directing Service of Notice PDF Doc WordPerfect
4 Notice of Proposed Adoption PDF   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   WordPerfect
8-B Affidavit Identifying Party (Private Placement) PDF Doc WordPerfect
9-A Affidavit of Financial Disclosure - Parents (Agency) PDF   WordPerfect
9-B Affidavit of Financial Disclosure - Parents (Private-Placement) PDF   WordPerfect
10-A Supplemental Affidavit (Agency) PDF   WordPerfect
10-B Supplemental Affidavit (Private Placement) PDF   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   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   WordPerfect
15-B Application 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) 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   WordPerfect
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) PDF   WordPerfect
22 Petition (Certification as a Qualified Adoptive Parent) PDF   WordPerfect
23 Affidavit & Report (Disinterested Person Certification Proceeding) (Private Placement) PDF   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   WordPerfect
26-A Affidavit & Report (Disinterested Person - Extension of Expired Certification) PDF   WordPerfect
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 Adoption–Affidavit of Service of Petition for Access to Sealed Adoption Records PDF   WordPerfect
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 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
29a Petition for Adult Adoption PDF Doc WordPerfect
29a Consent to Adult Adoption by Adoptee PDF Doc WordPerfect