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Consent and Waiver by Parents

If the parents of an adopted child want to give up all of their legal parental rights, the following form has to be used. Both parents have to complete the form and send it after the child is born.

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Florida Supreme Court Approved Family Law Form 12.981(a)(7), Order Granting Motion for Sea	rch of Putative 	
Father Registry	(03/15	) 
IN THE CIRCUIT COURT O	F THE ________________	JUDICIAL CIRCUIT,	 	
 IN AND FOR ___________________________	_COUNTY, 	FLORIDA	 	
 	
Case No.:____________________________	 	
Division: 	____________________________	 	
IN THE MATTER OF THE ADOPTION OF	 	
 
 
 
                        	           	___________________	 , 	
{use name to be given to the minor	 child	} Adoptee.	 	
 
 	
ORDER GRANTING MOTION FOR SEARCH OF 	 	
THE PUTATIVE FATHER REGISTRY	 	
 
Upon consideration of Petitioner	’s Motion for Search of the Putative Father Registry, this Court finds:	 	
 
1. 	This is an action for adoption of a minor by the child	’s stepparent, Petitioner, 	who is proceeding 	
pro se	. 	
 
2. 	Section 63.054, Florida Statutes, requires that in every adoption, a search of the Putative Father 
Registry maintained by the Department of 	Health, Office of Vital Statistics be conducted.  Section 	
63.0541, Florida Statutes, makes information maintained by the Registry confidential and 
exempt, except that it may be disclosed to adoption entities, registran	t unmarried biological 	
fathers, the bi	rth mother, 	and the court, upon issuance of a cour	t order concerning a petitioner	 	
acting pro se	. 	
 	
NOW, THEREFORE, IT IS ORDERED THAT:	 	
 
1. 	The Office of Vital Statistics, Department of Health shall conduct a search of the Putative Father 
Registry upon rec	eipt of a completed application 	and payment of any authorized fee.	 	
 
2. 	The State Registrar shall issue a certificate indicating the results of such search which shall be 
filed in this proceeding by transmitting the certificate to the clerk of court.	 	
 
 
DONE a	nd ORDERED 	on:	 ____________________	in __________________________, Florida.	 	
 
 
 
 	
______________________________	________	 	
Circuit Judge

Florida Supreme Court Approved Family Law Form 12.981(a)(7), Order Granting Motion for Sea	rch of Putative 	
Father Registry	(03/15	) 	
  
 
I certify that a copy of the 	{name of document(s)} _____________________________________________	 	
was (    ) mailed (    	) faxed and mailed (    ) e	-mailed (    ) hand	-delivered to the parties and to any other 	
persons or entities listed below on 	{date} 	___________________________________________.	 	
 
 	 	 	 	 	 	 	
 
 	 	 	 	 	 	__________________________________________	 	
 	 	 	 	 	 	By: Clerk of Co	urt, Designee, or Judicial Assistant	 	
 
Petitioner (or his or her attorney)	 	
Other: ______________________	 	 	 	 	 	 	
State Registrar, Office of Vital Statistics
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