Fill and Sign the Revisiting Surrogate Parenting New York State Department Form

D.R.L. §116(2)Form 11 (Order to Show CauseRemoval of Child fromAdoptive Home) 8/2010 At a term of the Family Court of the State of New York, held in and for the County of , at , New York, on . P R E S E N T Hon. Judge .................................................................. In the Matter of the Adoption of (Docket) (File) No. A Child Whose First Name Is ORDER TO SHOW CAUSE (Removal of Child from Adoptive Home) ................................................................ UPON reading and filing the report dated , of , the investigator designated by an order of this Court to examine into the allegations set forth in the petition herein; it is ORDERED THAT ,the petitioner(s) herein show cause before this Court at , New York, on the day of , at o'clock in the noon of that day or as soon thereafter as counsel can be heard why an order should not be granted removing , the above-named adoptive child, from the home of and , the proposed adoptive parent(s), and why such other and further relief should not be granted as may be just and proper; and it is further ORDERED that service of a copy of this order Qand the report upon which it was granted upon the persons above-named and upon [specify]: and , personally within the State of New York on or before the day of , , be deemed sufficient service. PURSUANT TO SECTION 1113 OF THE FAMILY COURT ACT, AN APPEAL FROM THIS ORDER MUST BE TAKEN WITHIN 30 DAYS OF RECEIPT OF THE ORDER BY APPELLANT IN COURT, 35 DAYS FROM THE DATE OF MAILING OF THE ORDER TO APPELLANT BY THE CLERK OF COURT, OR 30 DAYS AFTER SERVICE BY A PARTY OR THE ATTORNEY FOR THE CHILD UPON THE APPELLANT, WHICHEVER IS EARLIEST. Dated: , . ENTER __________________________________ Judge of the Family Court / Surrogate C heck ap p licab le b o x: G O rd er m ailed o n [sp ecify d ate(s) and to w ho m m ailed ]: G O rd er received in co urt o n [sp ecify d ate(s) and to w ho m given]: