If the department of health and human services or a child-placing agency has through court action or parental surrender been given case, custody and control of an adoptee, the department or agency must complete this form to surrender their rights to the adoptee. The form specifies the rights being surrendered.
This is an official form from the New Hampshire Judicial Branch. It complies with all applicable laws and statutes. USLF amends and updates the forms as is required by New Hampshire statutes and law.