PROBATE COURT OF ________________ COUNTY, OHIO
_________________________, JUDGE
IN THE MATTER OF THE ADOPTION OF _______________________________________
(Name after adoption)
CASE NO. _______________________
PETITION FOR ADOPTION OF ADULT
[R.C. 3107.02]
The undersigned respectfully petitions the court for permission to adopt ____________________________________
an adult and to have the adult's name changed to _____________________________________________________.
The Petitioner may adopt because the adult:
is totally and permanently disabled.
is determined to be a person with an intellectual disability.
had established a child-foster caregiver, kinship caregiver, or child-stepparent relationship with the
petitioner as a minor.
was, at the time of the adult’s eighteenth birthday, in the permanent custody of or in a planned
permanent living arrangement with a public children services agency or a private child placing
agency
is the child of the spouse of the petitioner
_______________________________________
_______________________________________
Attorney for Petitioner
Petitioner
_______________________________________
_______________________________________
Typed or Printed Name
Typed or Printed Name
_______________________________________
_______________________________________
Address
Address
_______________________________________
_______________________________________
City
State
Zip Code
City
State
Zip Code
_______________________________________
_______________________________________
Telephone Number (include area code)
Telephone Number (include area code)
Attorney Registration No.____________________
ENTRY
This cause is set for hearing on the __________ day of ___________________________________, 20____
at ______________________ o’clock _____.m.
_________________________________
PROBATE JUDGE
Print Form
FORM 19.0 - PETITION
ADOPTION OF ADULT
FOR
Amended: March 1, 2017
Discard all previous versions of this form