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    JM 197

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    Danielle
    The adoption agreement is between the Department of Children and Families as the statutory parent of the minor child and the adopting parents. It gives the minor child in adoption to the adopting parents to become their legal child. It represents that all parties are legally allowed to enter the agreement. The agreement will take effect upon court approval. Signatures of the statutory parent and adopting parents are required, along with consent from the minor child if they are 12 years or older.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    JM 197

    Uploaded by

    Danielle
    12 views1 page
    The adoption agreement is between the Department of Children and Families as the statutory parent of the minor child and the adopting parents. It gives the minor child in adoption to the adopting parents to become their legal child. It represents that all parties are legally allowed to enter the agreement. The agreement will take effect upon court approval. Signatures of the statutory parent and adopting parents are required, along with consent from the minor child if they are 12 years or older.

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    Sample contract for adoption

    Original Title

    jm197

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    The adoption agreement is between the Department of Children and Families as the statutory parent of the minor child and the adopting parents. It gives the minor child in adoption to the adopting parents to become their legal child. It represents that all parties are legally allowed to enter the agreement. The agreement will take effect upon court approval. Signatures of the statutory parent and adopting parents are required, along with consent from the minor child if they are 12 years or older.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    12 views1 page

    JM 197

    Uploaded by

    Danielle
    The adoption agreement is between the Department of Children and Families as the statutory parent of the minor child and the adopting parents. It gives the minor child in adoption to the adopting parents to become their legal child. It represents that all parties are legally allowed to enter the agreement. The agreement will take effect upon court approval. Signatures of the statutory parent and adopting parents are required, along with consent from the minor child if they are 12 years or older.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    ADOPTION AGREEMENT STATE OF CONNECTICUT

    JD-JM-197 New 10-12


    P.A. 12-82, Sec. 16 SUPERIOR COURT
    C.G.S. § 45a-724 JUVENILE MATTERS
    www.jud.ct.gov

    Address of Court Docket number

    Name and address of minor child Date of birth

    Petitioner address (Statutory parent - Department of Children and Families) Phone number

    Name and address of adopting parent Phone number

    Name and address of adopting parent Phone number

    The Department of Children and Families, duly authorized statutory parent of the minor child, who may by law give a child
    in adoption, gives in adoption the minor child named above to the adopting parent(s) and the adopting parent(s) adopt and
    receive the minor child as their legal child.
    The statutory parent giving the minor child in adoption and the adopting parent(s) represent that each is lawfully entitled to
    enter into this agreement of adoption.

    Change the name of the minor child to:

    This agreement of adoption shall take effect upon its approval by an Order of the Superior Court for Juvenile Matters.
    Signed (Statutory parent) Date signed

    Signed (Adopting parent) Date signed

    Signed (Adopting parent) Date signed

    Consent of Minor Child


    I am 12 years old or older and consent to this agreement.
    Signed (Minor child) Date signed

    ADA NOTICE
    The Judicial Branch of the State of Connecticut complies with the Americans with
    Disabilities Act (ADA). If you need a reasonable accommodation in accordance with the
    ADA, contact a court clerk or an ADA contact person listed at www.jud.ct.gov/ADA.

    Print Form Reset Form

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