CHECKLIST Petition for Alternative Relinquishment of Putative Father 23 Pa. C.S.A. § 2504(c) (Documents to be attached to the Petition in the order they appear): _____ Preliminary Decree – Rule 15.1A(4) _____ Final Decree _____ Important Notice – Rule 15.1A(4) _____ Petition to Confirm Consent ____ ____ ____ ____ Attorney Caption Signed by Attorney for Petitioner Verified by Petitioner Petitioner is Birth Parent or Adopting Parent or Agency _____ Original Long Form Birth Certificate – Rule 15.2(b)(2) _____ Out-of-County Decrees Certified _____ Foreign Documents Translated _____ Report of Intention to Adopt or Petition for Adoption Filed _____ If Agency Termination Petition, Consent by Agency to accept custody fo child _____ Notice(s) Pursuant to 23 Pa.C.S.A. §2513(b) ____ at least ten (10) days notice by personal service, OR ____ Registered Mail, OR ____ By such means as the Court may require (See, Pa.R.C.P. 430) ____ Proof(s) of Notice – to be filed at or before the hearing