Form 1F-P-1039 "Consent by Child (Age 10 or Over) to Adoption" - Hawaii

What Is Form 1F-P-1039?

This is a legal form that was released by the Hawaii Family Court - a government authority operating within Hawaii. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2016;
  • The latest edition provided by the Hawaii Family Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 1F-P-1039 by clicking the link below or browse more documents and templates provided by the Hawaii Family Court.

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Download Form 1F-P-1039 "Consent by Child (Age 10 or Over) to Adoption" - Hawaii

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FAMILY COURT
CONSENT BY CHILD
CASE NUMBER
FIRST CIRCUIT
FC-A No.
(AGE 10 OR OVER) TO ADOPTION
STATE OF HAWAI‘I
Child’s Legal Name
Child’s Birthdate
Child’s Birth Place
Name of Proposed Adoptive Parent(s)
Relationship to Child
I, the above-named child being
years old, do consent to my adoption by the above-named
(age)
person(s) who I believe will be a good parent(s) and able and willing to give me a proper home and
education.
I understand that once I am adopted I shall no longer be the legal child of my present legal
[ ] mother [ ] father [ ] parents, but will become the child of the above-named person(s) as if I had been
born to him, her, or them.
(In Stepparent Adoptions) However, I understand that even after the adoption is granted, I
shall still be the child of my [ ] father [ ] mother, who is now married to the person wanting to adopt me.
Because I believe the proposed adoption is in my best interest, I request that the Court grant this
adoption and change my name to
.
DATE
SIGNATURE OF CHILD
SOCIAL SECURITY NUMBER
DATE
SIGNATURE OF WITNESS
PRINT NAME OF WITNESS
RESET FORM
Ho‘okele/FC Adm 1/7/16
CONSENT OF CHILD (AGE 10 OR OVER) TO ADOPTION
In accordance with the Americans with Disabilities Act, as amended, and other applicable state and federal laws, if you
require accommodation for a disability, please contact the ADA Coordinator at the First Circuit Family Court office by
telephone at 954-8200, fax 954-8308, or via email at adarequest@courts.hawaii.gov
at least ten (10) working days prior
to your hearing or appointment date.
Please call the Family Court Service Center at 954-8290 if you have any questions regarding forms or procedures.
1F-P-1039
Reprographics (2/2016)
Section 508 Certified
FAMILY COURT
CONSENT BY CHILD
CASE NUMBER
FIRST CIRCUIT
FC-A No.
(AGE 10 OR OVER) TO ADOPTION
STATE OF HAWAI‘I
Child’s Legal Name
Child’s Birthdate
Child’s Birth Place
Name of Proposed Adoptive Parent(s)
Relationship to Child
I, the above-named child being
years old, do consent to my adoption by the above-named
(age)
person(s) who I believe will be a good parent(s) and able and willing to give me a proper home and
education.
I understand that once I am adopted I shall no longer be the legal child of my present legal
[ ] mother [ ] father [ ] parents, but will become the child of the above-named person(s) as if I had been
born to him, her, or them.
(In Stepparent Adoptions) However, I understand that even after the adoption is granted, I
shall still be the child of my [ ] father [ ] mother, who is now married to the person wanting to adopt me.
Because I believe the proposed adoption is in my best interest, I request that the Court grant this
adoption and change my name to
.
DATE
SIGNATURE OF CHILD
SOCIAL SECURITY NUMBER
DATE
SIGNATURE OF WITNESS
PRINT NAME OF WITNESS
RESET FORM
Ho‘okele/FC Adm 1/7/16
CONSENT OF CHILD (AGE 10 OR OVER) TO ADOPTION
In accordance with the Americans with Disabilities Act, as amended, and other applicable state and federal laws, if you
require accommodation for a disability, please contact the ADA Coordinator at the First Circuit Family Court office by
telephone at 954-8200, fax 954-8308, or via email at adarequest@courts.hawaii.gov
at least ten (10) working days prior
to your hearing or appointment date.
Please call the Family Court Service Center at 954-8290 if you have any questions regarding forms or procedures.
1F-P-1039
Reprographics (2/2016)
Section 508 Certified