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Order of Child Protective Inquiry

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At a term of the Court of the State ofNew York, held in and for the County of________, at ________, New York on _____________________, _____P R E S E N T: Hon. ________________________      Judge_____________________________________A Child Whose First Name IsFile No.ORDER FORCHILD PROTECTIVE INQUIRY__________________________________ UPON reading and filing of the petition for a private placement adoption, agreementof adoption, consents and other papers submitted herein, the Court finds pursuant to SocialServices Law §422(4)(A)(e) that _____________________ is an adult member of thepetitioner(s) household and that a report from the New York State Office of Children & FamilyServices as to whether s/he has a history of indicated child protective reports is necessary todetermine whether the best interests of the child would be served by granting the adoptionpetition;  NOW THEREFORE, it is hereby ORDERED that the New York State Office of Children & Family Services shallconduct an investigation/inquiry on _____________________, a person over the age of eighteenand a member of the prospective adoptive parent(s) household and submit the report to the_________ County Surrogate’s Court located at_____________________, ________, NY_______ within 30 days of this Order.Date: ____________________________Hon.________________________SurrogateCheck applicable box:[     ] Order mailed on ____________________ and to whommailed:__________________________[     ] Order received in court on_____________and to whomgiven:________________________Form 12/99 Order for Investigation
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