IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT, IN AND FOR COUNTY, FLORIDA Case No.: Division: IN THE MATTER OF THE ADOPTION OF , {use name to be given to the minor child} Adoptee. ORDER GRANTING MOTION FOR SEARCH OF THE PUTATIVE FATHER REGISTRY Upon consideration of Petitioners Motion for Search of the Putative Father Registry, this Court finds: 1. This is an action for adoption of a minor by the childs stepparent, Petitioner, who is proceeding pro se. 2. Section 63.054, Florida Statutes, requires that in every adoption, a search of the Putative Father Registry maintained by the Department of Health, Office of Vital Statistics be conducted. Section 63.0541, Florida Statutes, makes information maintained by the Registry confidential and exempt, except that it may be disclosed to adoption entities, registrant unmarried biological fathers, the birth mother, and the court, upon issuance of a court order concerning a petitioner acting pro se. NOW, THEREFORE, IT IS ORDERED THAT: 1. The Office of Vital Statistics, Department of Health shall conduct a search of the Putative Father Registry upon receipt of a completed application and payment of any authorized fee. 2. The State Registrar shall issue a certificate indicating the results of such search which shall be filed in this proceeding by transmitting the certificate to the clerk of court. DONE and ORDERED on: in , Florida. Circuit Judge Florida Supreme Court Approved Family Law Form 12.981(a)(7), Order Granting Motion for Search of Putative Father Registry(03/15) American LegalNet, Inc. www.FormsWorkFlow.com I certify that a copy of the {name of document(s)} was ( ) mailed ( ) faxed and mailed ( ) e-mailed ( ) hand-delivered to the parties and to any other persons or entities listed below on {date} . By: Clerk of Court, Designee, or Judicial Assistant Petitioner (or his or her attorney) Other: State Registrar, Office of Vital Statistics Florida Supreme Court Approved Family Law Form 12.981(a)(7), Order Granting Motion for Search of Putative Father Registry(03/15) American LegalNet, Inc. www.FormsWorkFlow.com