Your name:

Case Number:

ADOPT-205

Declaration Confirming Parentage in Stepparent Adoption

This form is attached to Form ADOPT-200, Adoption Request. 

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.

I                                                                                     declare as follows:

(write your name)

Relationship between the birth parent and the adopting parent seeking to confirm parentage (check one):

a.

I am the parent who gave birth to the child to be adopted. I married or entered into a state-registered 

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)

and we remain in that union.

b.

I am the adopting parent seeking to confirm parentage. I married or entered into a state-registered domestic

partnership with the parent who gave birth (name of parent who gave birth to the child to be adopted)

and we remain in that union.

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.

on (date you entered into your earliest union)

Our child (name of child to be adopted)
A copy of our child’s birth certificate is attached.

was born on (date)

.

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):

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Judicial Council of California, www.courts.ca.gov  
New January 1, 2016, Optional Form  
Family Code, § 9000.5

Declaration Confirming Parentage in 
Stepparent Adoption

ADOPT-205, Page 1 of 2

Your name:

Case Number:

6

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.

Date:

Type or print your name

}

Sign name

 New January 1, 2016 

Declaration Confirming Parentage in 
Stepparent Adoption

ADOPT-205, Page 2 of 2

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