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(Docket)(File) No. A Child Whose First Name Is. AFFIDAVIT. (Change of circumstance since certification as qualified adoptive parent). (Private-Placement).Form 21-E - Affidavit (change of circumstances since certification as qualified adoptive parent). Universal Citation: 22 NY Comp Codes Rules and Regs § 21-E. 21-E Affidavit (change of circumstances since certification as qualified adoptive parent). Fill Out The Affidavit (change Of Circumstance Since Certification As Qualified Adoptive Parent) - New York Online And Print It Out For Free. (1) "Adoptee" means a person who is proposed to be or who has been legally adopted. In order to adopt a child, you must be at least 18 years of age or older to be approved as an adoptive parent. If applicant is not an eligible person, an Affidavit to. Q: Who is eligible to apply to change a Michigan birth record?