PROBATE COURT OF FAIRFIELD COUNTY, OHIO
Terre L. Vandervoort, Judge
In the Matter of the ADOPTION of:____________________________________________________________
(Name after adoption)
Case No. _____________________________
REQUEST FOR COPY OF ADOPTION DOCUMENTS
I, __________________________________________________________________, request a copy of
(Name of person requesting copy)
_______________________________________________________________ in the matter of the adoption of
(Document(s) requesting a copy of)
_____________________________________________________________, Case Number ______________.
(Adoptee's name after adoption)
The Adoption was finalized in ___________.
was/was not (circle appropriate language) a party to the Adoption Proceeding.
I need a copy of this/these (circle appropriate language) document(s) for the following reasons:
Check appropriate box:
I have personally appeared and presented two items of identification to the clerk at the time of filing the
I am aware that I must personally appear and present two forms of identification¹ prior to information
being released to me.
Relationship to Adoptee
The Court denies the request for documents.
The Court grants the request and hereby authorizes the clerk to release a copy of the following
Judge Terre L. Vandervoort
¹As per R.C. 3107.38(A)(2), items of identification include a motor vehicle driver's or commercial driver's license, an identification card issued under R.C.
4507.50 to 4507.52, a marriage application, a Social Security card, a credit card, a military identification card, or an employee identification card.
One item of identification must contain a photograph.
FORM 40.4 - REQUEST FOR COPY OF ADOPTION DOCUMENTS
FORM 40.4E - ENTRY