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 7 - Report of investigation (private-placement)

Current through Register Vol. 46, No. 12, March 20, 2024

D.R.L. § 116 Form 7

(Report of Investigation-

Private-Placement)

12/97

SURROGATE'S COURT OF THE STATE OF NEW YORK

COUNTY OF

________

In the Matter of Adoption of

A Child Whose First Name Is (Docket)(File) No.

REPORT OF

INVESTIGATION

(Private-Placement)

________

TO THE COURT OF THE COUNTY OF ;

Pursuant to the order for investigation dated the day of from the Honorable Judge of the Court, I, , do report that I have investigated the allegations set forth in the petition herein and any statements contained in the affidavits required by the Domestic Relations Law. On the basis of such investigation, I respectfully submit the following report:

1. The marital status, family members and history, religious affiliation, if any, of the adoptive parent(s) and adoptive child are:

;

2. The physical and mental health of the adoptive parent(s) and adoptive child are:

;

3. The adoptive parent(s) have an income of and own the following property:

4. The following fees, compensation or other remuneration have been paid or agreed upon with respect to the placement of the child for adoption:

To natural parent:

To attorney for natural parent:

Form 7 page 2

To agency:

To attorney for agency:

To attorney for adoptive parent:

Other (specify):

5. The adoptive parent(s) (has) (have) not been (a) respondent(s) in any proceeding involving children alleged to be neglected, abandoned, abused, delinquent or in need of supervision except:

;

6. The following other facts relating to the familial, social, emotional and financial circumstances of the adoptive parent(s) may be relevant to a determination of adoption:

Dated: , 19 .

______________

Investigator

______________

Petitioner

______________

Print or type name

______________

Signature of Attorney, if any

______________

Attorney's Name (Print or Type)

________

________

______________

Attorney's Address and Telephone Number