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PROBATE COURT OF________________ COUNTY, OHIO ________________, JUDGE ADOPTION OF___________________________________________________________ (Name after adoption) CASE NO. ____________________ ORDER FOR OHIO BIRTH RECORD FOR FOREIGN BORN CHILD This matter came on to be heard on the _______ day of _____________________, 20____, upon the Petition to Recognize Foreign Adoption filed by ______________________________________________________________ ___________________________________________________________________________________________. The Court finds the petitioner(s) has/have complied with the requirements of R.C. 3107.18 and giving effect to the Decree or Certificate of Adoption that was issued under the laws of a foreign country would not violate the public policy of the State of Ohio. It is therefore ORDERED that: A Final Decree recognizing the Foreign Decree of Certificate of Adoption is entered, herein; An Interlocutory Decree recognizing the Foreign Decree or Certificate of Adoption is entered herein which, unless vacated, shall become final on _______________________________________________________. The child's name shall be changed from: _____________________________________________________ to ___________________________________________________________________________________. The Ohio Department of Health shall issue a new birth record for the child pursuant to R.C. 3705.12(A)(1). Other_________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ ______________________________ Date _________________________________ JUDGE FORM 19.3 ORDER FOR OHIO BIRTH RECORD FOR FOREIGN BORN CHILD Effective Date: March 1, 2014 American LegalNet, Inc. www.FormsWorkFlow.com