Adoptions Forms

Act 101 of 2010

  1. Appendix B - Voluntary Post-Adoptions (PDF)
  2. Children, Youth and Families Bulletin 3350-11-01 (with Appendices) (PDF)
  3. Example Agreement (PDF)
  4. Pennsylvania Adoption Information Registry – Request for Adoption Information CY983 (PDF)

Adoption Forms

  1. Adoption Check List (PDF)
  2. Adult Adoptee Name Change Application (PDF)
  3. Certification Of Acknowledgment Of Paternity (PDF)
  4. Consent By Parent Of Adoptee With Notice (PDF)
  5. Final Decree Approving Adoption (PDF)
  6. Final Decree Approving Paramour Adoption (PDF)
  7. Final Decree Approving Step parent Adoption (PDF)
  8. Final Decree Confirming Consent to Adoption (PDF)
  9. Final Decree for Involuntary Termination of Parental Rights (PDF)
  10. Final Decree to Voluntary Relinquish Parental Rights to Adults (PDF)
  11. Final Decree to Voluntary Relinquish Parental Rights to Agency (PDF)
  12. Notice for Termination of Parental Rights-Confirm Consent (PDF)
  13. Notice Required By ACT 101 of 2010 (PDF)
  14. Petition For Adoption (PDF)
  15. Petition for Court Appointed Counsel and Financial Affidavit form and Information Packet (PDF)
  16. Petition for Involuntary Termination of Parental Rights (PDF)
  17. Petition For Leave to Proceed In Forma Pauperis (PDF)
  18. Petition For Voluntary Relinquishment of Parental Rights and Duties to Adult (PDF)
  19. Petition For Voluntary Relinquishment of Parental Rights and Duties to an Agency (PDF)
  20. Petition to Confirm Consent to Adoption (PDF)
  21. Report Disclosing Fees and Costs (PDF)
  22. Report Of Intention to Adopt (PDF)

Petition to Register Foreign Decree Pursuant to 23 PA.C.S. Section 2908 (PA.O.C. Rule 15.14)

[Note: Petitioner(s) must review and complete all the following forms]

  1. Division of Vital Records Form No. HD01273 F (Certificate of Adoption of a Foreign-Born Child) (PDF)
  2. Division of Vital Records Form No. HD01275 F (Statement of Citizenship and Residency) (PDF)
  3. Filing Instructions (PDF)
  4. Final Decree Denied (PDF)
  5. Final Decree Granted (PDF)
  6. Petition to Register Foreign Adoption Decree (PDF)

D. Foreign Adoption of a Foreign Born Child 23 PA.C.S. Section 2908E (PA.O.C. Rule 15.15)

[Note: See Pa.O.C. Rule 15.15 about what documents must be filed, and in what order]

  1. Division of Vital Records Form No. HD01273 F (Certificate of Adoption of a Foreign-Born Child) (PDF)
  2. Division of Vital Records Form No. HD01275 F (Statement of Citizenship and Residency) (PDF)
  3. Final Decree (PDF)
  4. Pennsylvania O.C. Rule 15.15 (PDF)
  5. Petition for Adoption of a Foreign Born Child (PDF)
  6. Preliminary Decree (PDF)
  7. Report of the Intermediary (PDF)
  8. Verification of Translator (PDF)