Outline
The Kansas Report of Adoption form, designated as FORM VS-220, is a crucial document for adoptive parents in the state. This form facilitates the amendment of a child's birth record following an adoption, ensuring that all relevant information is accurately captured. Key details required on the form include the child's name after adoption, the names and details of the adoptive parents, and information regarding the child's birth. Parents must indicate whether they wish to enroll the child in the immunization registry, which can be an important step in ensuring the child's health records are properly maintained. The form also asks about the type of adoption, whether it is a step-parent, traditional, or single-parent adoption. Additionally, it collects information about the child's original birth certificate and the circumstances surrounding the adoption, such as whether the child was born in a foreign country. The certification section requires the signature of a district court judge, affirming the adoption's legal status. Completing this form accurately is essential, as it serves as a permanent record and is subject to specific state regulations. The Kansas Office of Vital Statistics oversees the processing of this document, which ultimately leads to the issuance of a new birth certificate reflecting the child's adopted name and parentage.
Sample - Kansas Report Of Adoption Form
Report of Adoption
FORM
INFORMATION FOR AMENDED BIRTH RECORD FOLLOWING ADOPTION
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DO THE PARENTS WISH TO ENROLL THE CHILD IN |
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CHILD |
1. CHILD'S NAME AFTER ADOPTION (First, Middle, Last) |
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THE IMMUNIZATION REGISTRY? |
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Yes |
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No |
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2. MOTHER'S/PARENT I PRESENT NAME (First, Middle, Last) |
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2a. SEX |
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2b. LAST NAME PRIOR TO FIRST MARRIAGE |
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2C. BIRTH DATE (MM/DD/YYYY) |
2d. BIRTH PLACE (State) |
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2e. RACE |
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2f. SOCIAL SECURITY NUMBER |
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2g. RESIDENCE - At the time of the child's birth: (Street and number, City, County, State, Zip ) |
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Inside City Limits? |
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Yes |
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3. CURRENT MAILING ADDRESS OF PARENT(S): (Street and number, City, County, State, Zip) |
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Inside City Limits? |
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PARENTS |
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Yes |
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No |
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INFORMATION |
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4. FATHER'S/PARENT II NAME (First, Middle, Last) |
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4a. SEX |
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4b. LAST NAME PRIOR TO FIRST MARRIAGE |
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FOR NEW |
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BIRTH |
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CERTIFICATE |
4c. BIRTH DATE (MM/DD/YYYY) |
4d. BIRTH PLACE (State) |
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4e. RACE |
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4f. SOCIAL SECURITY NUMBER |
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5. Was the child born in a foreign country? |
Yes |
No |
5a. Was the child born to U.S. Citizens? |
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No |
5b. Did the adoption occur in a foreign country? |
Yes |
No |
5c. Are adopting parent’s Kansas residents? |
Yes |
No |
6. TYPE OF ADOPTION (select one)
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Traditional Adoption |
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7. NAME OF ATTORNEY: |
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7a. EMAIL ADDRESS |
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ATTORNEY |
7b. MAILING ADDRESS OF ATTORNEY: (Street and number, City, State, Zip) |
7c. TELEPHONE NUMBER + AREA CODE |
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Parent(s) Signature (I/We agree that the above information is true and correct to the best of my/our knowledge)
Parent(s)
Signature
INFORMATION FROM ORIGINAL BIRTH CERTIFICATE
8. CHILD'S NAME AT BIRTH (First, Middle, Last) |
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8a. CHILD'S BIRTH DATE (MM/DD/YYYY) |
8b. CHILD'S SEX |
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8c. BIRTH CERTIFICATE NUMBER (if known) |
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Male |
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Female |
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9.CHILD'S BIRTH PLACE: (City, County/Province, State/Country)
10.MOTHER'S/PARENT I NAME PRIOR TO FIRST MARRIAGE (First, Middle, Last)
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11. FATHER'S/PARENT II NAME (First, Middle, Last) |
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CERTIFICATION OF DISTRICT COURT
(Place court seal here)
I hereby certify that the child identified above was adopted by the
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in the District Court of |
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County, KS. |
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Case Number |
Signature of District Court Judge |
Date |
Kansas Department of Health and Environment
Office of Vital Statistics
1000 SW Jackson Street, Suite 120, Topeka, Kansas 66612
INSTRUCTIONS
Please enter the information requested for each item. This is a permanent record. All information must be typed.
Kansas District Courts are required by state statute (KSA
This Report of Adoption and the original Certificate of Live Birth will be sealed and will be opened only by court order or by written request of the adopted person, if of legal age, as directed by KSA
KSA
When a Report of Adoption is received, the Office of Vital Statistics contacts the attorney, or adoptive parents, to obtain one or both parents’ signatures on the supplemental birth certificate. At that time, we also request the filing fee to prepare and file the new birth record.
If this adoption is a
If any items are unknown, they may be left blank. However, information in items 8 through 10 is needed to locate the original certificate.
You may obtain copies of the new certificate by paying the current certified copy fee.
For information on fees, please visit our website at
Form Information
| Fact Name | Description |
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| Governing Law | The Kansas Report of Adoption is governed by KSA 59-2104 and KSA 65-2423. |
| Purpose | This form is used to amend the birth record of a child following an adoption. |
| Information Required | Details such as the child's name after adoption, parent's names, and birth information are required. |
| Sealing of Records | The original birth certificate and the Report of Adoption will be sealed and accessed only by court order or written request. |
Detailed Guide for Filling Out Kansas Report Of Adoption
Completing the Kansas Report of Adoption form is an essential step in the adoption process. This form helps to ensure that the child's new legal identity is recognized and documented. After submitting the form, the Office of Vital Statistics will process it and contact the adoptive parents or their attorney to finalize the new birth record.
- Begin by entering the child's name after adoption in the designated fields (First, Middle, Last).
- Indicate whether the parents wish to enroll the child in the immunization registry by selecting "Yes" or "No."
- Provide the mother's or parent I's present name (First, Middle, Last).
- Fill in the sex, last name prior to the first marriage, birth date (MM/DD/YYYY), birth place (State), race, and social security number for the mother or parent I.
- Complete the residence information, including the street address, city, county, state, and zip code at the time of the child's birth. Indicate whether this address is inside city limits.
- Enter the current mailing address of the parent(s) with the same details as above, including whether it is inside city limits.
- Provide the father’s or parent II's name (First, Middle, Last) and complete the same details as for the mother, including sex, last name prior to the first marriage, birth date, birth place, race, and social security number.
- Answer the questions regarding the child's birth, including whether the child was born in a foreign country, if the child was born to U.S. citizens, if the adoption occurred in a foreign country, and whether the adopting parents are Kansas residents.
- Select the type of adoption from the options provided: Step-Parent Adoption, Traditional Adoption, or Single-Parent Adoption.
- Enter the name of the attorney handling the adoption, along with their email address and mailing address (Street and number, City, State, Zip), and their telephone number with area code.
- Sign the form, confirming that the information provided is true and correct to the best of your knowledge.
- Provide the child's name at birth (First, Middle, Last), birth date (MM/DD/YYYY), sex, and birth certificate number (if known).
- Fill in the child’s birth place (City, County/Province, State/Country).
- Enter the mother's or parent I's name prior to the first marriage (First, Middle, Last).
- Finally, enter the father's or parent II's name (First, Middle, Last).
- Leave space for the certification of the District Court, where the judge will sign and date the form.
Obtain Answers on Kansas Report Of Adoption
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What is the Kansas Report of Adoption form?
The Kansas Report of Adoption form is a legal document used to record the adoption of a child in Kansas. It helps to create a new birth certificate for the adopted child and ensures that all relevant information is updated in the state's vital statistics records.
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Who needs to fill out this form?
The adoptive parents must complete the form. It requires information about both parents, the child being adopted, and the details of the adoption itself. If there is an attorney involved in the adoption process, their information must also be included.
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What information is required on the form?
- Child's name after adoption
- Parents' names and details, including birth dates and social security numbers
- Type of adoption (e.g., step-parent, traditional, single-parent)
- Information from the original birth certificate, such as the child's name at birth and birth date
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Can the adoption be reported if the child was born outside of Kansas?
Yes, if the child was born outside of Kansas, the Report of Adoption will be forwarded to the appropriate state vital statistics office. The Kansas Office of Vital Statistics will handle this process.
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Is the information on the form confidential?
Yes, the information on the Kansas Report of Adoption form is confidential. Once processed, the report and the original birth certificate will be sealed. They can only be accessed through a court order or by a written request from the adopted person, if they are of legal age.
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What if some information is unknown?
If any items are unknown, you may leave them blank. However, it is important to provide as much information as possible, especially regarding the original birth certificate, to ensure accurate record-keeping.
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How can I obtain a copy of the new birth certificate?
You can obtain copies of the new birth certificate by paying the current certified copy fee. For detailed information about the fees, visit the Kansas Department of Health and Environment's website or call their office.
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What is the role of the district court in this process?
The district court certifies the adoption. It includes a judge's signature and court seal on the Report of Adoption form. This certification is crucial for the legal recognition of the adoption.
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How long does it take to process the Report of Adoption?
The processing time can vary. Once the form is submitted, the Office of Vital Statistics will contact the attorney or adoptive parents for signatures and payment of the filing fee. Timely submission of all required information can help speed up the process.
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What should I do if I have more questions?
If you have additional questions, you can visit the Kansas Department of Health and Environment's website or call their office directly. They can provide guidance and answer any specific queries you may have regarding the adoption process.
Common mistakes
Filling out the Kansas Report of Adoption form is a crucial step in the adoption process. However, many people make mistakes that can delay or complicate the finalization of their adoption. Here are seven common errors to avoid.
First, many individuals overlook the importance of providing the child's name after adoption. This may seem straightforward, but ensuring that the name is accurately recorded is essential. If the name is misspelled or incomplete, it can lead to issues down the line when obtaining the new birth certificate.
Second, parents often forget to include their current mailing address. This address is vital for communication regarding the adoption process. If the address is missing or incorrect, important documents may not reach the parents in a timely manner, causing unnecessary delays.
Another frequent mistake is failing to provide accurate information about the parents' names prior to their first marriage. This detail is significant for record-keeping purposes. Incomplete or incorrect entries can complicate the adoption record and create confusion in the future.
Additionally, many people neglect to check the appropriate boxes regarding the child’s birth and adoption circumstances. For instance, if the child was born in a foreign country, this must be indicated clearly. Misrepresenting this information can lead to complications with legal documentation and citizenship issues.
Moreover, parents sometimes forget to sign the form. A signature is not just a formality; it confirms that the information provided is accurate to the best of their knowledge. Without a signature, the form is incomplete and cannot be processed.
Another common oversight involves the attorney's information. Parents should ensure that the name, email address, and mailing address of their attorney are correctly filled out. This information is crucial for the Office of Vital Statistics to contact the attorney for any follow-up needed regarding the adoption.
Lastly, some parents leave blank fields where information is unknown. While it is acceptable to leave some items blank, critical details, especially those related to the child's original birth certificate, should be provided whenever possible. Leaving too many fields blank can hinder the process of locating the original certificate.
By being aware of these common mistakes, parents can ensure a smoother adoption process. Taking the time to carefully complete the Kansas Report of Adoption form will help in achieving a successful adoption and securing the child's new identity.
Documents used along the form
The Kansas Report of Adoption form is an essential document in the adoption process. It serves to officially record the adoption and is submitted to the Office of Vital Statistics. Several other forms and documents are often required or recommended to accompany this report. Each of these documents plays a significant role in ensuring the adoption is legally recognized and that all pertinent information is accurately recorded.
- Petition for Adoption: This document initiates the legal process of adoption. It outlines the details of the adopting parents and the child, including consent from biological parents if applicable.
- Consent to Adoption: This form is signed by the biological parents, granting permission for the adoption to proceed. It is crucial for ensuring that all legal rights are relinquished appropriately.
- Home Study Report: Conducted by a licensed social worker, this report assesses the adopting family's suitability. It includes interviews, background checks, and evaluations of the home environment.
- Final Decree of Adoption: Issued by the court, this document finalizes the adoption. It includes the child's new name and confirms the legal relationship between the adoptive parents and the child.
- Amended Birth Certificate Application: After the adoption is finalized, this application is submitted to update the child’s birth certificate with the new information, including the adoptive parents' names.
- Verification of Birth: This document may be required to confirm the child’s identity and original birth details, particularly if the child was born in another state or country.
- Notice of Hearing: This document informs all relevant parties about the court hearing regarding the adoption. It ensures that interested parties have the opportunity to attend and voice any concerns.
- Post-Adoption Contact Agreement: If applicable, this agreement outlines any ongoing communication or contact between the adoptive family and the biological family, ensuring clarity and mutual understanding.
Collectively, these forms and documents are integral to the adoption process in Kansas. They provide a comprehensive framework for legal recognition of the adoption, ensuring that all parties involved are informed and that the child's best interests are prioritized.
Similar forms
The Kansas Report of Adoption form shares similarities with several other important documents related to adoption and vital records. Each of these documents plays a role in the legal and administrative processes surrounding adoption. Here’s a list of ten documents that are comparable to the Kansas Report of Adoption form:
- Adoption Decree: This legal document finalizes the adoption process and grants the adoptive parents legal rights over the child. It includes details about the child and the adoptive parents, similar to the Kansas Report of Adoption.
- Birth Certificate: A vital record that documents the birth of a child. Like the Kansas Report of Adoption, it includes essential information about the child, such as their name and birth date, although it reflects the child's original identity before adoption.
- Certificate of Adoption: Issued after the adoption process is complete, this certificate serves as proof of the adoption. It includes information about the adoptive parents and the child, akin to the details required in the Kansas Report of Adoption.
- Petition for Adoption: This document initiates the adoption process. It outlines the adoptive parents' intent and includes information about the child, similar to the information gathered in the Kansas Report of Adoption.
- Home Study Report: Conducted by a licensed agency, this report evaluates the suitability of the adoptive parents. It contains personal information and assessments, paralleling the detailed parental information in the Kansas Report of Adoption.
- Consent to Adopt: This document is signed by the biological parents to relinquish their parental rights. It includes essential details about the child and the adoptive parents, reflecting the same familial connections noted in the Kansas Report of Adoption.
- Post-Adoption Agreement: This agreement outlines the ongoing relationship between the adoptive family and the biological family, if applicable. It often includes details about the child, similar to the Kansas Report of Adoption's focus on the child’s welfare.
- Amended Birth Certificate: After an adoption, an amended birth certificate is issued to reflect the child's new name and adoptive parents. This document aligns closely with the Kansas Report of Adoption, as both serve to update the child's legal identity.
- Termination of Parental Rights Document: This document legally terminates the biological parents' rights to the child. It contains information about the child and biological parents, much like the Kansas Report of Adoption addresses the child's background.
- Foster Care Agreement: This document outlines the terms of care for a child placed in foster care. It includes details about the child and foster parents, sharing similarities with the information collected in the Kansas Report of Adoption.
Dos and Don'ts
When filling out the Kansas Report of Adoption form, there are important guidelines to follow. Here’s a list of things you should and shouldn’t do to ensure a smooth process.
- Do type all information clearly and accurately.
- Do include the child's name after adoption in the correct format (First, Middle, Last).
- Do provide the correct mailing address for the parents.
- Do ensure that all signatures are provided where required.
- Do check the eligibility of the adoption type you are filing for.
- Don't leave any required fields blank unless specified.
- Don't use handwriting; all entries must be typed.
- Don't forget to verify the information against the original birth certificate.
- Don't submit the form without the necessary filing fee.
By following these guidelines, you can help ensure that the adoption process is handled efficiently and correctly. If you have any doubts, consider consulting with a professional for assistance.
Misconceptions
- Misconception 1: The Kansas Report of Adoption form is only necessary for domestic adoptions.
- Misconception 2: The information on the form is not confidential.
- Misconception 3: Parents can submit the form without an attorney.
- Misconception 4: The form can be filled out in handwriting.
- Misconception 5: The adoption process is complete once the form is submitted.
This form is required for all adoptions finalized in Kansas, including those involving children born in foreign countries. The Office of Vital Statistics will forward the report to the appropriate state if the child was born outside Kansas.
All information provided on the Kansas Report of Adoption is considered a permanent record and is sealed. It can only be accessed by court order or by the adopted person once they reach legal age.
All information on the Kansas Report of Adoption must be typed. This requirement helps maintain clarity and accuracy in the records.
Submitting the form is just one part of the adoption process. After submission, the Office of Vital Statistics will contact the adoptive parents or attorney to obtain signatures for the new birth certificate, and a filing fee is required to finalize the new record.
Key takeaways
Here are key takeaways regarding the Kansas Report of Adoption form:
- The form must be completed accurately, as it serves as a permanent record.
- All information should be typed to ensure clarity and legibility.
- Parents need to provide their current mailing address and details about their residence at the time of the child's birth.
- Information about the child's birth, including the name at birth and birth date, is essential for locating the original birth certificate.
- The type of adoption must be specified, including options like step-parent, traditional, or single-parent adoption.
- If the child was born outside the U.S., additional questions regarding citizenship and adoption location must be answered.
- After submission, the Office of Vital Statistics will contact the attorney or adoptive parents for signatures on the new birth certificate.
- A filing fee is required to prepare and file the new birth record.
- In cases of step-parent adoption, the original birth certificate information will be used for the new record.
- Copies of the new birth certificate can be obtained by paying the certified copy fee.
For more information on fees and processes, visit the Kansas Department of Health and Environment website or contact their office directly.