Report Of Adoption Form Page 2

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INSTRUCTIONS FOR COMPLETING THIS FORM
*Do Not Include Payment With this Form
A. An electronic version of this form can be filled out and printed by going to the follow-
ing Web address: You must then submit
this form to the District/Juvenile court for their signature and seal. The court will mail
the completed report to Vital Records per C.R.S. 25-2-107 (1).
B. Colorado law (C.R.S. 25-2-107 and 25-2-113) authorizes the preparation of a new
birth certificate for an adopted person born in Colorado. Please complete this form
carefully to avoid unnecessary delay in filing the new birth certificate.
* Upon completion of the new birth certificate, a notification along with an applica-
tion for a certified copy of a birth certificate will be sent to the attorney listed in
Item #6. If an attorney is not listed the notification will be mailed to the adoptive
parent(s) at the address provided in Item #4A.
C. “Two parent” means two new parents will be listed on the new birth certificate. “Step
parent” means one new parent and one original parent will be listed on the new birth
certificate. “Single parent” means one new parent will be listed on the new birth certifi-
cate. Information about the other parent will be left blank. “Second parent” means the
child has a sole legal parent, and the sole legal parent wishes the child to be adopted by a
specified second adult.
D. Residents of Colorado who are adopting a child born in a foreign country must submit
the Report of Adoption and a certified copy of the Final Decree of Adoption, or Find-
ing of Birth Facts or Validation of Foreign Adoption form.
E. Birth certificates for children born in a foreign country to a citizen of the United States
must be obtained through the U.S. Department of State. If either one of the birth par-
ents was a U.S. citizen at the time of the child’s birth, the adoptive parents should con-
tact the U.S. Department of State for a revised birth certificate for their child at:
Correspondence Branch Passport Services
1111 19
th
St. NW, Ste 510
Washington, DC 20522
F. The current birth certificate will be pulled from the working files and indices and placed
in a sealed file along with the report of adoption. This sealed file shall not be subject to
inspection except as provided in section 25-2-113.5, upon order of a court of compe-
tent jurisdiction, or as provided by regulation.
G. For children born outside of Colorado, the Department of Public Health and Environ-
ment Vital Records Office will forward the report of adoption to the state vital statistics
office in the state where their child was born.
E-mail: vital.records@state.co.us
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