Homepage Alabama Adoption Report Template
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The Alabama Adoption Report form plays a pivotal role in the adoption process within the state, serving as a bridge between the formalization of an adoption and the recognition of this new legal status by the state's vital records. Designed to meticulously detail every aspect of the adopted child's origins and the adoptive family's information, the form is divided into parts that various stakeholders, including the petitioners, their attorney, or the court, must complete. Critical data such as the birth parents' identities, the child's place of birth, and original birth certificate information can be omitted if the child was placed by a licensed agency or the State Department of Human Resources, which in turn provides this information directly to the State Registrar. Following the finalization of the adoption decree, a meticulously filled report—and a $25 fee for a child born in Alabama, or a $10 fee for a child born outside Alabama—must be sent to the Alabama State Registrar to facilitate the issuance of a new birth certificate reflecting the child's new familial ties. This document, therefore, not only ensures the legal acknowledgment of the adoptive relationship but also sets in motion the updates necessary for the child's records, signifying a fresh start for the adoptive family while maintaining the integrity of the state's vital statistics.

Alabama Adoption Report Example

A L A B A M A

REPORT OF ADOPTI ON

INSTRUCTIONS: Parts I and II of this report must be completed by the petitioners, their attorney, or the Court. If the child was placed by a licensed child-placing agency or the State Department of Human Resources, information about 1) the natural parents, 2) place of birth of the child, and 3) birth certificate number may be omitted. This information is to be furnished to the State Registrar by the agency which placed the child.

Within ten (10) days after the final decree of adoption has been made, the Clerk of the Court shall make his certification in Part III, affix his official seal, and forward this report with the final decree of adoption to the State Registrar, Center for Health Statistics, P. O. Box 5625, Montgomery, Alabama 36103-5625. If the child was born in Alabama a new certificate listing the child’s new name and adoptive parents will be prepared. The fee to prepare this new birth certificate is $25.00 payable to the Alabama State Board of Health. This fee also includes one certified copy of the new certificate. If the adopted child was not born in Alabama, the State Registrar will forward the certified copy of the final decree of adoption and the report of adoption to the proper official in the state of birth. The fee to forward the final decree of adoption and report of adoption to the proper official in the state of birth is $10.00 payable to the Alabama State Board of Health. To obtain a certified copy of this birth certificate, contact the state of birth.

PART I

INFORMATION ABOUT CHILD (To Identify Original Birth Certificate)

 

 

 

 

 

 

NOTE: If the official birth certificate number is entered, the names of the father and mother may be omitted.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Full Name of Child at Birth

First

 

 

Middle

 

 

Last

 

Birth Certificate Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Place of Birth City–Town or Location

 

 

 

 

State and Country of Birth

 

Date of Birth

 

Sex

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Full Maiden Name of NATURAL Mother

First

 

 

 

Middle

 

Last

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Full Name of LEGAL Father

 

First

 

 

 

Middle

 

Last

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PART II

 

INFORMATION AFTER ADOPTION (FOR NEW BIRTH CERTIfiCATE)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Full Name of Child After Adoption

 

First

 

 

Middle

 

 

 

Last

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FATHER — Full Name

 

 

First

 

 

Middle

 

 

 

Last

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Father’s State of Birth (If not in U.S.A., name country)

 

 

 

 

 

Father’s Date of Birth

 

 

 

 

Father (Check One)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Adoptive

Natural

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MOTHER — Full Maiden Name

First

 

Middle

 

 

Mother’s Legal Name First

 

 

 

Middle

 

Last

 

 

 

Last

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mother’s Date of Birth

 

 

 

Mother’s State of Birth (If not in U.S.A., name country)

 

 

Mother’s Usual Residence—State

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mother’s Residence — County

 

 

Mother’s Residence — City or Town and Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mother’s Residence — Street Address (If rural, give location)

 

 

 

Mother’s Residence — Inside City

Mother (Check One)

 

 

 

 

 

 

 

 

 

 

Limits (Specify Yes or No)

Adoptive

Natural

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address of Adoptive Parents

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name and Full Address of Attorney Or Agency Representative

 

 

Phone Number

 

 

 

Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PART III

 

 

 

CERTIFICATION OF CLERK OF COURT

 

 

 

 

 

 

 

 

 

 

Must be properly signed, dated and sealed.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For City, County

 

 

 

 

 

 

 

 

 

Name of Court

 

 

 

 

 

 

 

 

 

of

 

 

 

 

 

 

 

 

 

 

I hereby certify that the adoption as set forth above was made final in this Court by decree dated

and bearing No.

.

 

 

 

 

 

Signature

 

 

(Seal)

Title

 

 

 

By

 

ADPH-HS-17/Rev. 10/2009

Form Specs

Fact Name Description
Completion Responsibility Parts I and II of the Alabama Adoption Report must be completed by the petitioners, their attorney, or the Court.
Exemption for Child-Placing Agencies If the child was placed by a licensed child-placing agency or the State Department of Human Resources, specifics about the natural parents, place of birth, and birth certificate number can be omitted.
Clerk of the Court Duties Post-Adoption Within ten days after the adoption decree is finalized, the Clerk of the Court must certify Part III, affix the official seal, and forward the report with the decree to the State Registrar, Center for Health the State Registrar, Center for Health Statistics.
Fee for New Birth Certificate A fee of $25.00 is charged for preparing a new birth certificate for a child born in Alabama, which includes a certified copy of the new certificate.
Procedure for Out-of-State Births If the adopted child was not born in Alabama, the State Registrar will forward the adoption decree and report to the relevant official in the child's birth state for a $10.00 fee.

Detailed Guide for Writing Alabama Adoption Report

Filling out the Alabama Adoption Report form is an essential step in the adoption process that helps ensure all legal and state documentation reflects the change. It is a straightforward process but requires attention to detail. Following the steps outlined below will ensure that the form is completed accurately and efficiently, paving the way for the creation of a new birth certificate for the adopted child.

  1. Start with Part I, which asks for information about the child to identify the original birth certificate. If you know the official birth certificate number, you may omit the names of the father and mother.
  2. Enter the Full Name of Child at Birth, including the first, middle, and last names.
  3. Provide the Birth Certificate Number if available. If not, ensure the parents' names are included in the form.
  4. Fill in the Place of Birth, including city or town and the state and country of birth.
  5. Indicate the Date of Birth and Sex of the child.
  6. Complete the section for the Full Maiden Name of NATURAL Mother and the Full Name of LEGAL Father, including all requested details.
  7. Move on to Part II, which requires information for the new birth certificate after the adoption. Provide the Full Name of Child After Adoption.
  8. Enter the details for the Father and Mother after adoption, including their names, places of birth, dates of birth, and whether they are the adoptive or natural parents.
  9. Provide the Mother’s Usual Residence, detailed down to the street address and if it’s inside city limits.
  10. Include the Mailing Address of Adoptive Parents and their Phone Number.
  11. Fill in the Name and Full Address of Attorney Or Agency Representative, along with their phone number and title, if applicable.
  12. Proceed to Part III

    , which is the Certification of Clerk of Court. This part is to be completed by the Clerk of the Court, so ensure that all information provided in Parts I and II is accurate before submission. The Clerk will sign, date, and seal this section.
  13. Remember the application fees: $25.00 for a new birth certificate if the child was born in Alabama or $10.00 if the record needs to be sent to another state. Check payable to the Alabama State Board of Health.

After completing and submitting the form along with the final decree of adoption to the State Registrar, the process for issuing a new birth certificate for the adopted child will be initiated. For those children born outside of Alabama, the necessary documents will be forwarded to the appropriate state office for the same purpose.

Common Questions

Who needs to complete Parts I and II of the Alabama Adoption Report form?

Parts I and II of the Alabama Adoption Report form must be completed either by the individuals adopting the child (the petitioners), their attorney, or the Court itself. This is necessary to officially document the details of the child being adopted, including information about the child's birth and the adoptive parents, which is critical for the creation of a new birth certificate after the adoption is finalized.

What happens if the child was placed by a licensed child-placing agency or the State Department of Human Resources?

When a child is placed for adoption through a licensed child-placing agency or the State Department of Human Resources, certain information normally required on the form, specifically about the natural parents, the place of birth of the child, and the birth certificate number, can be omitted. This information will be provided to the State Registrar by the agency that placed the child, ensuring that the child’s records are updated without requiring the adoptive parents to submit this sensitive information.

What are the steps to be taken after the final decree of adoption has been issued?

Following the issuance of the final decree of adoption, the Clerk of the Court is required to complete the certification in Part III of the form. This includes affixing the official seal and forwarding the report alongside the final decree of adoption to the State Registrar at the Center for Health Statistics within ten days. This step is crucial for the formal recognition of the adoption and plays a vital role in updating the child’s official records to reflect the adoption.

What fees are involved with the Alabama Adoption Report form, and how are they processed?

There is a $25.00 fee associated with the preparation of a new birth certificate if the child was born in Alabama, which also covers the cost of one certified copy of the new birth certificate. This fee is payable to the Alabama State Board of Health. For children not born in Alabama, there is a $10.00 fee to forward the adoption report and the final decree of adoption to the relevant official in the state of birth. These fees ensure the legal documentation reflecting the adoption is properly processed and that the child's new birth certificate is issued in a timely manner. For obtaining a certified copy of this new birth certificate, one must contact the state where the child was born.

Common mistakes

Filling out the Alabama Adoption Report form correctly is a crucial step in the adoption process. However, mistakes can easily happen if the form isn't handled with care. Here are five common errors to avoid:

1. Omitting Information Where Not Permitted: A key misunderstanding arises when individuals think it's acceptable to omit information about the natural parents and the child’s place of birth across the board. This form clarifies that such details may only be omitted if the child was placed by a licensed child-placing agency or the State Department of Human Resources. When individuals who do not fall under this exception leave out this information, it causes unnecessary delays and complications in processing the report.

2. Incorrectly Handling Birth Certificate Details: Parts I and II of the form address information crucial for both the original and the new birth certificates. A common mistake is the mishandling of the birth certificate number. If this number is provided as instructed, the natural parents' names can be left off. Unfortunately, many fail to include this number correctly, leading to incomplete submissions that cannot be processed efficiently.

3. Not Paying Necessary Fees: The fee requirements outlined in the instructions are often overlooked. There is a $25.00 fee for preparing a new birth certificate for a child born in Alabama, inclusive of one certified copy. For children adopted in Alabama but born in another state, a $10.00 fee applies to have the final decree of adoption and the adoption report forwarded to the relevant state. Not including these fees with the report can result in delays.

4. Delaying the Submission Beyond the Deadline: The requirement that the completed form, along with the final decree of adoption, must be submitted to the State Registrar within ten days after the adoption decree is finalized is frequently missed. Procrastination or misunderstandings regarding this timeline can hinder the timely issuance of the new birth certificate.

5. Failure to Utilize the Proper Certification by the Clerk of the Court: The adoption report form necessitates certification in Part III by the Clerk of the Court, including a signature, date, and the court's official seal. Occasionally, this section is improperly completed or entirely overlooked. This oversight can invalidate the submission, necessitating a resubmission and further delaying the adoption process.

  1. Ensure all required information is included, especially data related to the child's natural parents and place of birth, unless specifically exempted.
  2. Correctly entering the birth certificate number can save time and avoid confusion.
  3. Be mindful of the necessary fees and include them with your submission to avoid processing delays.
  4. Adhere strictly to the submission deadline to ensure the adoption process moves forward without unnecessary holdups.
  5. Ensure the certification by the Clerk of the Court is properly completed to ensure your submission is deemed valid.

By avoiding these common mistakes, adoptive parents, attorneys, and court officials can ensure the adoption process proceeds smoothly and efficiently.

Documents used along the form

Adopting a child is a deeply rewarding yet complex journey, filled with various legal steps and documentation to ensure the process is conducted smoothly and legally. The Alabama Adoption Report form is a crucial document in this journey, but it's only one part of a larger collection of forms and documents that adoptive parents will need to complete. Alongside this report, several other important forms play key roles in the adoption process within Alabama. Understanding these documents can help adoptive parents navigate the journey with clarity and confidence.

  • Home Study Documents: Before an adoption can proceed, a thorough assessment of the prospective adoptive home is conducted. This includes background checks, interviews, and home visits to ensure the safety and preparedness of the adoptive environment.
  • Petition for Adoption: This is an official request to the court for permission to adopt a specific child or children. It includes detailed information about the prospective parents and the child involved.
  • Consent to Adoption: Given by the child's biological parents (or the child if they are of a certain age), this document officially relinquishes their parental rights to the adoptive parents.
  • Medical History Forms: These provide comprehensive health information about the child being adopted, including any medical conditions, treatments, and family medical history that may be relevant.
  • Post-Placement Reports: Compiled after the child has been placed in the adoptive home, these reports assess the adjustment of both the child and the adoptive family. They're typically required for a certain period after the adoption is finalized.
  • Final Decree of Adoption: Once all legal requirements are met, the court issues this decree, officially completing the adoption process and giving the adoptive parents all legal rights and responsibilities for the child.
  • Application for New Birth Certificate: After the adoption is finalized, this application is submitted to request a new birth certificate for the child, reflecting their new name and the names of the adoptive parents.
  • Adoption Subsidy Agreement: If applicable, this document outlines any financial assistance or subsidy provided to help support the adoption of a child with special needs.
  • Interstate Compact on the Placement of Children (ICPC) Forms: Required when a child is being adopted from another state, these forms ensure that the child's move across state lines complies with legal standards on both ends.

Each of these documents complements the Alabama Adoption Report form, collectively serving to protect the interests of the child and ensure the legality and stability of the new family being formed. Prospective adoptive parents should work closely with their legal advisor or adoption agency to understand and complete these vital documents accurately and timely. Together, they pave the way to a successful adoption, ensuring the well-being of the child and the joy of the adoptive family. It's a process filled with paperwork and procedures, but at its heart, it's a journey of love, commitment, and family.

Similar forms

The Alabama Adoption Report form is similar to several other legal documents in terms of its structure, purpose, and the information it gathers. These include the Petition for Adoption, Post-Adoption Birth Certificate Application, and the Interstate Compact on the Placement of Children (ICPC) paperwork. Each of these documents serves a unique purpose in the adoption process, yet shares common ground with the Alabama Adoption Report form in facilitating the legal and official aspects of child adoption.

Firstly, the Petition for Adoption is akin to the Alabama Adoption Report form in that both are foundational to the adoption process. The petition is typically the initiating document that prospective adoptive parents file in court to start the legal procedure for adoption. Like the Alabama Adoption Report form, it contains detailed information about the child, the adoptive parents, and the reasons for adoption. However, it's more of a request for approval, whereas the Alabama Adoption Report form records the completion of an adoption and is used administratively to update the child’s birth records.

Next, the Post-Adoption Birth Certificate Application shares a key objective with the Alabama Adoption Report form—they both play a pivotal role in creating a new birth certificate for the adopted child. The Post-Adoption Birth Certificate Application is specifically used to order a new birth certificate after an adoption is finalized, highlighting the child’s new name and adoptive parents. The Alabama Adoption Report form also facilitates this process but does so by recording the finalization of the adoption and signaling the need for a new birth certificate to be prepared. Both documents ensure that the child’s new legal identity is officially recognized and recorded.

Lastly, the Interstate Compact on the Placement of Children (ICPC) paperwork is similar to the Alabama Adoption Report form in its cross-jurisdictional implications for adoption. The ICPC paperwork is necessary when a child is being adopted from one state to be placed in another, ensuring that the adoption complies with the laws of both states. While the Alabama Adoption Report form primarily deals with the recording of an adoption within Alabama, including arrangements for out-of-state birth certificate amendments if the child was born in another state, the ICIP prepares the legal ground for such interstate adoptions. Both documents ensure that adoptions are conducted legally across state lines, with the Alabama Adoption Report form serving as the final documentation of the legal adoption process.

Dos and Don'ts

Filling out the Alabama Adoption Report form is a crucial step in the adoption process. It's important to approach this task with care to ensure that all information is accurately and comprehensively provided. Here are some dos and don’ts to help guide you through completing the form correctly:

DO:

  • Ensure that all information about the child's birth is complete and accurate. If the birth certificate number is known, enter it, as it may allow you to omit the names of the natural parents.
  • Double-check that the full name of the child, both before and after adoption, is spelled correctly and matches the official documents.
  • Include the full and legal names of the adoptive parents exactly as they should appear on the new birth certificate.
  • Verify the fees required with the adoption report, ensuring the correct amount is paid to the Alabama State Board of Health ($25.00 if the child was born in Alabama, $10.00 if not).
  • Contact the state of birth directly for a certified copy of the birth certificate if the adopted child was not born in Alabama.
  • Remember to have the Clerk of the Court sign, date, and seal Part III of the form within ten days after the adoption decree is finalized.
  • Check that the mailing address and phone number of the adoptive parents are current and correct.

DON'T:

  • Leave any sections blank that are applicable to your situation. If the child was placed by a licensed child-placing agency or the State Department of Human Resources, note that specific information may be omitted only in these cases.
  • Forget to have the Clerk of the Court officially seal Part III of the form. This certification is essential for the adoption report to be processed.
  • Overlook the importance of including the names of the county and city or town of the mother’s usual residence, ensuring that each detail matches legal documents.
  • Assume the fee covers multiple copies of the new birth certificate. The fee includes only one certified copy; additional copies may require extra fees.
  • Delay in sending the completed form and the final adoption decree to the State Registrar. Be mindful of the ten-day submission rule following the adoption decree finalization.
  • Misplace a trust in filling out the form without verifying all the details against official documents. Every detail matters and contributes to the legal validity of the adoption.
  • Ignore the need for accuracy when listing the attorney or agency representative’s contact information. This ensures they can be reached if any questions arise during the process.

Misconceptions

There are several misconceptions about the Alabama Adoption Report form that need to be clarified to ensure that all parties involved in an adoption process understand its purpose and requirements accurately. Let's address seven common misconceptions:

  • The form is only for domestic adoptions: This is incorrect. The Alabama Adoption Report form is essential for both domestic and international adoptions, as it pertains to the finalization process within Alabama, regardless of the child's place of birth.
  • Personal information about the adoptive parents is not required: Actually, this form requires detailed information about the adoptive parents, including their full names after the adoption, the state or country of their birth, and their residence. This information is vital for the creation of the new birth certificate.
  • The form doesn't need to be filled out if the child is not born in Alabama: This misconception can lead to significant delays. Regardless of where the child was born, this form must be completed and submitted to ensure that the adoption is officially recorded in Alabama. If the child was not born in Alabama, the form facilitates the process of forwarding the necessary documentation to the child's birth state.
  • The certification of the Clerk of Court in Part III is a mandatory step that must not be overlooked. This official endorsement, complete with the court's seal, is crucial for validating the final decree of adoption.
  • Natural parent information is always needed: When a child is placed through a licensed agency or the State Department of Human Resources, information about the natural parents, place of birth, and the birth certificate number can be omitted. This information will be provided to the State Registrar by the placing agency.
  • A new birth certificate is automatically issued: A new birth certificate listing the adoptive parents and the child's new name will be prepared only after the form is properly submitted along with the required fee of $25.00. This fee additionally includes one certified copy of the new birth certificate.
  • There's no cost to forward the adoption report to another state: If the adopted child was not born in Alabama, there is indeed a $10.00 fee payable to the Alabama State Board of Health to forward the final decree of adoption and the adoption report to the proper official in the state of birth.

Understanding these aspects of the Alabama Adoption Report form can help adoptive parents, attorneys, and agencies navigate the adoption process more smoothly, ensuring compliance with all legal requirements and ultimately serving the best interests of the child.

Key takeaways

Filling out and using the Alabama Adoption Report form is an important step in the adoption process. Here are some key takeaways to help guide you through the process:

  • Parts I and II must be completed by the petitioners, their attorney, or the Court, ensuring that the form is accurately filled out.
  • If the child was placed by a licensed child-placing agency or the State Department of Human Resources, it's not required to fill in information about the natural parents, the child's place of birth, and the birth certificate number.
  • The Clerk of the Court is responsible for completing Part III, certifying the adoption with a signature, date, and official seal.
  • Within ten (10) days after the adoption is finalized, the Clerk of the Court must forward the completed report and the final decree of adoption to the State Registrar at the specified address.
  • For children born in Alabama, a new birth certificate with the child's new name and adoptive parents will be issued. The fee for this service is $25.00, which also covers one certified copy of the new certificate.
  • If the adopted child was not born in Alabama, the adoption report and decree will be sent to the official in the state of birth. There's a $10.00 fee for this forwarding service.
  • To obtain a certified copy of the new birth certificate for a child not born in Alabama, contact the vital records office in the state of birth.
  • The report requires detailed information about the child both before and after the adoption, including the child's full name at birth, birth certificate number, place of birth, and details after adoption like the child's new full name and adoptive parents' information.
  • The name and address of the attorney or agency representative handling the adoption should be provided, along with their contact information.

By following these guidelines, you can ensure the Alabama Adoption Report form is filled out correctly, aiding in a smoother adoption process.

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