Texas adoption papers form is a process which finalizes an adoption. Documents must be filed with the Texas Registry of Adoptions and the state court system to make your adoption legal in the Lone Star State. This guide will provide you with what you need to complete this process, who can help you, and what to expect along the way.
You'll find more information about the texas adoption papers by checking out the listing our team put together for you.
Question | Answer |
---|---|
Form Name | Texas Adoption Papers |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | texas adoption application, adoption papers texas, texas step parent adoption forms, vs 160 form |
|
STATE OF TEXAS |
|
CERTIFICATE OF ADOPTION |
|
THIS IS A PERMANENT RECORD – PLEASE TYPE OR PRINT ONLY |
|
|
SECTION 1 |
PLEASE FURNISH THE BIRTH CERTIFICATE INFORMATION CURRENTLY ON |
|
FILE IN THE VITAL STATISTICS OFFICE. |
|
THIS INFORMATION IS NECESSARY TO LOCATE THE BIRTH CERTIFICATE |
ORIGINAL
BIRTH
INFORMATION
1. NAME OF CHILD (BEFORE THIS ADOPTION) |
FIRST |
MIDDLE |
|
|
LAST |
|
2. DATE OF BIRTH (mm/dd/yyyy) |
|
3. SEX |
|
|||
|
|
|
|
|
|
|
|
|
|
|
|
||
4. TIME OF BIRTH |
|
5. NAME OF HOSPITAL |
|
|
6. CITY |
|
7. COUNTY |
|
8. STATE OR FOREIGN COUNTRY |
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
9. PARENT |
FIRST |
MIDDLE |
|
LAST |
MAIDEN |
|
10. PARENT |
FIRST |
MIDDLE |
LAST |
MAIDEN |
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SECTION 2 |
PLEASE ENTER THE INFORMATION AS IT IS TO APPEAR ON THE NEW BIRTH RECORD. |
All information below MUST be provided or a new birth certificate cannot be completed.
11. Is This a |
12. Is This a Single Parent Adoption? |
13. Do You Want The Birth Record Changed Based on the Adoption Decree? |
|||
Yes |
No |
Yes |
No |
Yes |
No |
PARENT |
14. TITLE OF PARENT |
|
MOTHER |
FATHER |
PARENT |
|
|
|
|||
Adoptive |
15. NAME OF PARENT |
FIRST |
MIDDLE |
CURRENT LAST NAME |
LAST NAME BEFORE MARRIAGE |
|
|
|
|
|
Biological |
16. DATE OF BIRTH |
17. PLACE OF BIRTH (STATE OR FOREIGN COUNTRY) |
18. PARENT’S SOCIAL SECURITY NO. (WILL NOT APPEAR ON THE BIRTH |
|
|
CERTIFICATE) |
PARENT |
19. TITLE OF PARENT |
|
MOTHER |
FATHER |
PARENT |
|
|
|
|||
Adoptive |
20. NAME OF PARENT |
FIRST |
MIDDLE |
CURRENT LAST NAME |
LAST NAME BEFORE MARRIAGE |
|
|
|
|
|
|
|
Biological |
21. DATE OF BIRTH |
22. PLACE OF BIRTH (STATE OR FOREIGN COUNTRY) |
|
23. PARENT”S SOCIAL SECURITY NO. (WILL NOT APPEAR ON THE BIRTH |
|||||||
|
|
|
|
|
|
|
CERTIFICATE) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
PARENT(S) ADDRESS |
24. |
STREET ADDRESS |
CITY |
COUNTY |
STATE |
ZIP |
25. INSIDE CITY LIMITS? |
|
||||
|
AT THE TIME OF |
|
|
|
|
|
|
|
|
Yes |
|
No |
|
|
|
CHILD’S BIRTH |
|
|
|
|
|
|
|
|
|
||
|
|
PARENT(S) |
26. |
STREET ADDRESS |
CITY |
STATE |
|
ZIP |
27. PARENT(S) TELEPHONE NUMBER: |
||||
|
|
CURRENT |
|
|
|
|
|
|
|
|
|
|
|
|
|
ADDRESS |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
28. PARENT(S) EMAIL ADDRESS
29. SIGNATURE OF PARENT(S)
MAIL BIRTH
CERTIFICATE TO:
30.
Attorney Parent(s) Clerk’s Office
MAILING ADDRESS |
CITY |
STATE |
ZIP |
SECTION 3 PLEASE PROVIDE THE INFORMATION BELOW FOR THE CENTRAL ADOPTION REGISTRY
|
31. BIOLOGICAL MOTHER |
FIRST |
MIDDLE |
|
LAST (MAIDEN) |
32. SSN |
|
|
|
|
|
|
|
|
|
CENTRAL |
33. BIOLOGICAL MOTHER’S DATE OF BIRTH |
|
34. BIOLOGICAL MOTHER’S PLACE OF BIRTH |
|
|
||
|
|
|
|
|
|
|
|
ADOPTION |
|
|
|
|
|
|
|
REGISTRY |
35. BIOLOGICAL FATHER |
FIRST |
MIDDLE |
|
LAST |
36. SSN |
|
|
|
|
|
|
|
|
|
INFORMATION |
|
|
|
|
|
|
|
|
37. BIOLOGICAL FATHER’S DATE OF BIRTH |
|
38. BIOLOGICAL FATHER’S PLACE OF BIRTH |
|
|
||
|
|
|
|
|
|
|
|
|
39. NAME OF ATTORNEY OF RECORD |
|
|
40. ATTORNEY’S EMAIL ADDRESS |
|
|
|
ATTORNEY |
|
|
|
|
|
|
|
41. MAILING ADDRESS OF ATTORNEY |
|
|
|
|
42. TELEPHONE NUMBER |
||
|
|
|
|
|
|
||
PLACING |
43. NAME OF CHILD PLACING AGENCY OR MANAGING CONSERVATOR |
|
|
|
|
||
|
|
|
|
|
|
|
|
AGENCY OR |
|
|
|
|
|
|
|
MANAGING |
44. MAILING ADDRESS OF CHILD PLACING AGENCY OR MANAGING CONSERVATOR |
|
|
|
45. TELEPHONE NUMBER |
||
|
|
|
|
|
|
|
|
CONSERVATOR |
|
|
|
|
|
|
|
SECTION 4 |
|
|
CERTIFICATION OF THE COURT |
|
|
Please complete the child’s name as set forth in the Decree of Adoption
46. NAME OF THE CHILD AS SET FORTH IN THE ADOPTION DECREE:
FIRST
MIDDLE
LAST
47.I HEARBY CERTIFY THAT THE ABOVE INFORMATION IS CORRECT AS STATED IN THE DECREE OF ADOPTION WHICH WAS GRANTED ON _______________DAY OF________________________,___________IN THE____________________COURT OF ________________
COUNTY, TEXAS IN CAUSE #__________________________.
_____________________________________
DISTRICT CLERK’S SIGNATURE
Warning: It is a felony to falsify information on this document. The penalty for knowingly making a false statement on this form or for signing a form which contains a false statement is 2 to 10 years
imprisonment and a fine of up to $10,000. (Health & Safety Code, §195,003) |
CERTIFICATE OF ADOPTION
INSTRUCTIONS
These instructions are designed to assist you in the proper completion of the Certificate of Adoption. Should you have any questions, please contact our office toll free at
SECTION 1
The information in this section relates to the child’s information currently on file in the Vital Statistics Office. Enter the name of the child prior to adoption in item 1. This information must be supplied to enable us to locate the adoptee’s current certificate of birth.
SECTION 2
Item #11 If this is a
Item # 12 If this is a single parent adoption, please complete the appropriate information regarding adopting parent.
A
Item #13 If a NEW certificate is to be prepared, mark “YES”.
Items #14 through #28 this information relates to the adoptive parents. Some of this information will be transferred to the NEW certificate of birth.
Item #30 should be completed to indicate if the Attorney, Parent(s), or District Clerk will receive the new birth certificate and provide the current mailing address of the recipient.
SECTION 3
Items #31 through #38 are for the Central Adoption Registry. Please provide the requested information obtained on the biological parent(s) at the time of the adoption and/or termination of parental rights.
Items #39 through #42 Enter the name, mailing address, email address and telephone number of the attorney of record.
Items #43 through #45 Enter the information relating to the child placing agency or managing conservator.
SECTION 4
Items #46 through #47, should be completed by the Clerk of the Court. This section MUST be completed to show the child’s name after adoption as shown in the final decree of adoption. If Section 4 is not completed by the clerk of the court granting the adoption, a CERTIFIED COPY of the final decree of adoption MUST be attached to the certificate of adoption form and will be retained by our office.
EXPLANATION OF FEES:
FOR CHILDREN BORN IN TEXAS OR A FOREIGN COUNTRY, THE FEE TO FILE A NEW BIRTH CERTIFICATE BASED ON ADOPTION IS $47.00. THE $47.00 FEE INCLUDES THE REQUIRED $25.00 FEE TO FILE THE ADOPTION AND THE $22.00
FEE TO ISSUE ONE CERTIFIED COPY OF THE NEW BIRTH CERTIFICATE. (ADDITIONAL CERTIFIED COPIES ARE $22.00 EACH)
THE $15.00 CENTRAL ADOPTION REGISTRY (CAR) FEE IS REQUIRED ON EACH ADOPTION DECREE GRANTED IN TEXAS. IF THE CHILD WAS BORN IN ANOTHER STATE AND THE ADOPTION WAS GRANTED IN TEXAS, ONLY THE $15.00 CAR FEE IS REQUIRED.
FOR ADOPTIONS GRANTED IN OTHER US STATES OR TERRITORIES THE CENTRAL ADOPTION REGISTRY FEE OF $15.00 IS NOT REQUIRED.
A TOTAL FEE OF $62.00 MAY BE SUBMITTED IN ONE PAYMENT MADE PAYABLE TO TEXAS VITAL STATISTICS.
MAIL THE PROPERLY COMPLETED CERTIFICATE OF ADOPTION WITH THE
APPROPRIATE FEES TO:
VITAL STATISTICS UNIT
TEXAS DEPARTMENT OF STATE HEALTH SERVICES
PO BOX 12040
AUSTIN TX
Warning: It is a felony to falsify information on this document. The penalty for knowingly making a false statement on this form or for signing a form which contains a false statement is 2 to 10 years
imprisonment and a fine of up to $10,000. (Health & Safety Code, §195,003) |