Order Granting Petition For Release Of Identifying Information
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Order Granting Petition For Release Of Identifying Information Form. This is a Ohio form and can be use in Montgomery County (Court Of Common Pleas).
Tags: Order Granting Petition For Release Of Identifying Information, 19.4, Ohio County (Court Of Common Pleas), Montgomery
PROBATE COURT OF MONTGOMERY COUNTY, OHIO
ALICE O. McCOLLUM, JUDGE
IN THE MATTER OF THE ADOPTION OF __________________________________
(Name after adoption)
CASE NO. ___________________
ORDER GRANTING PETITION FOR RELEASE OF
IDENTIFYING INFORMATION
Upon request of the Petitioner for release of information concerning an adoption proceeding and a
subsequent order to ________________________________________________ and the Department of
(Agency)
Health to perform the tasks required by R.C. 3107.41, the Court finds that the agency has reported that
petitioner’s biological
mother
father
sibling(s)
[check appropriate language] have/has
filed an effective release which has not been withdrawn and the agency has provided the Court with a
copy of the identifying information.
The COURT HEREBY GRANTS the Petition in relation to said biological
mother
father
sibling(s) [check appropriate language] and informs Petitioner of the adoption and that the adoption
proceeding took place in Montgomery County Probate Court and hereby orders that ________________
________________________________ release said identifying information to the Petitioner accordingly.
(Agency)
_________________________________________
Alice O. McCollum, Probate Judge
M.C. FORM 19.4 – ORDER GRANTING PETITION FOR RELEASE OF IDENTIFYING INFORMATION
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