reglab/statecodes huggingface dataset:
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter A - Forms Authorized by Section 205.7 › Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) Forms › Form UCCJEA-19 - Certification of registration of an out-of-state order of custody or visitation - UCCJEA

Current through Register Vol. 46, No. 28, July
					 10, 2024
DRL § 77-d Form UCCJEA-19
(Certification of Registration of Order of
						Custody or Visitation--UCCJEA)
8/2002
________
In the Matter of a Proceeding for
						Registration of an Out-of-State Order of Custody or
Visitation Order under the Uniform Child
						Custody
Jurisdiction and Enforcement Act Docket
						No.
CERTIFICATION OF REGISTRATION
OF OUT-OF-STATE ORDER OF
CUSTODY OR VISITATION--UCCJEA
Petitioner,
-against-
Respondent.
________
TO [specify name and address]:
I, Clerk or the Family Court of the State
						of New York, County of [specify]:, do hereby certify that the order or custody
						or visitation, dated [specify]:, issued by the following court in the following
						jurisdiction [specify]:
has been registered in the State of New
						York, pursuant to Section 77-d of the New York State Domestic Relations Law,
						and is deemed to have the same force and effect and is enforceable as if it
						were by a Court of the State of New York.
This order concerns the following
						child(ren):
Name(s) Date(s) of Birth
In testimony whereof, I have affixed the
						seal of this Court this day of [specify]:
_______________
Clerk of Court
Dated:
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter A - Forms Authorized by Section 205.7 › Surrender Forms › Form SURR-1a - Affidavit of caseworker regarding persons entitled to notice of surrender of child in foster care

Current through Register Vol. 46, No. 28, July
					 10, 2024
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New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter A - Forms Authorized by Section 205.7 › Surrender Forms › Form SURR-2 - Order directing service in proceeding for approval of judicial or extra-judicial surrender instrument

Current through Register Vol. 46, No. 28, July
					 10, 2024
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New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter A - Forms Authorized by Section 205.7 › Surrender Forms › Form SURR-5 - Affidavit of authorized agency employee responsible for arranging supportive counseling - extra-judicial surrender of child in foster care

Current through Register Vol. 46, No. 28, July
					 10, 2024
Soc. Serv. Law § 383-c(4)(c) Form
						SURR-5
(Extra-Judicial Surrender of Child in
						Foster Care--
Affidavit of Authorized Agency Employee
						Responsible for
Arranging Supportive
						Counseling)[FN1]
(9/2006)
FAMILY COURT OF THE STATE OF NEW
						YORK
COUNTY OF
________
In the Matter of the Application for
						Docket No.
Approval of a Surrender Instrument
						AFFIDAVIT OF AUTHORIZED AGENCY EMPLOYEE
Concerning RESPONSIBLE FOR ARRANGING
						SUPPORTIVE
COUNSELING--EXTRA-JUDICIAL SURRENDER
						OF
CHILD IN FOSTER CARE
CIN#
Pursuant to Section 383-c of the
						Social
Services Law
________
STATE OF NEW YORK)
) ss.:
COUNTY OF)
I, [specify name of witness]:, having been
						duly sworn, deposes and states the following:
1. I am an employee of the following
						authorized agency [specify]: and am responsible for arranging supportive
						counseling for parents or guardians who execute extra-judicial surrenders of
						children in foster care.
2. On [specify date]:, I arranged for
						supportive counseling for [specify person executing surrender]: to be provided
						by [specify]: as follows [specify]:
3. On [specify date]:, [specify person
						executing surrender]: accepted did not accept the offer of supportive
						counseling.
4. [Check applicable box or delete
						inapplicable provision]: Upon information and belief,
Supportive counseling was provided to the
						person executing the surrender as follows [specify date, provider and nature of
						supportive counseling]:
Supportive counseling was not provided to
						the person executing the surrender.
_______________
Signature of Authorized Agency
						Employee
Sworn to before me this day of ,
________
Notary Public
(Deputy) Clerk of Court
[FN1] If the employee-witness to the
						surrender was the employee who arranged for supportive counseling, Form SURR-4
						may be utilized.
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter A - Forms Authorized by Section 205.7 › Surrender Forms › Form SURR-5-a - Affidavit of provider of supportive counseling - extra-judicial surrender of child in foster care

Current through Register Vol. 46, No. 28, July
					 10, 2024
Soc. Serv. Law § 383-c(4)(c) Form
						SURR-5-a
(Extra-Judicial Surrender of Child in
						Foster Care--
Affidavit of Provider of Supportive
						Counseling)[FN1]
(9/2006)
FAMILY COURT OF THE STATE OF NEW
						YORK
COUNTY OF
________
In the Matter of the Application for
						Docket No.
Approval of a Surrender Instrument
						AFFIDAVIT OF PROVIDER OF
Concerning SUPPORTIVE COUNSELING--
EXTRA-JUDICIAL SURRENDER OF
CHILD IN FOSTER CARE
CIN#
Pursuant to Section 383-c of the
						Social
Services Law
________
STATE OF NEW YORK)
) ss.:
COUNTY OF)
I, [specify name of witness]:, having been
						duly sworn, deposes and states the following:
1. I am employed by [specify; indicate if
						self-employed]:
2. I was not the authorized agency
						employee witness to the extra-judicial surrender of [specify child]: by
						[specify person executing surrender]:
3. Upon information and belief, on
						[specify date]: [specify person executing surrender]: was offered supportive
						counseling regarding the extra-judicial surrender of [specify child]: and on
						[specify date]:
accepted did not accept the offer of
						supportive counseling.
4. [Check applicable box or delete
						inapplicable provision]:
On [specify date]:, I provided supportive
						counseling for [specify person executing surrender]: as follows [describe,
						including nature of counseling]:
Supportive counseling was not provided to
						the person executing the surrender.
_______________
Signature of Provider of Supportive
						Counseling
Sworn to before me this day of ,
________
Notary Public
(Deputy) Clerk of Court
[FN1] The provider of supportive
						counseling may not be the employee-witness to the extra-judicial surrender. See
						18 NYCRR §421.6.
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter A - Forms Authorized by Section 205.7 › Surrender Forms › Form SURR-6 - Order approving or disapproving extra-judicial surrender instrument

Current through Register Vol. 46, No. 28, July
					 10, 2024
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New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter A - Forms Authorized by Section 205.7 › Surrender Forms › Form SURR-7 - Petition for review of substantial failure of material condition in conditional surrender or violation of post-adoption contact agreement (prior to adoption finalization)

Current through Register Vol. 46, No. 28, July
					 10, 2024
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New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter A - Forms Authorized by Section 205.7 › Surrender Forms › Form SURR-8 - Order determining petition for review of substantial failure of material condition in conditional surrender or violation of post-adoption contact agreement (prior to adoption finalization)

Current through Register Vol. 46, No. 28, July
					 10, 2024
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New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter B - Adoption Forms Of The Family Court › Adoption Forms › Form 1-Ca - Affidavit (change of circumstance since certification as qualified adoptive parent) (private-placement)

Current through Register Vol. 46, No. 28, July
					 10, 2024
D.R.L. §§ 115, 115-d Form
						1-Ca
(Affidavit - Change of
Circumstance)
Private-Placement
9/99
FAMILY COURT OF THE STATE OF NEW
						YORK
COUNTY OF
________
In the Matter of the Adoption of
						(Docket)(File) No.
A Child Whose First Name is
AFFIDAVIT
(Change of circumstance since
						certification as qualified adoptive parent)
(Private-Placement)
________
STATE OF NEW YORK)
:ss.:
COUNTY OF)
, being duly sworn depose(s) and
						say(s):
1. Deponent(s) (was)(were) certified as
						(a) qualified adoptive parent(s) by order of the Court, County of, dated,
						;
2. The following change(s) in circumstance
						relevant and material to such certification (has)(have) taken place since that
						date:
Date:
______________
Petitioner
______________
Print or type name
______________
Signature of Attorney, if any
______________
Attorney's Name (Print or Type)
________
________
______________
Attorney's Address and Telephone
						Number
Sworn to before me this day of,.
________
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter B - Adoption Forms Of The Family Court › Adoption Forms › Form 1-F - Determination of family court judge regarding venue

Current through Register Vol. 46, No. 28, July
					 10, 2024
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New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter B - Adoption Forms Of The Family Court › Adoption Forms › Form 1-G - Order regarding venue

Current through Register Vol. 46, No. 28, July
					 10, 2024
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New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter B - Adoption Forms Of The Family Court › Adoption Forms › Form 2-B - Agreement of adoption (private-placement)

Current through Register Vol. 46, No. 28, July
					 10, 2024
D.R.L. §§ 111(1)(f), 115(4) Form
						2-B
(Agreement of Adoption
Private-Placement)
8/2002
COURT OF THE STATE OF NEW YORK
COUNTY OF
________
In the Matter of the Adoption of (Docket)
						(File) No.
A Child whose First Name is
AGREEMENT OF
ADOPTION
(Private-Placement) ________
The undersigned petitioning adoptive
						parent(s) hereby agree(s) to adopt the above-named adoptive child and to treat
						said child in all respects as (his) (her) (their) own lawful child and to
						extend and assure to said child all the rights, benefits and privileges
						incident to such relationship, and to incur and fulfill all the
						responsibilities of (a) parent(s) with respect to said child.
Dated:
/
_________________________
Adoptive Parent: typed or printed
						name/signature
/
_________________________
Adoptive Parent: typed or printed
						name/signature
/
_________________________
Adoptive child if over 14: typed or
						printed name/signature
/
_________________________
Attorney if any: typed or printed
						name/signature
_________________________
Attorney's Address and Telephone
						number
Form 2-B Page 2
STATE OF NEW YORK)
ss:
COUNTY)
On [specify date]:, [specify name]:
						personally appeared before me. (He)(She) is personally known to me or proved
						(his)(her) identity to me by satisfactory evidence as the person whose name is
						subscribed on this agreement of adoption and consent. (He)(She) acknowledged to
						me that (he)(she) executed this agreement of adoption and consent.
______________
Notary Public
STATE OF NEW YORK)
ss:
COUNTY)
On [specify date]:, [specify name]:
						personally appeared before me. (He)(She) is personally known to me or proved
						(his)(her) identity to me by satisfactory evidence as the person whose name is
						subscribed on this agreement of adoption and consent. (He)(She) acknowledged to
						me that (he)(she) executed this agreement of adoption and consent.
______________
Notary Public
STATE OF NEW YORK)
ss:
COUNTY)
On this day of,, proven to me by the oath
						of, an attorney admitted to practice in the State of New York, to be the
						person(s) who executed the foregoing instrument, personally came before me and
						acknowledged that (he)(she) executed the same.
________
Judge of the Court
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter B - Adoption Forms Of The Family Court › Adoption Forms › Form 2-C - Consent of child over 14 (agency)

Current through Register Vol. 46, No. 28, July
					 10, 2024
Sec. 111(1)(a) D.R.L. Adoption Form
						2-C
(Consent of Child-Agency)
8/2002
COURT OF THE STATE OF NEW YORK
COUNTY OF
________
In the Matter of the Adoption of (Docket)
						(File) No.
A Child Whose First Name Is
CONSENT OF CHILD
OVER 14
________
The undersigned adoptive child, who is
						years old, having been born on, hereby consents to (his) (her) adoption
						by
(d) . Upon information and belief, an
						Order of Protection or Temporary Order of Protection (has)(has not) been issued
						against any of the above adults in any criminal, matrimonial or Family Court
						proceeding(s). If such an order has been issued, specify the adult against whom
						the order was issued, the court that issued the order, docket number, date of
						order, expiration date of order, next court date and status of case to the
						extent known:
Dated:
______________
Child
/
_________________________
Adoptive Parent: typed or printed
						name/signature
/
_________________________
Adoptive Parent: typed or printed
						name/signature
/
_________________________
Adoptive child if over 14: typed or
						printed name/signature
/
_________________________
Attorney if any: typed or printed
						name/signature
_________________________
Attorney's Address and Telephone
						number
Form 2-C Page 2
STATE OF NEW YORK)
: ss.:
COUNTY OF)
On [specify date]:, [specify name]:
						personally appeared before me. (He)(She) is personally known to me or proved
						(his)(her) identity to me by satisfactory evidence as the person whose name is
						subscribed on this consent. (He)(She) acknowledged to me that (he)(she)
						executed this consent.
______________
Notary Public
STATE OF NEW YORK)
: ss.:
COUNTY OF)
On this day of,, before me personally
						came
, proven to me by the oath of an attorney
						admitted to practice in the State of New York to be the attorney admitted to
						practice in the State of New York to be the person described in and who
						executed the foregoing instrument and duly acknowledged that
(he) (she) executed the same.
________
Judge of the Court
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter B - Adoption Forms Of The Family Court › Adoption Forms › Form 2-D - Consent of child over 14 (private-placement)

Current through Register Vol. 46, No. 28, July
					 10, 2024
D.R.L.§ 111(1)(a) Form 2-D
(Consent of Child-
Private-Placement)
8/2002
COURT OF THE STATE OF NEW YORK
COUNTY OF
________
In the Matter of the Adoption of A
						Child
Whose First Name Is
(Docket) (File) No.
CONSENT OF CHILD
OVER 14
(Private-Placement)
________
The undersigned adoptive child, who is
						years old, having been born on, hereby consents to (his)(her) adoption by), the
						petitioning adoptive parent(s) in the above-entitled proceeding.
Dated:
______________
Child
/
_________________________
Adoptive Parent: typed or printed
						name/signature
/
_________________________
Adoptive Parent: typed or printed
						name/signature
/
_________________________
Adoptive child if over 14: typed or
						printed name/signature
/
_________________________
Attorney if any: typed or printed
						name/signature
_________________________
Attorney's Address and Telephone
						number
Form 2-D Page 2
STATE OF NEW YORK)
) ss.:
COUNTY OF)
On [specify date]:, [specify name]:
						personally appeared before me. (He)(She) is personally known to me or proved
						(his)(her) identity to me by satisfactory evidence as the person whose name is
						subscribed on this consent. (He)(She) acknowledged to me that (he)(she)
						executed this consent.
______________
Notary Public
STATE OF NEW YORK)
) ss.:
COUNTY OF)
On this day of,, before me personally came
						proven to me by the oath of an attorney admitted to practice in the State of
						New York to be the person described in and who executed the foregoing
						instrument and duly acknowledged that executed the same.
________
Judge of the Court
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter B - Adoption Forms Of The Family Court › Adoption Forms › Form 2-E - Affidavit and consent of person having lawful custody (other than birth or legal parent - private-placement)

Current through Register Vol. 46, No. 28, July
					 10, 2024
D.R.L. §§ 109(6), 111(1) (f),
						Form 2-E
115(6) (Affidavit and Consent--
Person Having Custody
Private-Placement)
8/2002
FAMILY COURT OF THE STATE OF NEW
						YORK
COUNTY OF
________
In the Matter of the Adoption of (Docket)
						(File) No.
A Child whose First Name is
AFFIDAVIT AND
CONSENT
OF PERSON HAVING
LAWFUL CUSTODY
(Other than Birth or Legal Parent-
Private-Placement)
________
STATE OF NEW YORK)
ss.:
COUNTY OF)
(he) (she) executed the same.
(he) (she) executed the same.
being duly sworn, depose(s) and
						say(s):
Deponent(s) reside(s) at and (is)(are) the
						person(s) having lawful custody of the above-named adoptive child in
						that:
[recite facts showing how lawful custody
						was obtained]
Deponent(s) hereby consent(s) to said
						child's adoption by the petitioning adoptive parent(s) (and).
________
________
Form 2-E Page 2
/
_________________________
Affiant (Person Having Legal Custody):
						typed or printed name/signature
/
_________________________
Attorney if any: typed or printed
						name/signature
_________________________
Attorney's Address and Telephone
						number
STATE OF NEW YORK)
ss.:
COUNTY OF)
On [specify date]:, [specify name]:
						personally appeared before me. (He)(She) is personally known to me or proved
						(his)(her) identity to me by satisfactory evidence as the person whose name is
						subscribed on this affidavit and consent. (He)(She) acknowledged to me that
						(he)(she) executed this affidavit consent.
______________
Notary Public
STATE OF NEW YORK)
ss.:
COUNTY OF)
On [specify date]:, [specify name]:
						personally appeared before me. (He)(She) is personally known to me or proved
						(his)(her) identity to me by satisfactory evidence as the person whose name is
						subscribed on this affidavit and consent. (He)(She) acknowledged to me that
						(he)(she) executed this affidavit and consent.
______________
Notary Public
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter B - Adoption Forms Of The Family Court › Adoption Forms › Form 2-Fa - Judicial Consent (birth or legal parent to adoption by step-parent)

Current through Register Vol. 46, No. 28, July
					 10, 2024
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New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter B - Adoption Forms Of The Family Court › Adoption Forms › Form 2-G - Extrajudicial Consent (birth or legal parent - private-placement)

Current through Register Vol. 46, No. 28, July
					 10, 2024
Image
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New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter B - Adoption Forms Of The Family Court › Adoption Forms › Form 2-Ga - Extrajudicial consent (birth or legal parent - private-placement - step-parent)

Current through Register Vol. 46, No. 28, July
					 10, 2024
D.R.L. §§ 115, 115-b(8) Form
						2-Ga
(Extrajudicial Consent
Birth or Legal Parent -
Private-Placement
Step-parent)
8/2002
COURT OF THE STATE OF NEW YORK
COUNTY OF
________
In the Matter of the Adoption of (Docket)
						(File) No.
A Child whose First Name is
EXTRAJUDICIAL CONSENT
(Birth or Legal Parent -
Private-Placement-
Step-parent)
________
1. I,, residing at
, am the (birth)(legal) parent of . I do
						hereby consent to the adoption of my (daughter)(son)
, born on by [specify name]:, adoptive
						parent.
2. The name and last known address of the
						other (birth)(legal) parent of the adoptive child are [delete if
						inapplicable]:
Dated:
/
_________________________
(he) (she) executed the same.
/
_________________________
Attorney if any: typed or printed
						name/signature
_________________________
Attorney's Address and Telephone
						number
STATE OF NEW YORK)
: ss.:
COUNTY OF)
On [specify date]:, [specify name]:
						personally appeared before me. (He)(She) is personally known to me or proved
						(his)(her) identity to me by satisfactory evidence as the person whose name is
						subscribed on this extrajudicial surrender. (He)(She) acknowledged to me that
						(he)(she) executed this surrender.
______________
Notary Public
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter B - Adoption Forms Of The Family Court › Adoption Forms › Form 3 - Order directing service of notice

Current through Register Vol. 46, No. 28, July
					 10, 2024
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New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter B - Adoption Forms Of The Family Court › Adoption Forms › Form 4 - Notice of proposed adoption

Current through Register Vol. 46, No. 28, July
					 10, 2024
D.R.L. §§ 111(3), 111-a(6),
						115(9). Adoption Form 4
(Notice of Proposed Adoption)
10/2004
FAMILY COURT OF THE STATE OF NEW
						YORK
COUNTY OF
________
In the Matter of the Adoption of Docket
						File No.
A Child whose First Name is
NOTICE OF PROPOSED
ADOPTION
________
To:
PLEASE TAKE NOTICE that a petition
						requesting an order approving and allowing the adoption of an adoptive child
						whose first name is [specify]:, who is alleged to be your [specify
						relationship]:, and whose full name and date and place of birth is set forth in
						a Schedule annexed to the petition for adoption herein, together with an
						agreement to adopt and consents to the adoption pursuant to the Domestic
						Relations Law, has been filed with the [specify]: Court of the State of New
						York, County. A hearing on the petition will be held at the Court, located at
						[specify address]: on [specify date]:, at [specify time]: o'clock in the
						morning afternoon of that day, at which time and place all persons having any
						interest therein will be heard.
[Check box if applicable pursuant to
						Domestic Relations Law § 111-a(6)]:
PLEASE TAKE FURTHER NOTICE that your
						failure to appear may constitute a denial of your interest in the child, which
						may result, without further notice to you, in the adoption or other disposition
						of the custody of the child.
______________
Signature of Petitioner's Attorney
______________
Attorney's Name (print or type)
________
______________
Attorney's Address and Telephone
						Number
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter B - Adoption Forms Of The Family Court › Adoption Forms › Form 5 - Order of publication

Current through Register Vol. 46, No. 28, July
					 10, 2024
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New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter B - Adoption Forms Of The Family Court › Adoption Forms › Form 6 - Order for investigation

Current through Register Vol. 46, No. 28, July
					 10, 2024
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New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter B - Adoption Forms Of The Family Court › Adoption Forms › Form 7 - Report of investigation (private-placement)

Current through Register Vol. 46, No. 28, July
					 10, 2024
D.R.L. § 116 Form 7
(Report of Investigation-
Private-Placement)
12/97
FAMILY COURT OF THE STATE OF NEW
						YORK
COUNTY OF
________
In the Matter of Adoption of
A Child Whose First Name Is (Docket)(File)
						No.
REPORT OF
INVESTIGATION
(Private-Placement)
________
TO THE COURT OF THE COUNTY OF ;
Pursuant to the order for investigation
						dated the day of from the Honorable Judge of the Court, I,, do report that I
						have investigated the allegations set forth in the petition herein and any
						statements contained in the affidavits required by the Domestic Relations Law.
						On the basis of such investigation, I respectfully submit the following
						report:
1. The marital status, family members and
						history, religious affiliation, if any, of the adoptive parent(s) and adoptive
						child are:
;
2. The physical and mental health of the
						adoptive parent(s) and adoptive child are:
;
3. The adoptive parent(s) have an income
						of and own the following property:
4. The following fees, compensation or
						other remuneration have been paid or agreed upon with respect to the placement
						of the child for adoption:
To natural parent:
To attorney for natural parent:
Form 7 Page 2
To agency:
To attorney for agency:
To attorney for adoptive parent:
Other (specify):
5. The adoptive parent(s) (has)(have) not
						been (a) respondent(s) in any proceeding involving children alleged to be
						neglected, abandoned, abused, delinquent or in need of supervision
						except:
;
6. The following other facts relating to
						the familial, social, emotional and financial circumstances of the adoptive
						parent(s) may be relevant to a determination of adoption:
Dated:, 19.
______________
Investigator
______________
Petitioner
______________
Print or type name
______________
Signature of Attorney, if any
______________
Attorney's Name (Print or Type)
________
________
______________
Attorney's Address and Telephone
						Number
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter B - Adoption Forms Of The Family Court › Adoption Forms › Form 8-A - Affidavit identifying party (agency)

Current through Register Vol. 46, No. 28, July
					 10, 2024
22 NYCRR 205.53(b)(2) Form 8-A
(Affidavit
Identifying
Party-Agency)
4/2002
FAMILY COURT OF THE STATE OF NEW
						YORK
COUNTY OF
________
In the Matter of Adoption of
						(Docket)(File) No.
A Child Whose First Name is
AFFIDAVIT
IDENTIFYING
PARTY[FN1]
(Agency)
________
STATE OF NEW YORK)
)ss.:
COUNTY OF)
I [specify name of affiant]:, having been
						duly sworn, deposes and states the following:
1. [Delete if inapplicable]: I am an
						attorney at law duly licensed to practice under the laws of the State of New
						York and have an office at [specify address]:
2. I know [specify name of party]:
and I know that he she is the same person
						described in and who executed the annexed [specify]: [delete if inapplicable]:
						and who is now present before the Court.
3. [Delete if inapplicable]: I know
						[specify name of additional party]:
and I know that he she is the same person
						described in and who executed the annexed [specify]: [delete if inapplicable]:
						and who is now present before the Court.
______________
Affiant
Sworn to before me this day of,.
______________
Judge of the Court
[FN1] This form affidavit must be executed
						by an individual who is an attorney or other person known to the Court but who
						is not the attorney of record in the proceeding. Form 8-c must be used where
						the affiant is the attorney of record.
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter B - Adoption Forms Of The Family Court › Adoption Forms › Form 8-B - Affidavit identifying party (private-placement)

Current through Register Vol. 46, No. 28, July
					 10, 2024
Image
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter B - Adoption Forms Of The Family Court › Adoption Forms › Form 9-A - Affidavit of financial disclosure - parents (agency)

Current through Register Vol. 46, No. 28, July
					 10, 2024
S.S.L. § 374(6); Form 9-A
22 NYCRR 205.53(b)(8) (Affidavit of
						Financial
Disclosure - Parents
- Agency)
9/99
FAMILY COURT OF THE STATE OF NEW
						YORK
COUNTY OF
________
In the Matter of the Adoption of (Docket)
						(File) No.
A Child whose First Name is
AFFIDAVIT OF
FINANCIAL
DISCLOSURE -
PARENTS
(Agency)
________
STATE OF NEW YORK)
ss:
COUNTY OF)
(and)
being duly sworn, depose(s) and
						say(s):
1. That deponent(s) reside(s) at and (is)
						(are)
the (petitioning adoptive parent(s) (birth
						or legal parent(s)) of the above-named adoptive child; and
2. That deponent(s) (has) (have) paid or
						given or caused to be paid or given or undertaken to pay or give the following
						expenses, contributions, compensation or things of value, either directly or
						indirectly, to any person, agency, association, corporation, institution,
						society or organization, in connection with the placing out of said adoptive
						child with deponent(s) or with the adoption of said child by
						deponent(s):
[Specify recipient, amount, form, and
						purpose of each payment. If none, so state.]
;
3. That deponent(s) (has) (have)
						requested, received or accepted, either directly or indirectly, the following
						compensation or things or value from any person, agency, association,
						corporation, institution, society or other organization in connection with the
						placing out of said adoptive child with
Form 9-A page 2
deponent(s) or with the adoption of said
						child by deponent(s).
[Specify source, amount, form and purpose
						of each payment requested or received. If none, so state.]
/
[FN ]
_________________________
*(Adoptive)(Birth)(Legal)Parent: typed or
						printed name/signature
/
_________________________
*(Adoptive)(Birth)(Legal)Parent: typed or
						printed name/signature
/
_________________________
*Attorney if any: typed or printed
						name/signature
_________________________
*Attorney's Address and Telephone
						number
Sworn to before me this day of,.
________
Judge of the Court
[FN ] *Delete inapplicable
						provisions
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter B - Adoption Forms Of The Family Court › Adoption Forms › Form 9-B - Affidavit of financial disclosure - parents (private-placement)

Current through Register Vol. 46, No. 28, July
					 10, 2024
S.S.L. § 374(6); Form 9-B
22 NYCRR 205.53(b)(8) (Affidavit of
						Financial
Disclosure - Parents -
Private-Placement)
9/99
FAMILY COURT OF THE STATE OF NEW
						YORK
COUNTY OF
________
In the Matter of the Adoption of
(he) (she) executed the same.
A Child whose First Name is
AFFIDAVIT OF
FINANCIAL
DISCLOSURE -
PARENTS
(Private Placement)
________
STATE OF NEW YORK)
ss:
COUNTY)
(and)
being duly sworn, depose(s) and
						say(s):
1. That deponent(s) reside(s) at and
						(is)(are)
the (petitioning adoptive parent(s) (birth
						or legal parent(s)) of the above-named adoptive child; and
2. That deponent(s) (has)(have) paid or
						given or caused to be paid or given or undertaken to pay or give the following
						expenses, contributions, compensation or things of value, either directly or
						indirectly, to any person, agency, association, corporation, institution,
						society or organization, in connection with the placing out of said adoptive
						child with deponent(s) or with the adoption of said child by
						deponent(s):
[Specify recipient, amount, form, and
						purpose of each payment. If none, so state.]
;
3. That deponent(s) (has)(have) requested,
						received or accepted, either directly or indirectly, the following compensation
						or things or value from any person, agency, association, corporation,
						institution, society or other organization in connection with the placing out
						of said adoptive child with deponent(s) or with the adoption of said child by
						deponent(s).
Form 9-B Page 2
[Specify source, amount, form and purpose
						of each payment requested or received. If none, so state.]
/
[FN ]
_________________________
*(Adoptive)(Birth)(Legal)Parent: typed or
						printed name/signature
/
_________________________
*(Adoptive)(Birth)(Legal)Parent: typed or
						printed name/signature
/
_________________________
*Attorney if any: typed or printed
						name/signature
_________________________
*Attorney's Address and Telephone
						number
Sworn to before me this day of,.
______________
Judge of the Court
[FN ] *Delete inapplicable
						provisions.
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter B - Adoption Forms Of The Family Court › Adoption Forms › Form 10-A - Supplemental affidavit (agency)

Current through Register Vol. 46, No. 28, July
					 10, 2024
22 NYCRR 205.53(c) Form 10-A
(Supplemental Affidavit -
Agency)
9/99
FAMILY COURT OF THE STATE OF NEW
						YORK
COUNTY OF
________
In the Matter of the Adoption of
						(Docket)(File) No.
A Child whose First Name Is
SUPPLEMENTAL
AFFIDAVIT
(AGENCY)
________
STATE OF NEW YORK)
ss:
COUNTY OF)
(and)
being duly sworn, depose(s) and
						say(s):
That deponent(s) (is) (are) the same
						person(s) who on filed in this Court a petition for adoption of the above-named
						adoptive child. Deponent(s) reallege(s) and reaffirm(s) each of the matters set
						forth in said petition heretofore filed and represent(s) to the Judge of this
						Court that there has been no change of circumstances whatsoever since the
						filing of said original petition, dated:, except as follows:
Date:
/
_________________________
Adoptive Parent: typed or printed
						name/signature
/
_________________________
Adoptive Parent: typed or printed
						name/signature
/
_________________________
Adoptive child if over 18: typed or
						printed name/signature
/
_________________________
Attorney if any: typed or printed
						name/signature
_________________________
Attorney's Address and Telephone
						number
Sworn to before me this day of,.
______________
Judge of the Court
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter B - Adoption Forms Of The Family Court › Adoption Forms › Form 10-B - Supplemental affidavit (private-placement)

Current through Register Vol. 46, No. 28, July
					 10, 2024
22 NYCRR 205.53(c) Form 10-B
(Supplemental Affidavit-
Private-Placement)
9/99
FAMILY COURT OF THE STATE OF NEW
						YORK
COUNTY OF
________
In the Matter of the Adoption of
						(Docket)(File) No.
A child whose First Name is
SUPPLEMENTAL
AFFIDAVIT
(Private-Placement)
________
STATE OF NEW YORK)
ss:
COUNTY OF)
(and)
being duly sworn, depose(s) and
						say(s):
1. Deponent(s) (is) (are) the same
						person(s) who on filed in this Court a petition for adoption of the above-named
						adoptive child.
2. Deponent(s) (is)(are) over the age of
						twenty-one years, citizen(s) of the United States, and (unmarried)(married and
						living together) (married and living apart).
3. The post-office addresses, place(s) of
						residence and home telephone number(s) of petitioner(s) (is)(are)
Petitioner (specify name):
Petitioner (specify name):
4. Petitioner(s) hereby state(s) that
						there has been no change of circumstances whatsoever since the filing of said
						original petition, dated, except as follows:
Form 10-B Page 2
Date:
/
_________________________
Adoptive Parent: typed or printed
						name/signature
/
_________________________
Adoptive Parent: typed or printed
						name/signature
/
_________________________
Adoptive child if over 18: typed or
						printed name/signature
/
_________________________
Attorney if any: typed or printed
						name/signature
_________________________
Attorney's Address and Telephone
						number
Sworn to before me this day of,.
______________
Judge of the Court
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter B - Adoption Forms Of The Family Court › Adoption Forms › Form 10-C - Affidavit regarding status of appeal

Current through Register Vol. 46, No. 28, July
					 10, 2024
Image
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New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter B - Adoption Forms Of The Family Court › Adoption Forms › Form 11 - Order to show cause (removal of child from adoptive home)

Current through Register Vol. 46, No. 28, July
					 10, 2024
Image
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter B - Adoption Forms Of The Family Court › Adoption Forms › Form 12 - Order removing child from adoptive home

Current through Register Vol. 46, No. 28, July
					 10, 2024
Image
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New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter B - Adoption Forms Of The Family Court › Adoption Forms › Form 13-A - Order of adoption (agency)

Current through Register Vol. 46, No. 28, July
					 10, 2024
Image
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New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter B - Adoption Forms Of The Family Court › Adoption Forms › Form 13-B - Order of adoption (private-placement)

Current through Register Vol. 46, No. 28, July
					 10, 2024
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New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter B - Adoption Forms Of The Family Court › Adoption Forms › Form 14 - Certificate of adoption

Current through Register Vol. 46, No. 28, July
					 10, 2024
D.R.L. § 114 Form 14
Adoption (Certificate of Adoption)
9/2005
FAMILY COURT OF THE STATE OF NEW
						YORK
COUNTY OF
CERTIFICATE OF ADOPTION
I,, Clerk of the
Court of County, do hereby certify that I
						have inspected the records of this Court and find that:
AN ORDER OF ADOPTION was signed on the day
						of,, by Honorable, Judge of the Court of the County of, granting the petition
						of (and), adoptive parent(s) of a child now known and called by the name of
						[specify]:, who was born at, on the day of, ;
This certificate as to the facts recited
						herein shall have the same force and effect as a certified copy of an order of
						adoption.
IN TESTIMONY WHEREOF, I have hereunto set
						my hand and affixed the seal of the Court of the County of this day of,.
______________
Clerk of the Court of the County
						of
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter B - Adoption Forms Of The Family Court › Adoption Forms › Form 14-A - Order of incorporation of post-adoption contact agreement (agency adoption)

Current through Register Vol. 46, No. 28, July
					 10, 2024
Image
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New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter B - Adoption Forms Of The Family Court › Adoption Forms › Form 15-A - Application for certified copy of adoption order (before sealing of records)

Current through Register Vol. 46, No. 28, July
					 10, 2024
D.R.L. § 114 Form 15-A
(Application for
Certified Copy of
Adoption Order Before sealing of
						records)
9/99
FAMILY COURT OF THE STATE OF NEW
						YORK
COUNTY OF
________
In the matter of the Adoption of
						(Docket)(File) No.
APPLICATION FOR
CERTIFIED COPY OF
ADOPTION ORDER
(Before sealing of records)
A Minor of the Age of years
________
The undersigned applicant(s) respectfully
						show(s) that:
1. The applicant(s) (and)
reside(s) at (and) (respectively) in
						the
County of State of.
2. On or about the day of,, an order was
						made by the Honorable Judge of the Court of County, State of New York,
						approving the adoption of the above-named child by
, and thereafter, said order was duly
						filed in the office of the Clerk of the
Court of the County of.
3. It is necessary for the applicant(s) to
						obtain a certified copy of said order approving the adoption because of the
						following facts and circumstances:
WHEREFORE, applicant(s) pray(s) that the
						Court make an order directing the Clerk of the
Court of the County of to prepare, certify
						and deliver to the applicant a copy of the original order of adoption granted
						herein, and for such other and further relief as to the Court may be just and
						proper.
______________
Applicant
________
Form 15-A page 2
______________
Petitioner
______________
Print or type name
______________
Signature of Attorney, if any
______________
Attorney's Name (Print or Type)
________
________
______________
Attorney's Address and Telephone
						Number
VERIFICATION
STATE OF NEW YORK)
)ss.:
COUNTY OF)
being duly sworn, say(s) that
						(he)(she)(they)(is)(are) the applicant(s) above named; that
						(he)(she)(they)(have)(has) read the foregoing application and the same is true
						to (his)(her) (their) knowledge except as to matters therein stated to be
						alleged on information and belief and as to those matters (he)(she)(they)
						believers) it to be true.
______________
Applicant
______________
Applicant
Subscribed and sworn to before me this day
						of,.
______________
(Deputy) Clerk of the Court
Notary Public
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter B - Adoption Forms Of The Family Court › Adoption Forms › Form 15-B - Order for certified copy of adoption order (before sealing of records)

Current through Register Vol. 46, No. 28, July
					 10, 2024
D.R.L. § 114 Form 15-B
(Order for Certified Copy of Adoption
						Order-Before sealing of records)
9/99
At a term of the Family Court of
						the
State of New York, held in and for
						the
County of, at, New York on.
PRESENT:
Hon.
Judge
________
In the matter of the Adoption of
						(Docket)(File) No.
ORDER FOR
CERTIFIED COPY OF
ADOPTION ORDER
A Minor of the Age of years (Before
						sealing of records)
________
UPON reading and filing the application of
						and duly verified the day of,, requesting this Court to issue an order
						authorizing the Clerk of the Court of the County of to prepare, certify and
						deliver to said applicant(s) a copy of the original order of adoption granted
						herein; and the Court being satisfied that there is good and proper cause for
						granting such request; and upon all of the proceedings had herein; it is
ORDERED that the Clerk of the Court of the
						County of be and (s)he hereby is authorized to prepare, certify and deliver to
						said applicant(s) a copy of the original order of adoption granted
						herein.,
Form 15-B page 2
PURSUANT TO SECTION
						1113 OF THE
						FAMILY COURT ACT,
AN APPEAL FROM THIS ORDER MUST BE TAKEN
						WITHIN 30 DAYS OF RECEIPT OF THE ORDER BY APPELLANT IN COURT, 35 DAYS FROM THE
						DATE OF MAILING OF THE ORDER TO APPELLANT BY THE CLERK OF COURT, OR 30 DAYS
						AFTER SERVICE BY A PARTY OR THE LAW GUARDIAN UPON THE APPELLANT, WHICHEVER IS
						EARLIEST.
ENTER
______________
(J.F.C.) (Surrogate)
Dated:,.
Check applicable box:
Order mailed on [specify date(s) and to
						whom mailed]: ____________
Order received in court on [specify
						date(s) and to whom given]: ____________