Dss 1800 Form PDF Details

The DSS 1800 form plays a crucial role in the adoption process within the State of North Carolina, serving as an official petition for the adoption of a minor child. This comprehensive document requires petitioning parents to provide detailed information about themselves, the child they wish to adopt, and the circumstances surrounding the adoption. It mandates disclosure of the petitioners' residency status, ensuring they meet the state's domicile requirements for adoption. The form also covers the necessity of preplacement assessments and the procurement of all necessary consents, relinquishments, or terminations of parental rights required by law. Further, petitioners must disclose any financial assets owned by the adoptee, adhering to legal stipulations regarding the child's property. The DSS 1800 requires information on how the adoptee was placed with the petitioners, any reasons for not currently having physical custody of the child, and acknowledgments regarding compliance with inter-state placement laws and the Uniform Child Custody Jurisdiction and Enforcement Act. Throughout the process, the form emphasizes the suitability of the petitioners as adoptive parents and their commitment to treat the adoptee as their lawful child. The completion and submission of this document, along with necessary attachments and affidavits, represent a critical step in formalizing the adoption within North Carolina's legal framework, culminating in a legal request to establish a parent-child relationship and a change of name for the adoptee as authorized by law.

QuestionAnswer
Form NameDss 1800 Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesDSS-1800, terminations, preplacement, 2008

Form Preview Example

STATE OF NORTH CAROLINA

 

 

IN THE GENERAL COURT OF JUSTICE

 

DISTRICT COURT DIVISION

___________________COUNTY

BEFORE THE CLERK

 

______ SP __________

___________________________________________________

 

(Full name of petitioning father)

 

___________________________________________________

 

(Full name of petitioning mother)

 

PETITION FOR ADOPTION

OF A MINOR CHILD

FOR THE ADOPTION OF

(Not Stepparent)

____________________________________________________

(Full name by which adoptee is to be known if adoption granted)

To the Honorable Clerk of the Superior Court of ______________________________________ County:

We (I), the undersigned, ___________________________________________________________, ___________, and

(Name of petitioning father)(Sex)

_________________________________________________________________, _______________, whose address is

(Name of petitioning mother)(Sex)

_______________________________________________________________________________________________,

(Street & Number)(City) (County) (State) (Zip Code)

do hereby petition the Court to adopt _________________________________________________, a ________ minor

(Name by which the adoptee is to be known)

(Sex)

child, and do represent to the Court:

1.That the petitioner(s) herein seeking adoption:

has/have lived in or been domiciled in North Carolina for at least six consecutive months immediately preceding the filing of this petition; OR

has/have lived in or been domiciled in North Carolina for less than six consecutive months prior to filing this petition, but the adoptee has lived in North Carolina for at least six consecutive months immediately preceding the filing of this petition or from birth; OR

does/do not reside or have domicile in North Carolina, but is/are petitioning to adopt a child currently in the legal custody of a licensed NC adoption agency or county department of social services; OR

does/do not reside or have domicile in North Carolina, but is/are petitioning to adopt a child directly placed with the petitioner(s) by the birth parent(s) and the child has lived in North Carolina for at least six consecutive months immediately preceding the filing of this petition or from birth and continues to reside in North Carolina at the time of the filing of this petition.

2.That any required preplacement assessments have been completed or updated within the 18 months before the adoptee's placement for the purpose of adoption or an affidavit is attached stating why the assessment is not available.

3.

That all necessary consents, relinquishments, or terminations of parental rights have been obtained and have been filed or will be filed as additional documents with the petition; AND/OR

DSS-1800 (Rev. 10/2008)

Child Welfare Services

Page 1 of 3

The names of any individuals whose consent, relinquishment, or termination of rights may be necessary but have not been obtained are listed in an attached document.

4.That the adoptee was born on in the State/Country of ___________________ on or about the __________ day of _________________________ in the year ____________.

5.That as far as petitioner(s) are able to ascertain, said minor child is the owner of or is entitled to personal property of the value of $______________ and real property of the value of $_______________, described as follows:

__________________________________________________________________________________________.

6.That said adoptee was placed for the purpose of adoption with the petitioner(s) by:

Agency

Parents

Guardian of the Person

on the __________ day of

________________________ in the year ___________.

If placed by agency, give name and address of agency consenting to the placement________________________

__________________________________________________________________________________________

7.If the adoptee is not in the physical custody of the petitioner(s), state the reason why the petitioner does not have physical custody and the date and manner in which the petitioner intends to acquire custody:

__________________________________________________________________________________________

8.That the provisions of the Interstate Compact on the Placement of Children, N.C.G.S. 7B - 3800 et. seq., were followed, or a statement is attached describing the circumstances of non-compliance, if the adoptee was brought into this State from another state for purposes of adoption.

9.That the affidavit required by the Uniform Child Custody Jurisdiction and Enforcement Act, N.C.G.S. 50A-101 et. seq., if applicable, is attached to the petition.

10.

That petitioner(s) seeking adoption herein is/are

single; or

married. If married, give date of petitioner's

marriage ________________________________. The petitioner(s) is/are a fit person(s) to have the custody,

supervision, and training of said child, and have the resources, including those available under a subsidy for an adoptee with special needs, to provide for the care and support of the adoptee.

11.That petitioner(s) desire(s) and agree(s) to adopt and treat the adoptee as the petitioner's lawful child and desire(s) that the relationship of parent(s) and child be established between them/him/her and said child; and upon adoption, the said adoptee shall inherit real and personal property by, through, and from the said petitioner(s) in accordance with the statutes of descent and distribution.

12.That the petitioner(s) is/are related or not related to the said child specified in G.S. 48-3-301 (b) as follows:

__________________________________________________________________________________________

13.Enter any special allegation not yet given, such as child 12 years of age or older, whether spouse is deceased or adjudged incompetent, etc.

__________________________________________________________________________________________

__________________________________________________________________________________________

WHEREFORE, YOUR petitioner(s) pray(s) that the relationship of parent(s) and child be established between petitioner(s) and said adoptee; and that the name of said adoptee be changed to:

____________________________________________________________ as hereinabove written and authorized by law.

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Child Welfare Services

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Attachments to petition (N.C.G.S. 48-2-305): _________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

This the ______________ day of _________________________________________, ____________

____________________________________________ Petitioner’s Signature

____________________________________________ Petitioner’s Signature

________________________________________________ and ___________________________________________

(Full name of petitioning father)

(Full name of petitioning mother)

being duly sworn, depose and say that he/she/they has (have) read the foregoing Petition and that the facts set forth therein are true to his/her/their own knowledge, except as to matters therein set forth upon information and belief, and as to such matters he/she/they believe(s) them to be true.

This ______________day of __________________________________, in the year ____________.

____________________________________________ Petitioner’s Signature

____________________________________________ Petitioner’s Signature

Subscribed to and sworn to before me this ___________ day of ____________________________________, _________

(S E A L)

____________________________________________________

 

Signature of Clerk of Superior Court or Notary Public

 

____________________________________________________

 

Printed Name of Clerk of Superior Court or Notary Public

 

My commission expires ________________________________

_______________________________ _________________________________________________________________

Attorney for petitioners(Mailing Address)

_______________________________ _________________________________________________________________

(Telephone Number)

(City or Town)

(Zip Code)

NOTE: The DSS-1800 is prepared in triplicate. The original form is held in the Office of the Clerk of Superior Court. A duplicate original is forwarded, along with originals of all other documents filed in proceeding, within ten days following the entry of the Decree of Adoption by the Clerk of Court to the Division of Social Services, State Department of Health and Human Services; and a copy is attached to the Order for a Report to the Court, directed to the county department of social services or licensed private child-placing agency.

DSS-1800 (Rev. 10/2008)

Child Welfare Services

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This PDF form will require specific data to be entered, hence be sure you take some time to enter exactly what is expected:

1. To get started, once filling out the relinquishment, beging with the area containing following blanks:

Ways to prepare 50A-101 part 1

2. Just after performing this step, go to the subsequent stage and fill out the necessary particulars in all these blank fields - STATE OF NORTH CAROLINA COUNTY, Sex, That the petitioners herein, doesdo not reside or have domicile, hashave lived in or been domiciled, hashave lived in or been domiciled, the legal custody of a licensed, That any required preplacement, and doesdo not reside or have domicile.

Stage no. 2 in submitting 50A-101

3. The next part will be straightforward - fill in every one of the fields in the legal custody of a licensed, and That all necessary consents to finish this part.

Writing segment 3 of 50A-101

People often make some errors when filling in That all necessary consents in this area. You need to review whatever you enter right here.

4. Filling out That the adoptee was born on in, of in the year, of the value of and real property, in the year, If placed by agency give name and, That said adoptee was placed for, Agency, Parents, Guardian of the Person, on the day of, That as far as petitioners are, The names of any individuals whose, and marriage The petitioners is vital in the fourth section - ensure to take your time and be attentive with every empty field!

marriage  The petitioners, Guardian of the Person, and That the adoptee was born on in inside 50A-101

5. This pdf must be completed with this part. Here you will find a comprehensive listing of blanks that need specific details for your document usage to be faultless: If the adoptee is not in the, That the provisions of the, marriage The petitioners, That petitioners desires and, supervision and training of said, That the affidavit required by the, Enter any special allegation not, related or, not related to the said child, That petitioners seeking adoption, single or, and married If married give date of.

The way to prepare 50A-101 portion 5

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