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Arizona Adoption Forms

As a result of errors in an adopted child’s edited birth certificate or social security number, the adoptive parent/s might need to request for the opening of the child’s sealed records. To petition for the opening of the child’s file, the adoptive parent/s must submit a notarized copy of this form to the Superior Court of Arizona. If petition is approved, the Judge of the Superior Court can authorize the opening of the sealed records.

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Page 1 of 1 OTHER_MOAR_COSCPinal_05.11.12 
Use only most current version 
 	
MOTION TO OPEN AN ADOPTION RECORD	 	
 
 
In Arizona, adoption records are sealed by statute. If you are requesting to open a recent Adoption 
record due to an error such as a change in the adopted child’s birth certificate or social security and you 
are the adopted Parent(s) or adopted child, please complete the attached “Motion to Open an Adoption 
Record.” 
 
 
 
IF YOU ARE SEEKING INFORMATION SUCH AS: 
•  Did an Adoption take place? 
•  Who are my birth parents? 
•  What is my birth family’s medical history? 
•  Satisfy curiosity about unknown family members. 
 
 
OR NEED A COPY OF A BIRTH CERTIFICATE FOR THE: 
•  Adoptee (individual adopted) 
•  Birth Parents of the Adoptee 
• Adoptive Parent(s) of the Adoptee 
 
 
YOU MUST CONTACT THE CONFIDENTIAL INTERMEDIARY PROGRAM: 
• Phone: 602-452-3378 
• Email: CIP@courts.az.gov	
 
• http://www.supreme.state.az.us/cip	
  
 
 
 
The Confidential Intermediary is authorized to access and inspect sealed court and other confidential 
records for the purpose of locating parties, pursuant to A.R.S. §8-134 to arrange contact or share 
information between individual who initiates a search and the person who is the subject of the search. 
 
Please Note: Confidential Intermediary services are available for Arizona adoptions only. However parties 
utilizing the program services, or parties sought, may reside anywhere. 	
 

Page 1 of 2 OTHER_MOAR_COSCPinal_05.11.12 
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Name of Person Filing: 
                    	  	
Street Address: 
                    	  	
City, State, Zip Code: 
                    	  	
Telephone Number: 
                    	  	
Email Address: 
                    	  	
ATLAS Number (if applicable) 
                    	  	
 Representing Self (No Attorney)  or  	 Represented by Attorney 	  	
If Attorney, Bar Number: 
                    	 	 	
 
 	
SUPERIOR COURT OF ARIZONA 
PINAL COUNTY 
 	
IN THE MATTER OF ADOPTION OF 
                     	CASE NUMBER:	                    	
Child Name at Bi	rth 	
  
MOTION TO OPEN ADOPTION RECORD 
Place of Birth: 
              City:                                                       	
. 
              State:                                                      
. 
 
  	
HONORABLE:	                    	
 
My name is                                                                                                            	
.  
I am (check one) 	
 the adoptive parent(s)  	 the birth parent  	 the adopted child 
 
The name(s) of the adoptive parent(s) is/are: 
  	
 
The Final Order of adoption was dated: 
 
 	
 I request the adoption file in this case be opened and searched for the following purposes: 
 
 	
 
 
 	
 I have legitimate interest in this case, because: (requires more than relationship to child)

Page 2 of 2 OTHER_MOAR_COSCPinal_05.11.12 
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Requesting information or documents: 
  
 
 	
OATH AND VERIFICATION OF PETITIONER	 
 
I agree that any documents or information released to me will remain confidential and will be used only 
for the purpose set forth above. 
 	
 
  
Date  Signature 
 
State of Arizona   ) 
    ) 
County of                                 	
   ) 
 
SUBSCRIBED AND SWORN TO before me this    day of  ,  20   
by       	
Name of Signe	r 
   	
Commission Expires 
  Notary Public
 
 	
 
ORDER	
 	
 
Based upon the foregoing Motion, IT IS HEREBY ORDERED to open the Adoption File and provide a copy of the 
information requested by the Petitioner. 
 
 
OTHER ORDERS: 
  	
 
 
 
 
 
Dated:      
    	
JUDGE OF SUPERIOR COURT
Next: Alabama Report of Adoption Previous: Adoption Information Sheet Arkansas
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