Waiver of Rights from Adoptees Guardian, Custodian or Spouse
In the case of the adoptee’s guardian, spouse or custodian wanting to waiver their legal rights, they are required to use the following form. This has been approved by the Board of District Court Judges December 17, 2010, and revised April 1, 2012.
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Waiver of Rights Approved Board of District Court Judges December 17, 2010 Revised April 8, 2015 Page 1 of 2 This is a private record. My Name Address City, State, Zip Phone Email In the District Court of Utah __________ Judicial District ________________ County Court Address ______________________________________________________ In the Matter of the Adoption of _____________________________________ (adoptee’s name) Waiver of Rights Case Number ___________________ Judge _________________________ Commissioner ___________________ Do not sign this document without reading it. Do not sign it unless everything stated is true and correct. If you have any questions, talk with an attorney. You have the right to be notified of hearings and to be served with papers in this matter. You have the right to intervene and oppose the adoption. By signing this document you are giving up these rights. If you want to waive your rights, complete this form, sign it, and return it to the Petitioner. If you want to intervene and oppose the adoption, file a motion to intervene with this court within 30 days after the Notice of Petition to Adopt was served on you. (1) I make this statement free from duress. (2) I am the adoptee’s Waiver of Rights Approved Board of District Court Judges December 17, 2010 Revised April 8, 2015 Page 2 of 2 [ ] Guardian without the right to consent to the adoption [ ] Custodian [ ] Spouse (3) I understand that: I have the right to be notified of hearings and to be served with papers in this matter. I have the right to intervene and oppose the adoption. By signing this document I am giving up these rights. (4) Understanding all of this, I voluntarily waive my right to be notified of hearings and served with papers in this matter, and I voluntarily waive my right to intervene in this matter. Do not sign this document without reading it. Do not sign it unless everything stated is true and correct. If you have any questions, talk with an attorney. 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
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