Adoption Forms & Services

Adoptions

All adoptions filed in Clark County must be finalized by the Probate Court. Those wishing to adopt are required to submit to a personal home investigation to insure their suitability as adoptive parents. The hearings and records are confidential by law.

Adult
Information
Adult Adoption Procedures Information Sheet
Forms to Be Filled
19.0 - Petition for Adoption of Adult
18.3 - Consent to Adoption
18.9 - Petitioner's Account
19.1 - Final Order of Adoption of Adult
Affidavit
HEA 2757 - ODH Vital Statistics Certificate of Adoption
Required Information
Certified Copy of Birth Certificate from Appropriate Agency

Agency
Information
Agency Adoption Procedures Information Sheet
Forms to Be Filled
18.0 - Petition for Adoption of Minor
Questionnaire
18.3 - Consent to Adoption
18.6 - Final Decree of Adoption (After Interlocutory Order)
18.7 - Final Decree of Adoption (Without Interlocutory Order)
18.8 - Adoption Certificate for Parents
18.9 - Petitioner's Account
16.1 - Affidavit
Statement of Adopted Person
DHS1679 - Request for Notification
HEA2757 - ODH Vital Statistics Certificate of Adoption
Request for Service
Crimes Checklist
Criminal Background Check Information and Consent
Criminal Background Check Information and Consent
Request for a Background Check
Application for Free Backpacks
Required Information
Certified Copy of Birth Certificate
BCI & I
Certified Copy of Judgment Entry Giving Permanent Custody
Certified Copy of Judgment Entry Terminating Parental Rights
Homestudy, etc. From Agency - Each Agency Has Their Own Forms to Be Filled
DHS1679 - Request for Notification

Foreign
Information
Foreign Adoption Procedures Information Sheet
Forms to Be Filled
Petition of Foreign Adoption
18.9 - Petitioner's Account
HEA2757 - ODH Vital Statistics Certificate of Adoption
Application for Free Backpacks
No Hearing Required
English (Or Translated and Notarized) Copy of Birth Certificate
English (Or Translated and Notarized) Copy of Adoption Filings From Foreign Country
English (Or Translated and Notarized) Copy of Finalization of Adoption

Interstate
Application for Free Backpacks

Private
Biological Parents
At Time of Filing of Consent Hearing
19.2 - Application for Approval of Placement
19.2E - Judgment Entry for Biological Parent on Placement of Child
19.11 - Order of Release
19.13 - Written Statement of Natural Parent (To Be Signed at the Hearing)
18.3 - Consent to Adoption
Prospective Adoptive Parents
At Application
18.0 - Petition of Adoption of Minor
18.7 - Final Decree of Adoption (Without Interlocutory Order)
18.8 - Adoption Certificate for Parents
18.9 - Petitioner's Account
19.4 - Application for Placement of a Child to Be Adopted
19.4 - Judgment Entry for Prospective Adoptive Parents on Placement of a Child
19.12 - Authorization for Release of Information
16.1 - Affidavit
HEA2757 - ODH Vital Statistics Certificate of Adoption
Request for Service
Crimes Checklist
Criminal Background Check Information and Consent
Statement of Adopted Person
Criminal Background Check Information and Consent
Request for a Background Check
Application for Free Backpacks
Required Information
BCI & I
DHS1697 - Ohio Putative Father Registry Certificate

Relative
Information
Procedures for Relative/Non-Relative Adoption
Forms to Be Filled
18.7 - Final Decree of Adoption (Without Interlocutory Order)
18.8 - Adoption Certificate for Parents
18.9 - Petitioner's Account
19.10 - Adoption by Relative For Approval of Placement
19.12 - Authorization for Release of Information
19.20E - Judgment Entry Setting Hearing and Ordering Notice for Placement
16.1 - Affidavit
HEA2757 - ODH Vital Statistics Certificate of Adoption
Request for Service
Crimes Checklist
Criminal Background Check Information and Consent
Statement of Adopted Person
Criminal Background Check Information and Consent
Request for a Background Check
Application for Free Backpacks
Required Information
BCI & I
Certified Copy of Birth Certificate
Certified Copy of Death Certificates
Certified Copy of Termination of Parental Rights
DHS1697 - Ohio Putative Father Registry Certificate
Establishment of Paternity

Step Parent and Grandparent
Information
Procedures for Grandparent Adoption
Procedures for Step Parent Adoption
Forms to Be Filled
18.0 - Petition of Adoption of Minor
Questionnaire
18.3 - Consent to Adoption (Of the Custodial Birth Parent)
18.3 - Consent to Adoption (If Possible Of the Non-Custodial Birth Parent)
18.4 - Judgment Entry Finding Consent Not Required
18.7 - Final Decree of Adoption (Without Interlocutory Order)
18.8 - Adoption Certificate for Parents
18.9 - Petitioner's Account
19.12 - Authorization for Release of Information
16.1 - Affidavit
ODH Vital Statistics Certificate of Adoption
Request for Service
Crimes Checklist
Criminal Background Check Information and Consent
Statement of Adopted Person
Criminal Background Check Information and Consent
Request for a Background Check
Application for Free Backpacks
Required Information
Certified Copy of Birth Certificate
DHS1697 - Ohio Putative Father Registry Certificate
BCI & I Verification Form
Affidavit of Due Diligence and Notice of Adoption
Certificate of Adoption or Vital Statistics Form and Address From State Where Child Was Born If Not Born In Ohio
Request for Notification

Miscellaneous
All Of The Following Are Available at the Probate Court
Affidavit
DHS1694 - Putative Father Registry Registrative Form
DHS1965 - Application for Search of Ohio Putative Father Registry
HEA2709 - Application for Certified Copies of Birth Certificate
HEA2780 - Authorization for Release
HEA2775 - Withdrawal of Authorization for Release - Sibling
HEA2774 - Authorization for Release - Parent
HEA2779 - Withdrawal of Authorization for Release - Parent
HEA2758 - Denial of Release for Birth Parent
HEA3035 - Authorization of Release for Birth Parent
HEA3036 - Request for Assistance by Adopted Person
HEA3037 - Recession of Request for Assistance by Adopted Person
Criminal Background Check Information and Consent

Placement
Application for Placement
Entry
Adoptive Couple Attachment
Order Appointing Assessor
Entry Order Hearing and For Notice
Waiver By Prospective Adopting Parents
18.3 - Consent to Adoption
Criminal Background Check for Adoptive Information and Consent
Crimes Checklist
19.13 - Written Statement of Natural Parent (To Be Signed At The Hearing)
HEA3036 - Request for Assistance by Adopted Person
HEA3037 - Recession of Request for Assistance by Adopted Person
Criminal Background Check Information and Consent
Request for a Background Check
Application for Free Backpacks

Release of Adoption Information

To obtain copies of a Final Decree & Adoption Certificate issued by this Court you must:

• Be the Petitioner or Adopted Person
• Come to the Probate Court and Show your ID or proof of identity
• Pay $5.00

Beginning March 20, 2015 legislation was passed in the Ohio Senate stating, all other information will be released through the Ohio Department of Health, Office of Vital Statistics, rather than through county probate courts. Adoptees will be able to complete an Application for Adoption File and Authorization for Release of Adopted name, which forms will be available on the Ohio Department of Health website: http://www.odh.ohio.gov/vitalstatistics/legalinfo/adoption.aspx.