Adoption Packet
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ADOPTION PACKET ORPHANS’ COURT DIVISION COURT OF COMMON PLEAS CHESTER COUNTY, PENNSYLVANIA Revised: October 2015 NOTE: This revised adoption packet has been prepared to guide counsel and complies with the Adoption Act, 23 Pa. C.S. §2101, et seq., as amended, and Pennsylvania and Chester County Orphans’ Court Rules, as amended. These forms are to be used as guidelines only and are not to be used as fill-in forms. Counsel will be responsible to make all necessary changes in order to comply with any amendments to the pertinent statute or changes in the applicable rules that become effective after September 2004. Brackets [ ] have been placed around material that should not be used verbatim; non-bracketed material may be used verbatim if counsel is satisfied that it meets all statutory and rule requirements. TABLE OF CONTENTS Report of Intention to Adopt Checklist ............................................................................. 4 Report of Intention to Adopt ......................................................................................... 5 Report of Intermediary Checklist ..................................................................................... 8 Report of Intermediary ................................................................................................. 9 Verification (Agency) .............................................................................................. 11 Verification (Individual) ........................................................................................... 12 Petition to Voluntarily Relinquish Parental Rights - To Agency Checklist ...................... 13 Petition to Voluntarily Relinquish Parental Rights - To Individual Checklist ................... 14 Preliminary Decree .................................................................................................... 15 Final Decree (Agency) ................................................................................................... 16 Preliminary Decree (Adults) ....................................................................................... 17 Important Notice - Birth Parent .................................................................................. 18 Important Notice - Putative Father ............................................................................. 19 Petition to Voluntarily Relinquish Parental Rights to Agency ..................................... 20 Petition to Voluntarily Relinquish Parental Rights to Adults Intending to Adopt ......... 22 Joinder and Consent of Agency ................................................................................. 24 Joinder and Consent of Adults Intending to Adopt ..................................................... 25 Joinder of the Non-Petitioning Parent ........................................................................ 26 Petition to Confirm Consent Checklist ........................................................................... 27 Preliminary Decree ........................................................................................................ 28 Final Decree .............................................................................................................. 29 Important Notice - Birth Parent .................................................................................. 30 Important Notice - Putative Father ............................................................................. 31 Petition to Confirm Consent to Adoption .................................................................... 32 Statutory Consent of Birth Parent .............................................................................. 35 Petition for Alternative Relinquishment of Putative Father Checklist ............................. 37 Preliminary Decree .................................................................................................... 38 Final Decree .............................................................................................................. 39 Important Notice - Putative Father ............................................................................. 40 Petition for Alternative Relinquishment by Putative Father ........................................ 41 Petition for Involuntary Termination of Parental Rights Checklist .................................. 44 Motion for Appointment of Counsel for Child ............................................................. 45 Order for Appointment of Counsel for Child ............................................................... 46 Preliminary Decree .................................................................................................... 47 Final Decree .............................................................................................................. 48 Important Notice - Birth Parent .................................................................................. 49 Important Notice - Putative Father ............................................................................. 50 Petition for Involuntary Termination of Parental Rights (Agency) .............................. 51 Petition for Involuntary Termination of Parental Rights (Individual) ........................... 54 Petition for Adoption Checklist ...................................................................................... 57 Preliminary Decree .................................................................................................... 58 Final Decree .............................................................................................................. 59 Important Notice - Birth Parent .................................................................................. 60 Important Notice - Putative Father ............................................................................. 61 Petition for Adoption .................................................................................................. 62 Consent of Spouse of Adopting Parent (step-child adoption) .................................... 65 Consent of Adoptee (over 12 years of age) ............................................................... 66 2 Report of Intermediary ............................................................................................... 67 Petition for Adoption by Unmarried Couple Checklist .................................................... 70 Procedure for Adoptions by Unmarried Couple ......................................................... 71 Preliminary Decree .................................................................................................... 72 Final Decree .............................................................................................................. 73 Important Notice - Birth Parent .................................................................................. 74 Important Notice - Putative Father ............................................................................. 75 Petition for Adoption by Unmarried Couple ................................................................ 76 Consent of Parent to Adoption ................................................................................... 79 Petition to Register and Docket Foreign Decree of Adoption Checklist ......................... 80 Final Decree .............................................................................................................. 81 Petition to Register and Docket Foreign Decree ........................................................ 82 Petition for Adult Adoption with Name Change Checklist .............................................. 85 Preliminary Decree .................................................................................................... 86 Final Decree .............................................................................................................. 87 Petition for Adult Adoption with Name Change .......................................................... 88 Motion to Release copy of Adoption Petition to State Police ..................................... 91 Order to Release copy of Adoption Petition to State Police ....................................... 92 Petition to Change Birth Record - Gestational Carrier Checklist ................................... 93 Preliminary Decree .................................................................................................... 94 Final Decree .............................................................................................................. 95 Petition to Change Birth Record - Gestational Carrier ............................................... 96 Acknowledgment of Gestational Carrier (Filing of Petition) ...................................... 100 Motion to Impound Records ..................................................................................... 101 Order to Impound Records ...................................................................................... 102 3 CHECKLIST Report of Intention to Adoption 23 Pa.C.S. §2531, §2532 (This report is not required when proposed adopter(s) are related to the adoptee as set froth in 23 Pa.C.S. §2531(c)). ____ Report ____ Attorney caption: Name, Address, Telephone #, Attorney ID # ____ Signed by proposed adoptive parent(s) ____ Verified by proposed adoptive parent(s) ____ Pre-placement Report (23 Pa.C.S. §2531(b)(7)) NOTE: In order to initiate adoption proceedings, this Report must be filed within thirty (30) days of the date of receipt of