Stepparent Adoption Questionaire

Information of the Petitioner
Petitioner's Full, Legal Name (This is the stepparent who is adopting the Child)*

First NameLast Name
Petitioner's Date of Birth*

MonthDayYear
Date
Petitioner's Social Security Number*
Petitioner's home address(es) for last 5 years and dates the Petitioner lived at each address*
Has the petitioner ever been convicted of a FELONY involving physical assault, domestic abuse, battery or a drug-related offense within 5 years, child abuse or neglect, any crime against a child, including, but not limited to, child pornography, crime involving violence, including, but not limited to, rape, sexual assault or homicide, adjudications in juvenile court for child abuse or neglect or domestic violence, or protective order issue against the terminated parent? Is the petitioner subject to the Oklahoma Sex Offenders Registration Act?*

YesNo
If yes to any of the above, list the crime convicted of, date of conviction, county and state of court, case number for conviction, and any other relevant information*

Information of the Biological Parent
Biological parent's full, legal name (This is the biological parent who is married to the petitioner)*

First NameLast Name
Biological parent's maiden name(s), if any
Biological parent's date of birth*

MonthDayYear
Date
Biological parent's Social Security number*
Biological parent's home address(es) for last 5 years and dates the biological parent lived at each address (only list addresses different from petitioner's home addresses listed above)
Date of marriage of petitioner and biological parent:*
Place of marriage of petitioner and biological parent:*

Information of the Child to be Adopted
Child's full, legal name (as shown on birth certificate)*

First NameLast Name
If the child is older than 12 years old, does the child consent to this adoption?

YesNo
Child's Social Security number*
16. Child's home address(es) for the last 5 years and dates the Child lived at each address (only list addresses different from Petitioner's home addresses listed above)
Is the child enrolled in or eligible to enroll as a member of any federally recognized Indian tribe?*

YesNo
If yes, please state the name of the Tribe and enrollment/ID number, if enrolled.
Do you have a copy of the child's birth certificate?*

YesNo

Information of the Parent to be Terminated
Terminated parent's full, legal name (This is the parent whose parental rights will be terminated in order for the stepparent to adopt the child)*

First NameLast Name
Terminated parent's current address:*

Street Address

CityState / Province

Postal / Zip Code
Terminated parent's phone number:*
Please enter a valid phone number.
Terminated parent's email
example@example.com
Will the terminated parent consent to this adoption?*

YesNo
If the above answer was "No," proceed to the next questions. If "Yes," you do not have to complete the remaining questions.

Information of the Petitioner