We were married/registered as domestic partners ,
before our child was born. A copy of our marriage certificate, registered domestic partner certificate, or certificate
of out-of-state domestic partnership or civil union is attached.
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5
4
3
2
This optional form may be attached to the form ADOPT-200 if the adopting parent was married to or in a state-registered
domestic partnership with the parent who gave birth to the child at the time the child was born. You may instead attach a
declaration in another format containing substantially the same information. The birth parent and the adopting parent
must complete separate declarations.
Our child was conceived through assisted reproduction in compliance with Family Code section 7613 as
described below (Describe how your child was conceived and whether you used a known or unknown donor. A
letter from your sperm bank or a written donor agreement verifying conception by assisted reproduction should
be attached. If you used a known donor without a sperm bank or written donor agreement, you should seek legal
advice before submitting this form):
Declaration Confirming Parentage in
Stepparent Adoption
ADOPT-205, Page 1 of 2
Judicial Council of California, www.courts.ca.gov
New January 1, 2016, Optional Form
Family Code, § 9000.5
domestic partnership (including a domestic partnership or civil union from out-of-state that is legally equivalent
to a marriage) with the adopting parent who is seeking to confirm parentage (name of adopting parent seeking to
confirm parentage)
partnership with the parent who gave birth (name of parent who gave birth to the child to be adopted)
on (date you entered into your earliest union)
Relationship between the birth parent and the adopting parent seeking to confirm parentage (check one):
Our child (name of child to be adopted)
was born on (date)
a.
b.
A copy of our child’s birth certificate is attached.
and we remain in that union.
I am the parent who gave birth to the child to be adopted. I married or entered into a state-registered
I am the adopting parent seeking to confirm parentage. I married or entered into a state-registered domestic
I declare as follows:
and we remain in that union.
.
Case Number:
Your name:
ADOPT-205
Declaration Confirming Parentage in Stepparent Adoption
This form is attached to Form ADOPT-200, Adoption Request.
(write your name)
Case Number:
Your name:
6
Declaration Confirming Parentage in
Stepparent Adoption
ADOPT-205, Page 2 of 2
New January 1, 2016
Date:
Type or print your name
Sign name
}
If there are any other persons who are or may be the child’s parents, describe these persons relationship to the
child, including their names, the ways in which these persons act as a parent to the child, and whether these
persons consent to the adoption:
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
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