Petition For Adoption Of Minor Page 2
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2
3CASE NO. ___________________
The guardian ad litem during the permanent custody proceedings was ___________________________________
whose address is ____________________________________________________________________________________.
The attorney representing the minor during the permanent custody proceedings was
___________________________________________________________________________________________________
whose address is ____________________________________________________________________________________.
PERSONS OR AGENCIES WHOSE CONSENT TO THE ADOPTION IS
REQUIRED
Name:____________________________ Relationship:___________________ Age, if minor _________
□
Address:_________________________________________________________
Consent filed
Name:____________________________ Relationship: ___________________ Age, if minor _________
□
Address:_________________________________________________________
Consent filed
_____________________________________________________________, the agency has permanent
□
Custody of the minor filed under, ________________________, ___________
Consent filed
PERSONS WHOSE CONSENT TO THE ADOPTION IS NOT REQUIRED
No person has timely registered pursuant to R.C. 3107.062 as a putative father of the minor. Attached is Ohio
Department of Jobs and Family Services Form 1697.
A
The consent of _______________________________________________________________________
Name
Address
Relationship
B
The consent of _______________________________________________________________________
Name
Address
Relationship
is/are not required because:
A
B
The parent has failed without justifiable cause to provide more than de minimis contact with the minor for a
period of at least one year immediately preceding the filing of the adoption petition or the placement of the minor in the home
of the petitioner.
The parent has failed without justifiable cause to provide for the maintenance and support of the minor as
required by law or judicial decree for a period of at least one year immediately preceding the filing of the adoption petition or
the placement of the minor in the home of the petitioner.
State other grounds under R.C. 3107.07 (includes putative father of the minor.
__________________________________________________________________________
__________________________________________________________________________
FORM 18.0 – PETITION FOR ADOPTION OF MINOR
PAGE 2
Amended: March 1, 2017
Discard all previous versions of this form
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