Last updated: 1/18/2007
Petition For Access To Sealed Adoption Records {27-A}
Start Your Free Trial $ 13.99What you get:
- Instant access to fillable Microsoft Word or PDF forms.
- Minimize the risk of using outdated forms and eliminate rejected fillings.
- Largest forms database in the USA with more than 80,000 federal, state and agency forms.
- Download, edit, auto-fill multiple forms at once in MS Word using our Forms Workflow Ribbon
- Trusted by 1,000s of Attorneys and Legal Professionals
Description
D.R.L. §114 Adoption Form 27-A (Adoption--Petition for Access to Sealed Adoption Records) (9/2006) FAMILY 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. PETITION FOR ACCESS TO SEALED ADOPTION RECORDS ........................................................................................... TO THE FAMILY COURT OF THE COUNTY OF [specify]: The Petitioner respectfully alleges to this Court that: 1. [Check applicable box]: G I am the child who was adopted in the above-entitled proceeding. G My relationship to the above-named child is as follows [specify]: a. I reside at [specify address and telephone number]: b. My mailing address, if different from the above, is [specify]: Upon information and belief, [check applicable box]: G [Applicable where Petitioner is the adoptee]: I was born in [specify city, village or town and State]: on or about [specify date]: A certified copy of my birth certificate is attached. G [Applicable where Petitioner is not the adoptee]: [specify adoptee's name]: was born in [specify city, village or town and State]: on or about [specify date]: A certified copy of the birth certificate is attached. Upon information and belief, [check applicable box]: G [Applicable where Petitioner is the adoptee]: I was adopted pursuant to court order in the [specify county and court, if known]: G [Applicable where Petitioner is not the adoptee]: [specify adoptee's name]: was adopted pursuant to court order in the [specify county and court, if known]: 5. A request for information G has G has not been made of the Adoption Information Registry. [Direct inquiries to: NYS Department of Health , Adoption Information Registry, P.O. Box 2602, Albany, New York 12220- 2602, (518)474-9600] The names, dates of death, permanent addresses of the adoptive parents, if living, and the adoptee's birth name, if known, are as follows [specify]: [Check applicable box(es)]: G I am requesting access to sealed adoption records on medical grounds for the following American LegalNet, Inc. www.FormsWorkflow.com 2. 3. 4. 6. 7. Adoption Form 27-A Page 2 reasons [specify]: [NOTE: If your request is based on medical grounds, you must attach a medical certification from a physician licensed to practice medicine in the State of New York addressing a serious physical or mental illness. Such certification shall identify the information required to address the illness.] G I am requesting access to sealed adoption records for good cause, other than medical, for the following reasons [specify]: G [Applicable to Native-American individuals 18 years of age and older]: I am requesting access to sealed adoption records, including information about my birth parents' tribal affiliation(s), if any, and other information necessary to protect any rights flowing from such tribal affiliations. 8. No previous application has been made for the relief requested herein except as follows: [Enter "NONE", or specify]: I understand that the Court may appoint a law guardian for the purpose of reviewing the file and determining whether the information being sought is in the file and to undertake such other and further instructions that the Court may require. WHEREFORE, for the reasons stated above, I respectfully request access to the sealed adoption records and information sought above and for such other and further relief as this Court deems just and proper. Dated: , . ______________________________________ Petitioner's signature ______________________________________ Petitioner: Print or type name ______________________________________ Attorney' signature, if any ______________________________________ ______________________________________ Attorney's Address and Telephone number VERIFICATION STATE OF NEW YORK COUNTY OF ) :ss.: ) being duly sworn, says that (he)(she) is the Petitioner(s) in the above-named proceeding and that the foregoing petition is true to (his)(her) own knowledge, except as to matters stated to be alleged on information and belief and as to those matters (he)(she) believe(s) them to be true. ______________________________________/________________________ Petitioner: typed or printed name/ Signature Sworn to before me this day of , . __________________________ (Deputy)Clerk of the Court Notary Public American LegalNet, Inc. www.FormsWorkflow.com
Related forms
-
Affidavit (Change Of Circumstance Since Certification As Qualified Adoptive Parent) (Private Placement)
New York/Statewide/Adoption/ -
Affidavit And Consent Of Person Having Lawful Custody (Other Than Birth Or Legal Parent) (Private Placement)
New York/Statewide/Adoption/ -
Affidavit And Report Disinterested Person Certification Proceeding Private Placement
New York/Statewide/Adoption/ -
Affidavit And Report Disinterested Person Extension Of Expired Certification
New York/Statewide/Adoption/ -
Affidavit Identifying Party (Agency)
New York/Statewide/Adoption/ -
Affidavit Of Financial Disclosure Parents (Agency)
New York/Statewide/Adoption/ -
Affidavit Of Financial Disclosure Parents (Private Placement)
New York/Statewide/Adoption/ -
Agreement Of Adoption (Private Placement)
New York/Statewide/Adoption/ -
Agreement Of Adoption And Consent (Agency)
New York/Statewide/Adoption/ -
Application For Certified Copy Of Adoption Order (After Sealing Of Records)
New York/Statewide/Adoption/ -
Application For Certified Copy Of Adoption Order (Before Sealing Of Records)
New York/Statewide/Adoption/ -
Certificate Of Adoption
New York/Statewide/Adoption/ -
Childs Medical History (Agency Or Private Placement)
New York/Statewide/Adoption/ -
Consent Of Child Over 14 (Agency)
New York/Statewide/Adoption/ -
Consent Of Child Over 14 (Private Placement)
New York/Statewide/Adoption/ -
Extra Judicial Consent (Birth Or Legal Parent Private Placement Step Parent)
New York/Statewide/Adoption/ -
Judicial Consent (Birth Or Legal Parent Private Placement)
New York/Statewide/Adoption/ -
Notice (Denial Of Withdrawal Of Application Removal Of Child)
New York/Statewide/Adoption/ -
Notice (Temporary Guardianship)
New York/Statewide/Adoption/ -
Order (Certification As A Qualified Adoptive Parent)
New York/Statewide/Adoption/ -
Order (Conditional Certification As Qualified Adoptive Parent)
New York/Statewide/Adoption/ -
Order Directing Service Of Notice
New York/Statewide/Adoption/ -
Order For Certified Copy Of Adoption Order (Before Sealing Of Records)
New York/Statewide/Adoption/ -
Order Of Adoption (Agency)
New York/Statewide/Adoption/ -
Order Removing Child From Adoptive Home
New York/Statewide/Adoption/ -
Order To Show Cause (Removal Of Child From Adoptive Home)
New York/Statewide/Adoption/ -
Petition (Certification As A Qualified Adoptive Parent)
New York/Statewide/Adoption/ -
Petition For Adoption (Agency)
New York/Statewide/Adoption/ -
Petition For Extension Of Expired Certification (Private Placement)
New York/Statewide/Adoption/ -
Petition For Temporary Guardianship
New York/Statewide/Adoption/ -
Report Of Investigation (Private Placement)
New York/Statewide/Adoption/ -
Supplemental Affidavit (Agency)
New York/Statewide/Adoption/ -
Supplemental Affidavit (Private Placement)
New York/Statewide/Adoption/ -
Notice Of Proposed Adoption
New York/Statewide/Adoption/ -
Order Of Adoption (Private Placement)
New York/Statewide/Adoption/ -
Affidavit Regarding Status Of Appeal (Agency)
New York/Statewide/Adoption/ -
Order Determing Petition For Enforcement Of Post-Adoption Contact Agreement (After Finalization)
New York/Statewide/Adoption/ -
Order Of Incorporation Of Post-Adoption Contact Agreement (Agency)
New York/Statewide/Adoption/ -
Order For Investigation
New York/Statewide/Adoption/ -
Affidavit Of Service For Petition For Access To Sealed Adoption Records
New York/Statewide/Adoption/ -
Determination Of Family Court Judge Regarding Venue
New York/Statewide/Adoption/ -
Notice Of Petition For Access To Sealed Adoption Records
New York/Statewide/Adoption/ -
Order On Petition For Access To Sealed Adoption Records
New York/Statewide/Adoption/ -
Order Regarding Venue
New York/Statewide/Adoption/ -
Petition For Access To Sealed Adoption Records
New York/Statewide/Adoption/ -
Waiver Of Notice Of Petition For Access To Sealed Adoption Records
New York/Statewide/Adoption/ -
Verified Schedule (Agency)
New York/Statewide/Adoption/ -
Petition For Adoption (Private Placement)
New York/Statewide/Adoption/ -
Petition For Registration Of Foreign Adoption Order (And Name Change)
New York/Statewide/Adoption/ -
Order Of Adoption (And Name Change)
New York/Statewide/Adoption/ -
Judicial Consent Of Birth Of Legal Parent To Adoption By Step-Parent)
New York/Statewide/Adoption/ -
Extrajudicial Consent (Birth Or Legal Parent - Private Placement)
New York/Statewide/Adoption/ -
Affidavit Identifying Party
New York/Statewide/Adoption/ -
Order For Child Protective Inquiry
New York/Statewide/Adoption/ -
Order Of Adoption Family Court Surrogate Court Request Form
New York/Statewide/Adoption/ -
Order (Temporary Guardianship Of The Person)
New York/Statewide/Adoption/ -
Order On Application For Certified Copy Of Adoption Order (After Sealing Of Records)
New York/Statewide/Adoption/ -
Order Of Publication (Agency)
New York/Statewide/Adoption/ -
Petition For Enforcement Of Post-Adoption Contact Agreement (After Finalization)
New York/Statewide/Adoption/ -
Consent To Adult Adoption By Adoptee
New York/Statewide/Adoption/ -
Petition For Adult Adoption
New York/Statewide/Adoption/ -
Adoption Information Registry Birth Parent Registration Form
New York/Statewide/Adoption/ -
NYS Unified Court System Attorneys Affirmation
New York/Statewide/Adoption/ -
Affirmation Change Of Circumstances Since Certification As Qualified Adoptive Parent
New York/Statewide/Adoption/ -
Affirmation Regarding Venue
New York/Statewide/Adoption/
Form Preview
Contact Us
Success: Your message was sent.
Thank you!