Instructions Petition for Registration of an Adoption Order from a Foreign Country
[ ] 1. Complete the form from this packet entitled VERIFIED PETITION FOR REGISTRATION OF ADOPTION ORDER FROM FOREIGN COUNTRY. This form must be signed in front of a notary. [ ] 2. Obtain translations of the adoption order into English (unless the original order is already in English). You must have the translator certify the accuracy of the translation. Attach the original adoption order and the English translation to the VERIFIED PETITION FOR REGISTRATION OF ADOPTION ORDER FROM FOREIGN COUNTRY. [ ] 3. Complete the form from this packet entitled ORDER OF REGISTRATION OF ADOPTION FROM FOREIGN COUNTRY but do not sign this form. This document is for the judge to sign. [ ] 4. Complete the form from this packet entitled UTAH DEPARTMENT OF HEALTH OFFICE OF VITAL RECORDS AND STATISTICS REPORT OF FOREIGN ADOPTEES. [ ] 5. Make a copy of all of the documents mentioned above for your home records. [ ] 6. File all of the documents with the court in the County where you reside. (The filing fee as of July 1, 2004 was $155.) [ ] 7. The judge will review your documents and if there are no problems will sign the ORDER OF REGISTRATION OF ADOPTION FROM FOREIGN COUNTRY. You will usually be notified by the court if there is a problem. If you have not heard within two weeks, you should contact the court and check on the status of your case. [ ] 8. Once the judge has signed the registration order, the court clerk will forward the order to the Registrar for the State of Utah. When the Registrar for the State of Utah receives this order, the Registrar will create a certificate of birth showing the adoptive parents as the parents of the child. The birth certificate will contain the name for the child ordered by the Court.
NOTE REGARDING CITIZENSHIP: Registering your foreign adoption does not guarantee U.S. citizenship for your child. Contact an attorney for more information.
Court Location Beaver County Courtho use 2160 Sou th 600 W est Beaver, Utah 84713 435-438-5309 First D istrict Court Bo x Eld er Co unty 43 No rth Main P.O. Box 873 Brigham City, UT 84302-0873 435-734-4600 First District Court - Logan 135 No rth 100 W est Logan UT 84321 435-750-1300 Seventh District Court - Price Carbon C ounty Court Complex 149 E ast 100 South Price UT 84501 435-636-3400 Eighth District Court - Manila P.O. Box 218 Manila, UT 84046 435-784-3154 Second D istrict Court - Farmington 800 W est State Street P. O. Box 769 Farmington UT 84025 801-447-3800 Eighth District Court - Duchesne County 215 54 W est 9000 S outh P.O. Box 990 Duchesne, UT 84021 435-738-2753 Eighth District Court -Roo sevelt 255 South State P.O. Box 1286 Roosevelt, UT 84066 435-722-0235
Court Location Second D istrict Court 48 Young Street Morgan, Utah 801-845-4020 Sixth District Court - Junction Piute County Courthouse Junction, Utah 84740 435-577-2840
Rich Co unty Courtho use 20 South Main Street Randolph, UT 435-793-2415 Third D istrict Court - Salt La ke City 450 South State Street Salt Lake City, UT 84114 801-238-7300
Third District Court - W est Jordan 8080 South Redwood Road West Jordan, UT 84088 801-233-9700 San Juan City Public Safety Bldg 297 South Main P. O. Box 68 Monticello, UT 84535-0068 435-587-2122
Sixth D istrict Court - M anti Sanpete County Courthouse 160 N . Main Manti, UT 84642 435-835-2131
Sixth D istrict Court - Richfield 895 East 3 00 N orth Richfield, UT 84701 435-896-2700 Third D istrict Court - Silver S umm it 6300 North Silver Creek Road Park City, Utah 84098 435-615-4300
Court Location Seventh District Court - Castle Dale Emery County Courthouse 1850 North 560 West P.O. Box 635 Castle Dale, UT 84513 435-381-2619 Sixth District Court - Panguitch Garfield County Courthouse 55 S outh M ain Street Panguitch, Utah 84759 435-676-1104 Seventh District Court - Moab Grand County Courthouse 125 East C enter S treet Moab, UT 84532 435-259-1350 Fifth District Court - Ced ar City Cedar Hall of Justice 40 N orth 100 E ast Cedar City, UT 84720 435-586-7440 Fourth District Court 160 No. M ain Street Nephi, Utah 84648 435-623-0901
Fourth District Court - Provo 125 No rth 100 W est P.O. Box 1847 Provo UT 84601 801-429-1180 Eighth District Court - Vernal Uintah County Courthouse 920 East Highway 40 Vernal, UT 84078 435-781-9300 Fourth District Court 1361 So. Highway 40 Heber City, UT 84032 435-654-4676
Fifth District Court - St. George W ashington County Hall of Justice 220 No rth 200 East St. George, UT 84770 435-986-5700 Sixth District Court - Loa W ayne County Courthouse Loa, UT 84747 435-836-2731
Sixth District Court - Kanab Kane County Courthouse 76 North Main Street Kanab, Utah 435-644-2458 Fourth District Court 765 So. Highway 99 Fillmore, Utah 84631 435-743-6223
Second District Court - Ogden 2525 G rant Avenue Ogden UT 84401 801-395-1182
Address __________________________________ Phone __________________________________
Petitioner Pro Se _____________ DISTRICT COURT, ___________________ COUNTY, UTAH Address ______________________________________________________________ __________________________________________________________________________ * VERIFIED PETITION * FOR REGISTRATION * OF ADOPTION ORDER * FROM FOREIGN COUNTRY * __________________________________, * Case No. _________________ * A MINOR CHILD. * Judge: ____________________ ________________________________________________________________________ IN THE MATTER OF:
TO THE HONORABLE COURT:
My name is _______________________________________________________.
I was born on _____________(date). I live at the address shown above.
___________________________________________________________ (name of child) is a child who lives with me and who I first met on ___________________ (date) at: _____________________________________________________________________ _______________________________________ (place -write complete address).
I have learned the following information about the child: Date of birth: ____________________ 1 8/04
Place of birth (write complete address, including city, province, country): __________________________________________________________________ Sex of child: G Male
Birth Mother's name: __________________________________________________ Birth Father's name: ____________________________________________________ I adopted the child in court in the following foreign country: _____________________ _________________________________________________________________.
The adoption decree was signed on ___________________ (date). A copy of the court adoption decree is attached.
G I have attached a certified translation and a certificate of the translator because the
adoption decree is not in English. Another person also adopted the child along with me. This person is: Name: Address: __________________________________________________ _________________________________________________ _________________________________________________ Date of birth: _________________________
PLEASE register this adoption and sign an order that the Registrar for the State of Utah prepare a birth certificate for the child in the name of
_______________________________________________________________________. (First) (Middle) (Last) Signed on ___________________ (date) _________________________________ Petitioner's Signature
Petitioner, ______________________________ (name), appeared before me on the _______ day of _________________________, 20 _____, and proved to me Petitioner's identity in the form of a __________________________________. After being sworn and while under oath, Petitioner stated that Petitioner had read this document, understood the contents, and the contents were true of Petitioner's personal knowledge. Petitioner then signed this document in my presence.
__________________________________ Notary Public
____________________________________ ____________________________________ ____________________________________
_______________________ _______________________ _______________________
Petitioner Pro Se
_____________ DISTRICT COURT, ___________________ COUNTY, UTAH Address __________________________________________________________ ________________________________________________________________________ IN THE MATTER OF: * ORDER OF REGISTRATION * OF FOREIGN ADOPTION * ________________________, * Case No. _________________ * A MINOR CHILD. * Judge: ____________________ ________________________________________________________________________ This matter came before the court on Petitioner's Verified Petition to register the foreign country adoption of the minor child named above. The Court having reviewed the adoption order and Verified Petition, finds as follows:
1. The Petitioner is a resident of Utah and the current custodian of the minor child and has a direct, tangible, and legitimate interest as the adoptive parent of the minor child.
2. The following persons (which include Petitioner) have adopted the minor child: Father: ________________________________________, born ______________ Mother: _______________________________________, born ______________
3. The adoption order was issued by a court of competent jurisdiction in the country of: ___________________________________________________.
4. The fact, time, and place of birth of the minor child are as follows: _____________________________________________________________
Sex of child: [ ] male
[ ] female
Names of biological parents (if available): Father ___________________________________________________ Mother ___________________________________________________ Birthdate of child: ______________________________ Country of birth _________________________________________________ Location of birth (equivalent of city, county, state; or, city, ward, province; etc.) _______________________________________________________________
Based upon the above findings the Court orders that the Registrar for the State of Utah prepare a birth certificate for the minor child changing the child's name to
BY THE COURT
___________________________ DISTRICT COURT JUDGE
UTAH DEPARTMENT OF HEALTH OFFICE OF VITAL RECORDS AND STATISTICS
REPORT OF FOREIGN ADOPTEES PART 1. THIS INFORMATION MUST BE ENTERED AS ON THE ORIGINAL BIRTH CERTIFICATE Pursuant to Section 78-3-8.6 Utah Code the ____________________________ District Court has ordered the Utah State Registrar to file a Court Ordered Delayed Certificate of Birth for the following child: Born on ___________________ day of ______________________, ______________, a _________________
(Child's Date of Birth) (Month) (First) (Child's Birth Father) (Child's Birth Mother) (City) (First) (First) (Province) (Foreign Country) (First) (Middle) (Middle) (Middle) (Middle) (Foreign Country) (Month) (Last) (Year) (Year) (Male/Female) (Last) (Last) (Last)
by the name of (Child's Birth Name)____________________________________________________________ was born to __________________________________________________________________________ father and _______________________________________________________________________________ mother in _______________________________________________________________________________________ The child described above was adopted in ______________ on the ___ day of _______________, __________ and is now to bear the new name of ____________________________________________________________. PART 2. INFORMATION FROM ADOPTIVE PARENTS All information requested below MUST be provided or a Court Ordered Delayed Birth Certificate cannot be completed for filing. CHILD'S NEW NAME AFTER ADOPTION ________________________________________________________
(First) (Middle) (Last)
ADOPTIVE FATHER -----Name ____________________________________
(First) (Middle) (Last)
ADOPTIVE MOTHER-----Name ____________________________________
(First) (Middle) (Mother, Maiden Name)
Birth Date _________________________________ Birth Place ________________________________
(City or Town, County, State, Country)
Maiden Name ______________________________ Birth Date _________________________________
Birth Place ________________________________ (City or Town, County, State, Country) Present Mailing Address of Adoptive Parents: _________________________________________________________________________________________
(Street and Number of Residence) (City/Town/Community) (County) (State) (Zip Code)
PART 3. CERTIFICATION OF DISTRICT COURT CLERK OR COUNTY CLERK (Please DO NOT use all capital letters) CERTIFICATION OF COURT CLERK (INK SEALS MUST BE IN COLOR) I hereby certify that an Order of Registration of Foreign Adoption for the above named child was entered on this _______ day of S E A L _________________, ________, Case No. _________________
Signature of Court Clerk ________________________________ Date Signed _________________________________________ State of _____________________________________________