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Fill and Sign the Krs 199 Form

Fill and Sign the Krs 199 Form

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Case_________________________ Court________________________County_______________________Circuit AOC-290 Rev. 01-03Page 1 of 1Commonwealth of KentuckyCourt of Justice www.kycourts.net KRS 199.570; 199.572 P ETITION TO I NSPECT A DOPTION RECORDS IN RE:___________________________________________________________________________________________ PETITIONER, Adult Adopted Person (Twenty-one years of age or older) _________________________________________________________________________________________________Names of Adoptive Parents NOTICE TO PETITIONER You are requesting to inspect your adoption records retained by this court. Provided you are able to satisfy the court of your identity, this request will be granted unless (1) your biological parents have left in your adoptionfile a record stating that they do not wish you to be able to learn their identity; or (2) there is no record in the fileof the willingness of your biological parents to permit such an inspection. By completing the form below, you maypetition the circuit court to permit you to inspect and/or copy your adoption records, or in the alternative, to orderthe Cabinet for Families and Children to notify your natural parents of your request and to obtain their consent. Thestatute provides that the court has seven (7) working days to order the Cabinet for Families and Children to notifyyour biological parents of your request. If your biological parents are not readily located, the Cabinet for Familiesand Children will have six (6) months to search for and locate them. If your biological parents are located they willhave 60 days to respond. For this search by the Cabinet, you may be asked to pay a reasonable fee not to exceed$250. PETITION Comes the Petitioner, an adult adopted person who is 21 years of age or older, and moves the court for a finding that the court is satisfied of his/her identity, and to permit inspection and/or copy of his/her adoption recordsretained by this court, there being a record of the biological parents' consent to such inspection contained with theadoption records; or order the Cabinet for Families and Children to notify his/her biological parents of the petitioner'sdesire to inspect and/or copy his/her adoption records. _________________________________________ _____________________________________________ Date Signature of Petitioner _____________________________________________ Address _____________________________________________ City/State/Zip Code _____________________________________________ Birthdate _____________________________________________ Telephone Number Distribution: Court File 10/21/2005 08:30 am Ver. 1.01

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