Request To Obtain Information From Original Birth Record-Adoptee {ADOPT-9}

Local Court Form Adopt-9 - REQUEST TO OBTAIN INFORMATION FROM ORIGINAL BIRTH RECORD ADOPTEE – HEALTH AND SAFETY CODE SECTION 102075. This form is used in the Youth Services Center, Juvenile Court of the Superior Court of California, County of San Mateo for individuals who wish to obtain information from their original birth record under Health and Safety Code Section 102075. The form requires the requester's personal information, including their name, date of birth, phone number, address, and email address. It also asks for details about the adoptee's biological parents, the adoption process, and the type of adoption. The requester needs to indicate whether they are requesting to inspect the original birth record with redacted information or if they want the court to order the unsealing of the original birth certificate. The form requires a detailed declaration explaining the reasons for the request and an affidavit of verification, signed under penalty of perjury. If the form is executed outside of California, additional notarization or verification may be necessary. Form adopted for Mandatory Use. www.FormsWorkflow.com