IN THE CIRCUIT COURT OF THE STATE OF OREGON COUNTY OF MULTNOMAH Family Law Department In the matter of the Adoption of: ) ) ) Case No. ( If you do not know the case number , leave blank) ) ) ) ) MOTION for ORDER ALLOWING INSPECTION AND COPYI NG OF SEALED ADOPTION RECORDS; and AFFIDAVIT Motion I, (name), request permission to inspect and copy the following documents in the above referenced court file: Petition for Adoption Judgment of Adoption Other court document, record, or specific information: Points and Authorities Submitted by: American LegalNet, Inc. www.FormsWorkFlow.com IN THE CIRCUIT COURT OF THE STATE OF OREGON COUNTY OF MULTNOMAH Family Law Department In the matter of the Adoption of: ) ) ) Case No. ( If you do not know the case number, leave blank) ) ) ) ) AFFIDAVIT SUPPORTIN G MOTION FOR INSPECTION AND COPYI NG OF SEALED ADOPTION RECORDS Affidavit STATE OF ) ) ss. County of ) I, , being first duly sworn, depose and state the following: 1. I have the following relationship to the child in this case: A. Adoptee 226 I am the former Child in this case. I am now at least 18 years of age. You must fill out #2 below. Also fill out #3 below if you are requesting access to your entire file instead of only to a particular document. Fill out #5 below if it applies to you. B. Biological parent 226 I am the biological [ ] mother [ ] father of the child in this case (check all below that apply) (1) The child is now 18 years of age or older and the court has entered a judgment of adoption. (2) My parental rights to this child were previously terminated by the court, or I voluntarily surrendered my rights to DHS or another licensed agency under the provisions of ORS 418.270 or through a certificate of waiver under the Indian Child Welfare Act. You must fill out #2 & #4 below. Fill out #5 below if it applies to you. (3) My situation is not the same as described in (2) above. This is my situation: C. Other relationship: Fill out #2 below. Fill out #5 below if it applies to you. 2. I want access to the court records because: . Page 1 of 2 226 Affidavit Supporting Motion for Inspection and Copying of Sealed Adoption Records 02/15 American LegalNet, Inc. www.FormsWorkFlow.com 3. Fill out this section only if you are the Adoptee AND are requesting access to your entire file instead of to just a particular document. I am the Adoptee and I have a good reason for asking for access to the entire file. My good reason is: 4. Fill out this section only if Section 1.B(2) above applies to you. My parental rights were surrendered or terminated but I have a good reason for requesting access to whatever court records can be disclosed to me. My good reason is: . 5. Fill out this section only if you want permission to disclose adoption information to someone else. I want to share the court record or information I receive with another person or entity. That person or entity is:. My good reason for sharing this record or information is: Signature SUBSCRIBED AND SWORN to before me this day of , 20. NOTARY PUBLIC/Court Clerk My Commission Expires: Certificate of Document Preparation. You are required to truthfully complete this certificate regarding the document you are filing with the court. Check all boxes and complete all blanks that apply: I selected this document for myself, and completed it without paid assistance. I paid or will pay money to for assistance in preparing this form. Submitted by: Print Name Address or Contact Address City, State, Zip Telephone or Contact Telephone Page 1 of 2 226 Affidavit Supporting Motion for Inspection and Copying of Sealed Adoption Records 02/15 American LegalNet, Inc. www.FormsWorkFlow.com