Statement of Adopted Person fillable form

Adoption of, name after adoption Case number

The child named in this adoption is A minor who became available or potentially available for adoption on or before September 18, 1996, and at least one of the biological parents consented to the adoption or a probate court entered a finding the biological parents consent was not necessary A minor who became available for adoption after September 18, 1996

Exclusions for ODHS disclosure Foreign adoption finalized in another country and re-finalized in Ohio Foreign adoption finalized in Ohio only Step-parent adoption Involuntary surrender court commitment Other, please specify

Other exclusion please specify line 1 Other exclusion please specify line 2 Other exclusion please specify line 3