Get F:\forms\adobe\adoptions\09 Adoption Registry.wpd - Health Utah 2017-2025

This guide provides a step-by-step approach to properly complete the Utah Mutual-Consent Voluntary Adoption Registry application. By following these instructions, you will ensure that all necessary information is accurately submitted online.

Follow the steps to fill out the application successfully.

1. Press the ‘Get Form’ button to access the application and open it in your editor.
2. In Section 1, fill in your name, current address, and current telephone number. Ensure that all information is accurate to facilitate contact.
3. In Section 2, indicate your relationship to the adoptee by checking the appropriate box. Options include adult adoptee, birth parent, or adoptive parent of a deceased adoptee.
4. Proceed to Section 3 to provide information about the adoptee. This includes their birth name, sex, adoptive name, current name, birth date and place, and names of adoptive parents if known.
5. In Section 4, offer details about the birth parent(s). The birth mother should complete lines A and B, while the birth father must fill in lines B and C. Providing complete information is essential for matching.
6. Review the authorization statement and ensure that you understand your rights, including the ability to withdraw your application at any time. Sign and date the form in the designated area.
7. Ensure the application is notarized. This is a critical step for validation.
8. Include a certified copy of your birth certificate along with a $25.00 fee. This payment is required to process your application.
9. After ensuring all sections are complete and accurate, save your changes, download the document, print it for submission, or share it as necessary.

Complete your application online today to facilitate your inclusion in the Utah Mutual-Consent Voluntary Adoption Registry.