Order (Certification As A Qualified Adoptive Parent)
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Order (Certification As A Qualified Adoptive Parent) Form. This is a New York form and can be use in Adoption Statewide.
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Tags: Order (Certification As A Qualified Adoptive Parent), 24, New York Statewide, Adoption
D.R.L§§ 115, 115-d
From 24
(Certification as
Qualified Adoptive
Parent)
(8/2010)
At a term of the Family Court of the
State of New York, held in and for the
County of
,
at
New York
on
,
.
PRESENT:
Hon.
Judge
Docket No.
In the Matter of the Adoption of
A Child Whose First Name is
ORDER
(Certification as a
Qualified Adoptive
Parent)
by
Adoptive Parent
NOTICE: THIS ORDER IS VALID ONLY UNTIL
The petition of
, verified the
day of
,
,
and filed in this court on the
day of
,
, applying for certification
as (a) qualified parent(s) of the above-named adoptive child and a report having been filed herein
by
, a disinterested person as defined in section 115-d of the
Domestic Relations Law,
AND a criminal history check having been performed and such check having revealed no
criminal convictions enumerated in section 115-d(3-a) of the Domestic Relations Law (except
[specify; delete if inapplicable]:
AND this Court having determined that the best interests of the above-named adoptive
child [check applicable box]: G will G will not be promoted by the adoption by the Petitioner(s),
Now therefore upon consideration of the report and all other relevant and material factors,
it is hereby
G ORDERED that
are certified as (a) qualified adoptive
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Form 24 page 2
parent(s) of the above-named adoptive child and may accept physical custody of a child for the
purposes of adoption prior to or contemporaneous with the filing of an adoption petition.
OR
G ORDERED that the application by for certification as (a) qualified adoptive parent(s)
is hereby denied for the following reasons:
.)
PURSUANT TO SECTION 1113 OF THE FAMILY COURT ACT, AN APPEAL FROM THIS
ORDER MUST BE TAKEN WITHIN 30 DAYS OF RECEIPT OF THE ORDER BY
APPELLANT IN COURT, 35 DAYS FORM THE DATE OF MAILING OF THE ORDER TO
APPELLANT BY THE CLERK OF COURT, OR 30 DAYS AFTER SERVICE BY A PARTY
OR THE ATTORNEY FOR THE CHILD UPON THE APPELLANT, WHICHEVER IS
EARLIEST.
ENTER
Judge of the Family Court / Surrogate
Dated:
,
.
Check applicable box:
Q Order mailed on specify date(s) and to whom mailed]:
Q Order received in court on [specify date(s) and to whom given]:
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