22 CRR-NY D IV B Form 1-ENY-CRR
STATE COMPILATION OF CODES, RULES AND REGULATIONS OF THE STATE OF NEW YORK
TITLE 22. JUDICIARY
SUBTITLE D. FORMS
CHAPTER IV. FORMS OF THE FAMILY COURT OF THE STATE OF NEW YORK AND ADOPTION FORMS OF THE FAMILY COURT OF THE STATE OF NEW YORK (CF. § 205.7)
SUBCHAPTER B. ADOPTION FORMS OF THE FAMILY COURT
ADOPTION FORMS
22 CRR-NY D IV B Form 1-E
22 CRR-NY D IV B Form 1-E
1-E Affirmation regarding venue
D.R.L. § 113
Adoption Form 1-E
[This form
must
be submitted
(Affirmation Regarding Venue)
in cases where the adoption petition was filed before
(9/2006)
a judge
other than
the judge who heard the most recent
Family Court proceeding]
FAMILY COURT OF THE STATE OF NEW YORK COUNTY OF
________________
In the Matter of the Adoption of
Docket No.
A Child Whose First Name Is:
AFFIRMATION
REGARDING VENUE
________________
I, [specify name]:
,
, an attorney duly admitted to practice law in the State of New York, affirm the following:
1. I represent [specify]:
, the prospective adoptive parents in the above-entitled proceeding regarding the adoption of [specify child's first name]:
2. Upon information and belief, according to [specify agency having custody or
guardianship of child or other source of information]:
the child was freed for adoption as follows [check applicable box(es)]:
a. The child's birth mother:
□ surrendered her parental rights in a
□ judicial surrender executed before Judge [specify]:
in Family Court, [specify county]:
on [specify date]:
in Docket # [specify]:
□ extra-judicial surrender approved by Judge [specify]:
in Family Court, [specify county]:
on [specify date]:
in Docket # [specify]:
□ had her parental rights terminated by order of Judge [specify]:
in Family Court, [specify county]:
on [specify date]:
in Docket # [specify]:
□ is unknown.
□ is deceased.
b. The child's birth father or any other individual entitled to consent to the adoption:
□ surrendered his parental rights in a
□ judicial surrender executed before Judge [specify]:
in Family Court, [specify county]:
on [specify date]:
in Docket # [specify]:
□ extra-judicial surrender approved by Judge [specify]:
in Family Court, [specify county]:
on [specify date]:
in Docket # [specify]:
□ had his parental rights terminated by order of Judge [specify]:
in Family Court, [specify county]:
on [specify date]:
in Docket # [specify]: □ is unknown. □ is deceased.
Adoption Form 1-E Page 2
3. Upon information and belief, according to [specify agency having custody or guardianship of child or other source of information]:
the child's most recent permanency hearing was held before [specify judge or referee] in Family Court, [specify county]:
, on [specify date]:
4. This adoption proceeding has been filed before this Court for the following reasons [check applicable box(es) and explain]:
□ This Court is more familiar with the facts and circumstances regarding permanency planning for, and the needs and best interests of, this child, because [specify]:
□ The child's law guardian [specify]:
is able to continue to represent the child in this proceeding.
□ The prospective adoptive parents reside in [specify county]
and would find it inconvenient to travel to the Family Court in [specify county]:
□ This Court will be able to proceed in this matter more expeditiously because [specify]:
□ Other [specify]:
WHEREFORE, for the reasons stated above, I am requesting that this Court retain jurisdiction over this adoption proceeding.
Signature of Affirmant
Affirmant's Name (print or type)
______________
______________
Affirmant's Address and Telephone Number
22 CRR-NY D IV B Form 1-E
Current through May 31, 2021
| End of Document |
IMPORTANT NOTE REGARDING CONTENT CURRENCY: The "Current through" date indicated immediately above is the date of the most recently produced official NYCRR supplement covering this rule section. For later updates to this section, if any, please: consult editions of the NYS Register published after this date; or contact the NYS Department of State Division of Administrative Rules at [email protected]. See Help for additional information on the currency of this unofficial version of NYS Rules.