FORMS - Surrogates Court Forms

Adoption Forms

The PDF & Omniform version of these forms are FILLABLE. They can be filled out electronically, then printed. They however can NOT be submitted online.

Form Number	Title	PDF	DOC	WPD	Omni Form
	Order of Child Protective Inquiry
DOH-1928	Report of Adoption (to be completed and certified by the court)		-	-
DOH-4455	Adoption Information Registry Birth Parent Registration Form
LDSS-2725	NYS OCFS Request/Response for Name and/or address of Father of Child Born Out of Wedlock
OCFS-3937	Request for Information - Private Adoption		-	-
OCFS-4156	Order of Adoption		-	-
UCS-836	Uniform Adoption - Attorney's Affidavit (Agency & Private Placement)		-	-
1-A	Petition For Adoption (Agency)
1-B	Verified Schedule (Agency)
1-C	Petition for Adoption (Private Placement)
1-Ca	Affidavit (Change of circumstance since certification as qualified adoptive parents) (Private Placement)
1-D	Child's Medical History
1-E	Affirmation Regarding Venue
1-F	Determination of Family Court Judge Regarding Venue
1-G	Order Regarding Venue
2-A	Agreement of Adoption & Consent (Agency)
2-B	Agreement of Adoption (Private Placement)
2-C	Consent of Child Over 14 (Agency)
2-D	Consent of Child Over 14 (Private Placement)
2-E	Affidavit And Consent of Person Having Lawful Custody (Other than Birth or Legal Parent - Private Placement)
2-F	Judicial Consent (Birth or Legal Parent Private Placement)
2-Fa	Judicial Consent (Birth or Legal Parent - Private Placement Step-Parent)
2-G	Extra-Judicial Consent (Birth or Legal Parent - Private Placement)
2-Ga	Extra-Judicial Consent (Birth or Legal Parent - Private Placement Step-Parent)
3	Order Directing Service of Notice
4	Notice of Proposed Adoption
5	Order of Publication
6	Order of Investigation
7	Report of Investigation (Private Placement)
8-A	Affidavit Identifying Party (Agency)
8-B	Affidavit Identifying Party (Private Placement)
9-A	Affidavit of Financial Disclosure - Parents (Agency)
9-B	Affidavit of Financial Disclosure - Parents (Private-Placement)
10-A	Supplemental Affidavit (Agency)
10-B	Supplemental Affidavit (Private Placement)
10-C	Affidavit Of No Appeal
11	Order to Show Cause (Removal of child from Adoptive Home)
12	Order Removing Child From Adoptive Home
13-A	Order Of Adoption (Agency)
13-B	Order Of Adoption (Private-placement)
14	Certificate Of Adoption
14-A	Order Of Incorporation Of Post-adoption Contact Agreement
15-A	Application for Certified Copy of Adoption Order (Before sealing of records)
15-B	Application for Certified Copy of Adoption Order (Before sealing of records)
16-A	Application for Certified Copy of Adoption Order (After sealing of records)
16-B	Order For Certified Copy of Adoption Order (After sealing of records)
17	Petition For Enforcement Of Post-adoption Contact Agreement (After Adoption Finalization)
18	Order Determining Petition For Enforcement Of Post-adoption Contact Agreement (After Adoption Finalization)
21-A	Petition for Temporary Guardianship
21-B	Order (Temporary Guardianship of the Person)
21-C	Notice (Temporary Guardianship of the Person)
21-D	Notice (Denial or Withdrawal of Application) (Removal of Child)
21-E	Affidavit (Change of circumstances since certification as qualified adoptive parent)
22	Petition (Certification as a Qualified Adoptive Parent)
23	Affidavit & Report (Disinterested Person Certification Proceeding) (Private Placement)
24	Order (Certification as a Qualified Adoptive Parent)
25	Order (Conditional Certification as a Qualified Adoptive Parent)
26	Petition for Extention of Expired Certification
26-A	Affidavit & Report (Disinterested Person - Extension of Expired Certification)
27-A	Petition for Access to Sealed Adoption Records
27-B	Notice of Petition for Access to Sealed Adoption Records
27-C	Affidavit of Service of Notice of Petition for Access to Sealed Adoption Records
27-D	Waiver of Notice of Petition for Access to Sealed Adoption Records / Consent
27-E	Adoption–Order on Petition for Access to Sealed Adoption Records
28	Petition for Registration of Foreign Adoption Order
28-A	Order of Foreign Adoption and Name Change
	Agency Adoption Proceeding Checklist		-	-	-
	Private Placement Adoption Proceeding Checklist		-	-	-

 

PDF Forms: The PDF version of our forms can be downloaded.

 

OmniForms:
The OmniForm version of our forms can be filled out electronically. To access them, you will be asked to install a browser plug-in from ScanSoft.

 

Please keep in mind when completing OmniForms that "the text of all papers must be legible and, other than prompts and instructions, must be in a standard typeface of 10 to 12-point characters and have margins" [22NYCRR Section 207.4]. The typeface becomes smaller as more information is inserted therefore additional pages MUST be attached when available space is insufficient, i.e. typeface becomes too small to be legible.