Verified Schedule (Agency) {1-B} | Pdf Fpdf Doc Docx | New York

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Verified Schedule (Agency) {1-B} | Pdf Fpdf Doc Docx | New York

Last updated: 10/18/2025

Verified Schedule (Agency) {1-B}

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Description

Adoption Form 1-B - VERIFIED SCHEDULE (Agency). This form is used by authorized adoption agencies in New York to provide the court with verified information about a child being placed for adoption. The form identifies the child’s full name, date and place of birth, and the birth parents’ last known addresses. It also explains how the agency obtained custody and includes documentation confirming compliance with the Interstate Compact on the Placement of Children (if applicable). Agencies must attach medical history details and any Post-Adoption Contact Agreement. The form concludes with a verification signed under penalty of perjury by an authorized agency representative or attorney. D.R.L.; §§111-a, 112(3), 112-b. S.S.L. '§§383-c, 384. www.FormsWorkflow.com

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