Step-Parent Child Adoption

Step-Parent Child Adoption

Please complete this legal intake form to provide information required for a step-parent child adoption.
NRS240A DISCLAIMER - Read Carefully.

I, DEBORAH BARNHART, DOING BUSINESS AS DPSOFNORTHERN NEVADA, AM NOT AN ATTORNEY IN THE STATE OF NEVADA. I AM NOT AUTHORIZED TO GIVE LEGAL ADVICE OR LEGAL REPRESENTATION. I MAY NOT ACCEPT FEES FOR GIVING LEGAL ADVICE OR LEGAL REPRESENTATION.
Parent / Petitioner Information

Provide information for both petitioners: the natural parent and the step-parent.
Petitioner 1: Full Legal Name*

First NameMiddle NameLast NameSuffix
Petitioner 1: Role*

Natural ParentStep-Parent
Petitioner 1: Physical/Residential Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Petitioner 1: Mailing Address (if different from Physical Address)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Petitioner 1: Email Address*
example@example.com
Petitioner 1: Phone Number*
Please enter a valid phone number.
Petitioner 1: Date of Birth*

MonthDayYear
Date
Petitioner 1: Date Moved to This State*

MonthDayYear
Date
Petitioner 2: Full Legal Name*

First NameMiddle NameLast NameSuffix
Petitioner 2: Role*

Natural ParentStep-Parent
Petitioner 2: Physical/Residential Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Petitioner 2: Mailing Address (if different from Physical Address)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Petitioner 2: Email Address*
example@example.com
Petitioner 2: Phone Number*
Please enter a valid phone number.
Petitioner 2: Date of Birth*

MonthDayYear
Date
Petitioner 2: Date Moved to This State*

MonthDayYear
Date
Date of Marriage*

MonthDayYear
Date
City and State of Marriage*
Household / Family Information

Provide details about your household and family living arrangements.
When did the petitioners and child(ren) begin living together as a family? (Month/Year)*
Child(ren)'s Information

Complete the following for each child to be adopted.
Child(ren) Details*
Other Biological Parent (Parent Whose Rights Are Being Terminated)

Provide details about the other biological parent whose parental rights are being addressed.
Full Legal Name of Other Biological Parent*

First NameMiddle NameLast NameSuffix
Physical/Residential Address of Other Biological Parent

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Mailing Address of Other Biological Parent, if different from Physical Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number of Other Biological Parent
Please enter a valid phone number.
Email Address of Other Biological Parent
example@example.com
Date of Birth of Other Biological Parent

MonthDayYear
Date
Current Status of Other Biological Parent*

Consents to AdoptionDeceased (Death Certificate Required)Parental Rights Terminated by CourtLocation Unknown
If deceased, please upload the death certificate.

Cancelof
Upload Order Terminating Parental Rights (if applicable)

Cancelof
Backstory / Narrative Section

Provide a detailed background for the step-parent adoption.
Provide the full background for this step-parent adoption, including relationship history, involvement of the step-parent, circumstances of the other biological parent, and why adoption is in the best interest of the child(ren).*
Birth Certificate

Indicate whether a new birth certificate is requested.
Is a new birth certificate requested for the child/ren?*

YesNo
NRS 240A DISCLOSURE - Read Carefully

Please review and confirm the following statement.
I, DEBORAH BARNHART, DOING BUSINESS AS DPS OF NORTHERN NEVADA, AM NOT AN ATTORNEY IN THE STATE OF NEVADA. I AM NOT AUTHORIZED TO GIVE LEGAL ADVICE OR LEGAL REPRESENTATION. I MAY NOT ACCEPT FEES FOR GIVING LEGAL ADVICE OR LEGAL REPRESENTATION.*

I understand that Deborah Barnhart, dba DPS of Northern Nevada, is not an attorney and is acting solely as a legal document preparer.
Name*

First NameMiddle NameLast NameSuffix
Should be Empty:

Step-Parent Child Adoption

NRS240A DISCLAIMER - Read Carefully.

Parent / Petitioner Information

Household / Family Information

Child(ren)'s Information

Other Biological Parent (Parent Whose Rights Are Being Terminated)

Backstory / Narrative Section

Birth Certificate

NRS 240A DISCLOSURE - Read Carefully