PROBATE COURT OF ________________ COUNTY, OHIO _____________, JUDGE IN THE MATTER OF THE ADOPTION OF _______________________________________ (Name after adoption) CASE NO. ___________ PETITION FOR ADOPTION OF ADULT [R.C. 3107.02] The undersigned respectfully petitions the court for permission to adopt ____________________________________ an adult and to have the adult's name changed to _____________________________________________________. The Petitioner may adopt because the adult: is totally and permanently disabled. is determined to be a person with an intellectual disability. had established a child-foster caregiver, kinship caregiver, or child-stepparent relationship with the petitioner as a minor. was, at the time of the adult's eighteenth birthday, in the permanent custody of or in a planned permanent living arrangement with a public children services agency or a private child placing agency is the child of the spouse of the petitioner _______________________________________ Attorney for Petitioner _______________________________________ Typed or Printed Name _______________________________________ Address _______________________________________ City State Zip Code _______________________________________ Telephone Number (include area code) Attorney Registration No.____________________ _______________________________________ Petitioner _______________________________________ Typed or Printed Name _______________________________________ Address _______________________________________ City State Zip Code _______________________________________ Telephone Number (include area code) ENTRY This cause is set for hearing on the __________ day of ___________________________________, 20____ at ______________________ o'clock _____.m. _________________________________ PROBATE JUDGE FORM 19.0 - PETITION FOR ADOPTION OF ADULT Amended: March 1, 2017 Discard all previous versions of this form American LegalNet, Inc. www.FormsWorkFlow.com