Form 40.4 - Request For Copy Of Adoption Documents - Probate Court Of Fairfield County, Ohio

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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

[

R.C.3107.17(B)(1)]

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 ___________.

(Year)

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

Petition.

I am aware that I must personally appear and present two forms of identification¹ prior to information

being released to me.

________________________________________

__________________________________________

Signature

Relationship to Adoptee

________________________________________________________________________________________

ENTRY

The Court denies the request for documents.

The Court grants the request and hereby authorizes the clerk to release a copy of the following

documents:

__________________________________________________________________________________

__________________________________________________________________________________________

___________________________________

Date Journalized:_________________

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