Looking for a Utah Legal Forms And Templates? Download it for free!

Application For Inclusion In The Utah Mutual-Consent Voluntary Adoption Registry Form - Utah Department Of Health Page 2

UTAH DEPARTMENT OF HEALTH - OFFICE OF VITAL RECORDS & STATISTICS

APPLICATION FOR INCLUSION IN THE UTAH

MUTUAL-CONSENT VOLUNTARY ADOPTION REGISTRY

Utah’s “Mutual-Consent Voluntary Adoption Registry” makes it easier for adult

adoptees and their “Birth Parents” or their blood-related brothers and sisters to find

each other. The registry is a result of legislation that became effective April 27, 1987.

The registry is administered by the Utah Department of Health, Office of Vital

Records and Statistics. Adult Adoptees (at least 18 years old) who were born in Utah,

their blood-related brothers and sisters, and their birth parents may use the registry.

A form available from Vital Records must be used to provide identifying information

(name, address, and telephone number) to the registry. Adult adoptees must be at

least 18 years old to file, but a birth parent may file at any time. To help operate the

registry, a $25.00 fee must be included with each application.

Each registry application is stored in computer files. A computer program

compares each new application with all other in search of a match. When Vital Records

receives an application from an adult adoptee that matches the application of a birth

parent or an adult blood-related brother or sister, identifying information will be provided

to the matched applicants.

However, if the adult adoptee has brothers or sisters of the same birth parent who

are under 18 years old, and who were raised in the same family as the adult adoptee,

Vital Records will not proved the birth parent’s identifying information until all the

brothers and sisters are 18 years old.

All identifying information obtained by the registry is confidential and will be

provided only as listed on this form. Those using the registry should, as necessary.

Update their identifying information, particularly address and telephone changes, with

Vital Records. A $5.00 fee must be included with each update. An applicant may

withdraw from the registry at any time by providing a written, notarized request to Vital

Records.

Questions regarding the Utah Mutual-Consent Voluntary Adoption Registry should

be directed to the Office of Vital Records, (801) 538-6363; or write to:

Office of Vital Records and Statistics

PO Box 141012

Salt Lake City, Utah 84114-1012

TO JOIN THE ADOPTION REGISTRY, YOU NEED:

Completed, Notarized application

CERTIFIED copy of your birth certificate

Fee of $25.00

Revised 05/09

Application For Inclusion In The Utah Mutual-Consent Voluntary Adoption Registry Form - Utah Department Of Health Page 2