Adoption Proceedings Benchbook
Appendix B: SCAO Forms

Clerk’s Report to Prosecuting Attorney

Consent to Adoption By Adoptee

Consent to Adoption By Agency/Court

Consent to Adoption By Guardian

Consent to Adoption By Parent

Declaration of Inability to Identify/Locate Father

Followup Report After Temporary Placement of Child for Adoption

Motion and Order for Delayed Registration of Foreign Birth

Motion Objecting to DNA Identification Profile or Blood/Tissue Typing Summary Report

Notice of Hearing to Identify Father and Determine or Terminate His Rights

Notice of Intent to Release or Consent

Notice to Adopting Parents on Pending or Potential Appeal/Rehearing

Notice to Putative Father

Order Determining Custody of Surrendered Newborn Child

Order for Blood or Tissue Typing or DNA Profile (Safe Delivery of Newborn Act)

Order Placing Child (Step-Parent Adoption)

Order Placing Surrendered Newborn With Prospective Adoptive Parents

Order Terminating Parental Rights After Release or Consent

Order to Determine Custody of Child Temporarily Placed for Adoption

Parent’s or Guardian’s Verified Accounting for Adoption Release or Direct Placement Consent

Petition and Order for Approval of Confidential Intermediary Fee

Petition and Order to Appoint Confidential Intermediary

Petition for Adoption

Petition for Direct Placement Adoption

Petition for Hearing to Identify Father and Determine or Terminate His Rights

Petition for Placement Order of Surrendered Newborn Child

Petition for Rescission of Adoption and Order

Petition of Parent for Custody of Surrendered Newborn Child

Petition to Determine Custody of Child Temporarily Placed for Adoption

Petition to Issue Notice of Intent to Release or Consent

Petitioner’s Verified Accounting

Release of Child By Child Placing Agency

Release of Child By Guardian

Release of Child By Parent

Statement of Child Placing Agency Transferring Physical Custody of Child for Adoption

Statement of Parent/Guardian Authorizing Temporary Placement of Child for Adoption

Statement of Parent/Guardian Transferring Physical Custody of Child for Adoption

Statement of Prospective Adoptive Parent Transferring Physical Custody of Child for Adoption

Statement of Services Performed By Agency/Family Independence Agency

Statement of Services Performed By Attorney

Statement to Accompany Consent In Direct Placement

Statement to Accompany Release

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