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Affidavit Of Adoptive Parents Form. This is a Hawaii form and can be use in Family Court Statewide.
Tags: Affidavit Of Adoptive Parents, Hawaii Statewide, Family Court
FAMILY COURT
_______________ CIRCUIT
STATE OF HAWAI‘I
AFFIDAVIT OF
ADOPTIVE PARENT(S)
(RE: HRS SECTION 578-15)
CASE NUMBER
FC-A NO.
[ ]ATTORNEY FOR PETITIONER(S)
[ ]PETITIONER(S) PRO SE
In the Matter of Adoption of:
A [ ]MALE [ ]FEMALE CHILD,
Born on:
A [ ]MALE [ ]FEMALE CHILD,
Born on:
A [ ]MALE [ ]FEMALE CHILD,
Born on:
A [ ]MALE [ ]FEMALE CHILD,
Born on:
Name
by
Address
City, State, Zip Code
[ ]the legal spouse of [ ]and
Telephone Number
[ ]the child(ren)'s legal parent
[ ]husband and wife [ ]an unmarried person
Petitioner(s).
STATE OF HAWAI‘I
CITY AND COUNTY OF HONOLULU
)
)
)
SS.
Petitioner(s) above-named being first duly sworn on oath, deposes and says that:
1.
I have been advised of the requirements of Section 578-15 of the Hawai‘i Revised Statutes
regarding confidentiality of the court's adoption files and will be able to give this information to the
child(ren) I will be adopting;
2.
When an adopted child becomes 18 years old, the child or the child's adopted parents can
request, in writing, to see the court's files regarding this adoption.
3.
If the child's natural parents want to keep their identity confidential, each natural parent must file
an affidavit requesting confidentiality with the Family Court, where the adoption took place, within
ninety (90) calendar days before the child's 18th birthday.
4.
This affidavit requesting confidentiality is good for ten (10) years.
After that, the natural parents can file affidavits every ten (10)
years or they can file an affidavit which keeps their identity
confidential for the rest of their lives. All affidavits must be filed
within ninety (90) calendars days prior to the expiration of the
previous affidavit.
08/07/01
PAGE 1 OF 2 PAGES
AFFIDAVIT OF ADOPTIVE PARENT(S)
(RE: HRS §578-15)
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FAMILY COURT
______ CIRCUIT
STATE OF HAWAI‘I
AFFIDAVIT OF ADOPTIVE PARENT(S)
(RE: HRS SECTION 578-15)
CASE NUMBER
FC-A NO.
5.
The child's natural parents can request to see the child's adoption file, too, but the child has the
same rights to confidentiality.
6.
If a child wants his or her identity to be kept confidential, the child must file an affidavit requesting
confidentiality within ninety (90) days prior to his or her 18th birthday. This affidavit is good for ten
(10) years. After that, the child can file an affidavit every ten (10) years or the child can file an
affidavit to cover the rest of the child's life.
7.
One natural parent's action can only bind that one parent and will not apply to the other.
8.
The natural parents can agree to open up the child's adoption file at any time and the child can,
too, anytime after turning 18 years old.
9.
If after turning 18, the child wants his or her identity revealed, it will be the child's responsibility to
contact the Family Court (on the island where the adoption was granted), in writing, and let the
Family Court know his or her current address.
10.
Notwithstanding any affidavits requesting confidential, the child or the adoptive parents can obtain
information in the records concerning the child's ethnic background and medical history.
11.
The Family Court has no responsibility to notify the child, adoptive parents, or the natural parents
of any deadlines or expiration dates.
Signature of Petitioner
State of Hawai‘i,
County of Honolulu
Signature:
Date
Printed Name of Notary Public:
Notary Public, State of Hawai‘i
Commission
Expires:
Date
Signature of Petitioner
State of Hawai‘i,
County of Honolulu
Signature:
Date
08/07/01
PAGE 2 OF 2 PAGES
Notary Public, State of Hawai‘i
Printed Name of Notary Public:
Commission
Expires:
Date
AFFIDAVIT OF ADOPTIVE PARENT(S)
(RE: HRS §578-15)
American LegalNet, Inc.
www.FormsWorkflow.com