Adoption Information Sheet

<document>COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.ADOPTION INFORMATION SHEETJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)SUPERIOR COURT OF THE DISTRICT OF COLUMBIA FAMILY COURT DOMESTIC RELATIONS BRANCH ADOPTIONEX PARTE IN THE MATTER OF THE PETITION OFADOPTION CASE NO. A-. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .JUDGE RONNA LEE BECKTHE PEOPLE OF THE STATE OF NEW YORK TOFOR ADOPTION OF MINOR CHILD(REN)1.GREETINGS:Petitioner's Initials: 2.WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,Minor Child's Full Name: 3.Minor Child's Date of Birth:located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in room4.Minor Child's Place of Birth:5.Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.Neglect Case Number: 6.Neglect Social File Number: 7., one of the Justices of theNeglect Judge's Name: 8.Court in Witness, Honorableday of, 20 County,Mother's Full Name: 9.Mother's Date of Birth:10.Mother's Last Known Address:(Attorney must sign above and type name below)11.Mother's Phone No.:Attorney(s) for12.Father's Full Name: 13.Father's Date of Birth:Office and P.O. Address14.Father's Last Known Address:15.Father's Phone No.:Telephone No.: Facsimile No.: E-Mail Address:1Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)16.Consent from Mother:YesorNo17.Consent from Father:YesorNo18.Relinquishment from Mother:YesorNo19.Relinquishment from Father:YesorNo. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20.Termination of Mother's Parental Rights:YesorNo21.Termination of Father's Parental Rights:YesorNoTHE PEOPLE OF THE STATE OF NEW YORK TO22.Social Worker's Agency: 23.Social Worker's Name:GREETINGS:24.WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableNext Neglect Hearing Date: 25.Place of Hearing: Courtroom No.Hearing Room No.,located at County of26.o'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomPetitioner's Counsel's Name: 28.Address:29.Phone Number:Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.30.Fax, if any:31.Email, if any:, one of the Justices of theCourt in Witness, Honorableday of, 20 County,32.Petitioner's Name if Petitioner is not represented by counsel: 33.Address:(Attorney must sign above and type name below)34.Phone Number:35.Fax, if any:Attorney(s) for36.Email, if any:37.Office and P.O. AddressMother's Counsel's Name: 38.Address:Telephone No.: Facsimile No.: E-Mail Address:39.Phone Number:2Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.40.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Father's Counsel's Name: 41.Address:42.Phone Number:43.Guardian Ad Litem's Name: 44.Address:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45.Phone Number:46.THE PEOPLE OF THE STATE OF NEW YORK TOPetitioner's Relationship to Adoptee: 47.Child has Lived with Petitioner(s) Since: 48.GREETINGS:Petitioner's Marital Status: 49.WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableJurisdiction in Which Petitioner(s) Reside: 50.,located at County ofCompeting Case: Yes or No 51.If yes, Competing Case Number:o'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomYour failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply., one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:3Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com</document>