Adoption Petition (Page 4 of 5) in pdf

Adoption Petition Page 4

2. If consent is not required because of a reason recognized in AS 25.23.050, please

state the reason.

Name of person whose consent

Reason

is not needed:

d. Visitation after the Adoption. AS 25.23.130.

1. The parent consenting to the adoption of the child has requested that he/she/other

relative

will

will not be allowed visitation with the child following the

adoption, as specified in that parent's consent.

2. I

agree

do not agree

with this request.

e. I believe that this adoption is in the best interests of this child.

f. I/we also filed the following:

1. a certified copy of the child's birth certificate (or verification of the birth record),

2. a filled out form VS-550, Descriptive Information Regarding Biological Parents,

3. a filled-out form VS-501, Report of Adoption,

4. the required consent forms, and

5. the report of expenditures required by AS 25.23.090.

[If I am unable to provide any of the above five requirements at the time of filing, my petition

will still be accepted by the court, however, my petition will be deficient until complete.]

g. I/we ask the court to:

1. grant this petition for adoption and declare the child to be my child for all legal

purposes,

2. declare that the child will be known from now on by the name shown at the top of

page one of this petition, and

3. order that a new birth certificate be issued for the child.

yes

Page 4 of 5

AS 25.23.080

P-405 (12/16)(cs)

Adoption Rule 6

PETITION FOR ADOPTION

Adoption Petition Page 4