Stepparent Adoption Intake Form

Stepparent Adoption Intake Form
Please complete this form to begin the stepparent adoption process. Your responses will help us understand your family situation and requirements.
Child's Full Name
First NameLast Name
Child's Date of Birth
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Biological Parent's Full Name
First NameLast Name
Biological Parent's Relationship to Child
Stepparent's Full Name
First NameLast Name
Stepparent's Relationship to Child
Current Marital Status of Biological Parent and Stepparent
Who currently has legal custody of the child?
Primary Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Primary Contact Email Address
example@example.com
Home Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Reason for Pursuing Stepparent Adoption (briefly explain)
Are there any existing court orders regarding custody or parental rights for the child?
Please provide any additional information or special circumstances we should know about (optional)
Should be Empty: