District Court Denver Juvenile Court ___________________________________ County, Colorado Court Address: IN THE MATTER OF THE PETITION OF: _____________________________ (name of person seeking to adopt) FOR THE ADOPTION OF A CHILD COURT USE ONLY Case Number: Division: Courtroom: FINAL DECREE OF SECOND PARENT ADOPTION The Petitioner appearing in person, and the Court having heard the testimony and evidence offered in support of the Petition, and being fully advised finds: 1. That the child was born on _______________ (date), at __________________________ (place of birth). 2. The written home study prepared by a county Department of Social Services, Designated Qualified Individual, or Child Placement Agency and Approved by the Department pursuant to §19-5-207.5(2), C.R.S. or the home study report that was prepared within six months of the date of the filing of this action pursuant to §19-5-207, C.R.S. for the adoption of the child by the sole legal parent has been reviewed by the court. 3. That the Petitioner appears to be of good moral character, to have the ability to support and educate said child, and to have a suitable home. 4. That the fingerprint-based criminal history record checks of the prospective adoptive parent, as reported to the Court by the county department of social services, the designated qualified individual, the child does not reveal a felony or misdemeanor conviction listed under §19placement agency, or Petitioner 5-207(2.5)(a)(IV), C.R.S. at least 10 years prior to the filing of the Petition for Adoption or does reveal a felony or misdemeanor offense however the prospective parent has had no further arrests or convictions subsequent to the conviction, and there has not been a pattern of misdemeanors. 5. The TRAILS background check completed by the Department of Human Services does not reflect a confirmed report of child abuse or neglect. 6. The mental and physical condition of the child appears to make him/her a proper subject for adoption by the Petitioner. 7. The sole legal parent of the child consents to the adoption. The child, if twelve years old or older has consented to the adoption. 8. That the best interests of said child will be served by said adoption; and that the best interests and welfare of the said child will be promoted by the issuance of this Final Decree of Adoption. It is therefore ordered, adjudged and decreed that the Final Decree of Adoption for the child is hereby granted, and that the name of the child is retained or changed to ___________________________________, and that the child shall be and is hereby, entitled to all rights and privileges and subject to all obligations of a child pursuant to statute. Date: ______________________________ _____________________________________ Judge Magistrate CERTIFICATE OF MAILING I certify that on __________________ (date), I mailed, faxed, or hand-delivered a copy of this Decree to the following: Attorney for Petitioner(s) or Petitioner(s) pro se Other: ____________________________________ JDF 523 8/07 FINAL DECREE OF SECOND PARENT ADOPTION __________________________________________ Clerk American LegalNet, Inc. www.FormsWorkflow.com