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Order of Adoption

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OCFS-4156 (Rev. 06/2007) FRONT 	
NEW YORK STATE 
OFFICE OF CHILDREN AND FAMILY SERVICES 	
ORDER OF ADOPTION 
FAMILY COURT/SURROGATE COURT REQUEST FORM	
 	
SCR USE: BATCH# 	
      	
RESOURCE ID #: 
      	
COURT LIAISON 
      	
AREA CODE/PHONE # 
(   )     -      	
DOCKET FILE # 
      	
COURT NAME AND ADDRESS 
      	
ZIP CODE 
      	
Section 112 of the Domestic Relations Law, as amended by Chapter 164 of the laws of 1991, requires that an inquiry be made of 
the New York Statewide Register of Child Abuse and Maltreatment (SCR) to determine if the adoptive parent(s) are the subject of 
an indicated child abuse or maltreatment report. 
Date of Request: 	      	 	
TO BE FILLED OUT BY ADOPTIVE PARENT(S) 	
LAST NAME (father)       	
MI       	SEX 
 M  	 F DATE OF BIRTH 	      	
ALIAS NAME(S)       	
FIRST NAME       	
 	
CURRENT ADDRESS: STREET       	
CITY       	STATE       	ZIP       	FROM       	TO       	
PRIOR ADDRESS(ES) (STREET) FOR THE LAST 28 YEARS       	
CITY       	STATE       	ZIP       	FROM       	TO       	
      	CITY       	STATE       	ZIP       	FROM       	TO       	
      	CITY       	STATE       	ZIP       	FROM       	TO       	
      	CITY       	STATE       	ZIP       	FROM       	TO       	
      	CITY       	STATE       	ZIP       	FROM       	TO       	
     	 CITY 	      	STATE       	ZIP       	FROM       	TO       	
LAST NAME (mother)       	
FIRST NAME       	MI       	SEX 
 M  	 DATE OF BIRTH      	 	
ALIAS NAME(S)       	
  	
CURRENT ADDRESS: STREET       	
CITY       	STATE       	ZIP       	FROM       	TO       	
PRIOR ADDRESS(ES) (STREET) FOR THE LAST 28 YEARS       	
CITY       	STATE       	ZIP       	FROM       	TO       	
      	CITY       	STATE       	ZIP       	FROM       	TO       	
      	CITY       	STATE       	ZIP       	FROM       	TO       	
      	CITY       	STATE       	ZIP       	FROM       	TO       	
      	CITY       	STATE       	ZIP       	FROM       	TO       	
      	CITY       	STATE       	ZIP       	FROM       	TO       	
MEMBERS OF ADOPTIVE PARENT(S) HOUSEHOLD 	LAST NAME & MAIDEN/ALIAS       	FIRST NAME       	MI       	SEX  M  	 	F	
DATE OF BIRTH       	
LAST NAME & MAIDEN/ALIAS       	FIRST NAME       	MI       	SEX  M  	 	F	
DATE OF BIRTH      	 	
LAST NAME & MAIDEN/ALIAS       	FIRST NAME       	MI       	SEX  M  	 	F	
DATE OF BIRTH      	 	
LAST NAME & MAIDEN/ALIAS       	FIRST NAME       	MI       	SEX  M  	 	F	
DATE OF BIRTH      	 	
LAST NAME & MAIDEN/ALIAS       	FIRST NAME       	MI       	SEX  M  	 	F	
DATE OF BIRTH      	 	
LAST NAME & MAIDEN/ALIAS       	FIRST NAME       	MI       	SEX  M  	 	F	
DATE OF BIRTH      	 	
LAST NAME & MAIDEN/ALIAS       	FIRST NAME       	MI       	SEX  M  	 	F	
DATE OF BIRTH

OCFS-4156 (Rev. 02/2009) REVERSE 
 
 	
COURT INSTRUCTIONS 	 
RESOURCE ID # 	Record your Resource ID # as appropriate. If you need assistance, email: 
[email protected]	
 	
DOCKET/FILE #: 	Record your Court Docket File # as appropriate. 	
COURT LIAISON: 	Record name of Court Liaison. 	
DATE OF REQUEST: 	Record the Court processing date. 
Order of Adoption Family Court/Surrogate Court forms are to be sent to: 
 
The New York Statewide Central Register 
Of Child Abuse and Maltreatment 
P.O. Box 4480, Attn: Service Center Unit 
Albany, N.Y. 12204-0480 	
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
TO ORDER MORE FORMS: 
Please access the Request for Forms and Publications form, (OCFS-4627) from the Internet: 
http://www.ocfs.state.ny.us/main/forms/management_services/	
 
Mail your completed Request for Forms and Publications, (OCFS-4627) to the Office of Children and 
Family Services, Forms Management Unit, Resource Distribution Center, 11, Fourth Ave, Rensselaer, 
NY 12144-2629. If you have difficulty accessing the form from the web-site, you can call The Forms Hot 
Line at: 518-473-0971.
Relevant article from our knowledge database

To guarantee everybody is pleased with the adoption, there's a 3 month adjustment'' period before the adoption is complete. Adoption may be a tricky procedure. As it is a complex legal process, it is helpful to be aware of the basics of adoption law. Such adoption may be considered in the kid's best interests in the event the organic parents die or in the event the custodial parent is found unfit.
Read more

If you're thinking about adopting a young child, you should learn about the fundamental procedures used in the majority of kinds of adoption. In the event the kid is over six it is not possible for them to sleep in an identical room for a kid of the opposite sex. After the pre-placement visits, he or she will be placed in your home and you will become responsible for the child's care. If he or she is living abroad, the process is called intercountry adoption. What it requires to adopt a kid and what actions you must take for the youngster adoption.

Adoption can happen out of many different scenarios. Then it's possible to proceed with the adoption once you're ready and the youngster's adoption counselor agrees. Should youn't consent to the adoption, you ought to get legal advice after possible. Kid adoption is a noble undertaking except to make your efforts easier, it's necessary for you to approach the most suitable adoption agency to adopt a kid and to avert any troubles later.

An adoption isn't going to be prevented by how a child has a legal guardian. It's wise you do not try and manage adoptions on your own since they are complex. Stepparent adoption is easily the most common sort of adoption.

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