Petition To Recognize Foreign Adoption {19.2}

PC-A-19.2 (Rev. 3-2014) PROBATE COURT OF FRANKLIN COUNTY, OHIO ROBERT G. MONTGOMERY, JUDGE IN THE MATTER OF THE ADOPTION OF CASE NO. Name after adoption PETITION TO RECOGNIZE FOREIGN ADOPTION [R.C.3107.18] [Check applicable boxes, complete blanks, strike inapplicable language, and attach supporting documentation] The Petitioner(s) is/are the adoptive parent(s) of a minor child pursuant to a Foreign Decree or Certificate of Adoption and state that: PETITIONER(S) Petitioner's Full Name: Petitioner's Full Name: Residence: Duration of Residence: Marital Status: Date and Place of Marriage: ADOPTED CHILD Name of Child before Adoption: Name of Child after Adoption: Date and Place of Birth: Attached is a certified copy of the child's Birth Certificate, and if not in English, also attached is a translation certified as to its accuracy by the translator. A Foreign Decree or Certificate of Adoption in compliance with the laws of the Country of was issued by (Name of Court): on the day of , 20 . , in Case Number FORM 19.2 - PETITION TO RECOGNIZE FOREIGN ADOPTION (PAGE 1) American LegalNet, Inc. www.FormsWorkFlow.com CASE NO. Attached is a certified copy of the Foreign Decree or Certificate of Adoption which has been verified and approved by the Immigration and Naturalization Service of the United States, and if not in English, also attached is a translation certified as to its accuracy by the translator. Attached is a fully completed Ohio Department of Health, Division of Vital Statistics, Certificate of Adoption. The Petitioner(s) state that given effect to the Foreign Decree or Certificate of Adoption would not violate the public policy of the State of Ohio and respectfully pray for the following Order(s): An Order that the Child's name shall be changed to: An Order to the Department of Health to issue a new birth record for the adopted person under R.C. 3705.12(A)(1). Other Attorney for Petitioner(s) Typed or Printed Name Address City, State, Zip Code Telephone Number (include area code) Attorney's Registration No. Petitioner's Signature Typed or Printed Name Petitioner's Signature Typed or Printed Name Address City, State, Zip Code Telephone Number (include area code) FORM 19.2 - PETITION TO RECOGNIZE FOREIGN ADOPTION (PAGE 2) American LegalNet, Inc. www.FormsWorkFlow.com