Form 34H:
Affidavit of Adopting Relative or Stepparent
(page 3)
Court file number
10. I also ensured that the parent(s) received independent legal advice from
(name of lawyer(s))
11. To the best of my knowledge, no person has given, received or agreed to give or receive any payment or reward of any
kind in connection with,
(a) the adoption of the child;
(b) the child’s placement for adoption;
(c) the giving of any consent to the child’s adoption; or
(d) any negotiations or arrangements leading up to the child’s adoption,
except for what is permitted by the Child and Family Services Act and the regulations made under it.
12. I understand that once the child turns eighteen years old, he/she can apply for a copy of his/her original birth registration, if
any, and a copy of his/her adoption order.
13. I understand that once the child turns nineteen years old, his/her birth parent(s) can apply for information from his/her
original birth registration, if any, any substituted birth registration and his/her adoption order. This information would
include the child's full legal name after adoption.
14. I understand the provisions of the Vital Statistics Act and the Child and Family Services Act related to the disclosure of
adoption information.
Sworn/Affirmed before me at
municipality
Signature
in
(This form is to be signed in front of a
lawyer, justice of the peace, notary public or
province, state or country
commissioner for taking affidavits.)
on
date
Commissioner for taking affidavits
(Type or print name below if signature is illegible.)
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FLR-34H-E (2009/04)