New York Codes, Rules and Regulations
Title 22 - JUDICIARY
Subtitle D - Forms
Chapter VII - Surrogate's Court Forms
Subchapter B - Adoption Forms Of The Surrogate's Court
Adoption Forms
Form 24 - Order (certification as a qualified adoptive parent)
D.R.L. §§ 115, 115-d Form 24
(Certification as
Qualified Adoptive
Parent)
12/97
At a term of the Surrogate's Court of the
State of New York, held in and for the
County of ,
at New York
on , 19 .
PRESENT:
Hon.
Judge
________
In the Matter of the Adoption of (Docket)(File) No.
A Child Whose First Name is
ORDER
(Certification as a
Qualified Adoptive
by Parent)
Adoptive Parent
________
NOTICE: THIS ORDER IS VALID ONLY UNTIL
The petition of , verified the day of , 19 , and filed in this court on the day of , 19 , applying for certification as (a) qualified parent(s) of the adoptive child above-named and a report having been filed herein by , a disinterested person as defined in section 115-d of the Domestic Relations Law
Now therefore upon consideration of said report and all other relevant and material factors, it is hereby
(ORDERED that are certified as (a) qualified adoptive 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.)
(ORDERED that the application by for certification as (a) qualified adoptive parent(s) is hereby denied for the following reasons:
.)
ENTER
______________
Surrogate
Dated: , 19 .
