© 2016 Family Law Self-Help Center Petition for Adoption
* You are responsible for knowing the law about your case. For more information on the law, this form, and free classes,
visit www.familylawselfhelpcenter.org or the Family Law Self Help Center at 601 N. Pecos Road. To find an attorney,
call the State Bar of Nevada at (702) 382-0504.
1
PAD
Name: ______________________________
Address: ____________________________
City, State, Zip: _______________________
Phone: ______________________________
Email: ______________________________
Self-Represented
DISTRICT COURT
CLARK COUNTY, NEVADA
In the Matter of the Petition of
_____________________________ and
_____________________________
(adoptive parents’ names)
For adoption of a minor child.
CASE NO.: ____________________
DEPT: ____________________
PETITION FOR ADOPTION
Petitioners respectfully state:
1. Petitioners are:
(Name of first petitioner) ______________________________, age (age) ________.
(Name of second petitioner) ______________________________, age (age) ________.
Petitioners are more than ten years older than the child(ren) to be adopted, or are related
to the child(ren) pursuant to NRS 127.020(2)(a).
2. Petitioners have been residents of the State of Nevada since (date) _________________
and have been married since (date of marriage) _______________________.
3. Petitioners wish to adopt the following child(ren):
Child’s Full Name: Date of Birth Age