Form 151 (Rev. 10/11) The Family Court of the State of Delaware In and For Petitioner Name D.O.B. Street Address P.O. Box Number City/State/Zip Code Attorney Name New Castle Kent Sussex County PETITION TO CERTIFY VALIDITY OF FOREIGN ADOPTION DECREE 2nd Petitioner Name D.O.B. Street Address P.O. Box Number City/State/Zip Code Attorney Name File Number Interpreter needed? Language Yes No Interpreter needed? Language Yes No IN THE INTEREST OF THE FOLLOWING CHILD(REN): Child's Name Petitioner's Relationship to Child Child's Date of Birth Child's Place of Birth (City, State) Child's Gender (Check One) Male Male Female Female 1. _ 2. Attached is the foreign adoption decree. (child's birth name) was adopted by Petitioners (name)and (name) in (state or country) on (date of adoption). 3. Attached is an affidavit pursuant to 13 Del.C. §927(c). 4. Wherefore, Petitioners respectfully request that: 1. The validity of the foreign adoption decree be certified. 2. A final decree of adoption in the State of Delaware be issued indicating that (child's birth name) is the legal child of the parents. 3. A birth certificate shall be issued from the State of Delaware to that effect. 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Form 151 (Rev. 10/11) AFFIDAVIT PURSUANT TO 13 DEL.C. §927(C) 1. The foreign adoption decree attached was issued in accordance with the law of the issuing jurisdiction. 2. 3. The adoption was finalized in 4. The child shall henceforth be known as (child's name) was brought into Delaware on (jurisdiction) (date) (date) on (child's new name). Petitioner State of County of Sworn to subscribed before me: Clerk of Court/Notary Public State of County of Petitioner Sworn to subscribed before me: Clerk of Court/Notary Public 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com