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Certificate of Readiness for Adoption Hearing

When ready for the hearing of an adoption case, this form has to be completed and sent to the court looking the case.

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Certificate of Readiness for Adoption Hearing  Approved Board of District Court Judges December 17, 2010 
Revised April 8, 2015 Page 1 of 3 
   
This is a private record.
My Name 
 
Address 
 
City, State, Zip 
 
Phone 
 
Email 
 
I am the  [  ] Petitioner 
[  ] Attorney for the Petitioner and my Utah Bar number is _________ 
 
In the District Court of Utah 
__________ Judicial District ________________ County 
Court Address ______________________________________________________ 
In the Matter of the Adoption of 
_____________________________________
(adoptee’s name) 	
Certificate of Readiness for 
Adoption Hearing 
Case Number ___________________ 
Judge  _________________________ 
Commissioner ___________________ 	
Instructions:  
  You must complete this form before you file it. The judicial services representative cannot complete 
this form for you. 
  Keep a copy of all documents for your records. 
  Attend all court hearings. 
[  ]  By and through my attorney, 	(Attorney, check here if you are appearing for your client.)	 
I say as follows: 
(1)  The following documents have been filed with the court or are not required:

Certificate of Readiness for Adoption Hearing  Approved Board of District Court Judges December 17, 2010 
Revised April 8, 2015 Page 2 of 3 
   Petition to Adopt a Minor Stepchild has been filed 
  Adoptee’s Consent and Waiver of Rights 
[  ]  has been filed 
[  ]  is not required 
  Non-custodial Parent’s Consent and Waiver of Rights 
[  ]  has been filed 
[  ]  is not required 
 Adoptee’s Guardian’s Consent and Waiver of Rights 
[  ]  has been filed 
[  ]  is not required 
  Death certificate or other evidence of death of any deceased person whose 
consent to the adoption is required 
[  ]  has been filed 
[  ]  is not required 
 Adoptee’s Guardian’s Waiver of Rights 	
(No right to consent)	 
[  ]  has been filed 
[  ]  is not required 
  Adoptee’s Custodian’s Waiver of Rights 
[  ]  has been filed 
[  ]  is not required 
  Adoptee’s Spouse’s Waiver of Rights 
[  ]  has been filed 
[  ]  is not required 
  Report of Adoption form for the Office of Vital Records and Statistics 
[  ]  has been filed 
[  ]  is not required 
  Criminal History Report by the Bureau of Criminal Identification 
[  ]  has been filed 
[  ]  is not required 
  Child Abuse History Report by the Division of Child and Family Services 
[  ]  has been filed

Certificate of Readiness for Adoption Hearing  Approved Board of District Court Judges December 17, 2010 
Revised April 8, 2015 Page 3 of 3 
 [  ]  is not required 
  Certificate of Paternity Search 
[  ]  has been filed 
[  ]  is not required 
  Written evidence from the United States Citizenship and Immigration Services 
if the adoptee is an “alien child” under 16 years old 
[  ]  has been filed 
[  ]  is not required 
(2)  The Petition to Adopt a Minor Stepchild is at issue and is ready for a hearing. 
(3)  I ask that the court schedule the Petition to Adopt a Minor Stepchild for a hearing. 
I declare under penalty of Utah Code Section 78B-5-705 that everything stated in this document is true 
and correct. 
Sign here ►
Date 
Typed or Printed Name
Next: Checklist for Adopting a Minor Stepchild Previous: Consent of Spouse or Partner of Prospective Adoptive Parent in Adoptive Parent in Adoption of Adult or Emancipated Minor
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