Form 27-B Notice of Petition for Access to Sealed Adoption Records - New York

Form 27-B or the "Notice Of Petition For Access To Sealed Adoption Records" is a form issued by the Surrogate's Court of the State of New York.

The form was last revised in September 1, 2006 and is available for digital filing. Download an up-to-date Form 27-B in PDF-format down below or look it up on the Surrogate's Court of the State of New York Forms website.

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D.R.L. §114
Adoption Form 27-B
(Adoption–Notice of Petition for
Access to Sealed Adoption Records)
(9/2006)
SURROGATE’S COURT OF THE STATE OF NEW YORK
COUNTY OF______________________________
...........................................................................................
In the Matter of the Adoption of
(Docket)(File) No.
A Child Whose First Name is
__________________
NOTICE OF PETITION
_____________________________________________
FOR ACCESS TO SEALED
ADOPTION RECORDS
...........................................................................................
NOTICE IS HEREBY GIVEN THAT:
1.
A petition has been filed in Surrogate’s Court, __________County, requesting an order
permitting access to sealed adoption records regarding the above-named child. This petition
will be heard in the Surrogate’s Court,_______________County, located at [specify address
and court part]:______________________________________________________________
on [specify date and time]:_____________________________________________________
________________________________________________________________________________
2.
The Petitioner [specify name and address, unless confidential]:________________________
is seeking access
for medical reasons.
for good cause other than medical reasons
in order to obtain information about tribal affiliation.
.
3.
The following are the names and post office addresses of each person named or referred to in
the petition as the living adoptive parents who have not already waived notice of this
proceeding or consented to the relief requested in the petition, and each additional person to
whom the Court may direct service of this Notice of Petition for Access to Sealed Adoption
Records:
Name
Mailing Address
Relationship
___________________
_________________________
_____________________
_______________________
______________________________
_________________________
Date:
__________,______.
______________________________________
Name of Attorney, if any
______________________________________
______________________________________
Attorney’s Address and Telephone number
[Note: This Notice of Petition for Access to Sealed Adoption Records is served upon you as
required by law. You are not required to appear or to respond. However, should you fail to
appear or respond on or before the date set forth in Paragraph 1, it will be assumed you do
not object to the relief requested. You may have an attorney appear for you.]
D.R.L. §114
Adoption Form 27-B
(Adoption–Notice of Petition for
Access to Sealed Adoption Records)
(9/2006)
SURROGATE’S COURT OF THE STATE OF NEW YORK
COUNTY OF______________________________
...........................................................................................
In the Matter of the Adoption of
(Docket)(File) No.
A Child Whose First Name is
__________________
NOTICE OF PETITION
_____________________________________________
FOR ACCESS TO SEALED
ADOPTION RECORDS
...........................................................................................
NOTICE IS HEREBY GIVEN THAT:
1.
A petition has been filed in Surrogate’s Court, __________County, requesting an order
permitting access to sealed adoption records regarding the above-named child. This petition
will be heard in the Surrogate’s Court,_______________County, located at [specify address
and court part]:______________________________________________________________
on [specify date and time]:_____________________________________________________
________________________________________________________________________________
2.
The Petitioner [specify name and address, unless confidential]:________________________
is seeking access
for medical reasons.
for good cause other than medical reasons
in order to obtain information about tribal affiliation.
.
3.
The following are the names and post office addresses of each person named or referred to in
the petition as the living adoptive parents who have not already waived notice of this
proceeding or consented to the relief requested in the petition, and each additional person to
whom the Court may direct service of this Notice of Petition for Access to Sealed Adoption
Records:
Name
Mailing Address
Relationship
___________________
_________________________
_____________________
_______________________
______________________________
_________________________
Date:
__________,______.
______________________________________
Name of Attorney, if any
______________________________________
______________________________________
Attorney’s Address and Telephone number
[Note: This Notice of Petition for Access to Sealed Adoption Records is served upon you as
required by law. You are not required to appear or to respond. However, should you fail to
appear or respond on or before the date set forth in Paragraph 1, it will be assumed you do
not object to the relief requested. You may have an attorney appear for you.]

Download Form 27-B Notice of Petition for Access to Sealed Adoption Records - New York

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