The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02

LIT Lab Home | About The Explorer | Find & Compare | Explore: Utah Lists

Here is the text we could read:

 
Name 
 
Address 
 
City, State, Zip 
 
Phone 

 
Email 

 

 

 
 
 
 
 
 

If you do not respond to this 
document within applicable time 
limits, judgment could be entered 
against you as requested. 

 
Check your email. You will receive information and 
documents at this email address.  
 

I am   [  ]  Petitioner 

[  ]  Petitioner’s Attorney 

 (Utah Bar #:__________) 

In the District Court of Utah 

__________ Judicial District ________________ County 

Court Address ______________________________________________________ 

In the matter of the adoption of 

Verified Petition for Adoption of an 
Adult 

_____________________________________ 
Adoptee 
 

_______________________________ 
Case Number 

_______________________________ 
Judge 

I am the petitioner and I want to adopt 
_______________________________________________________ (name of adoptee),  

who is an adult. 

Utah has jurisdiction in this case. (Utah Code 78B-6-105). 

The case is filed in this county because (Choose all that apply; at least one must apply.): 

[  ]  I reside in this county. 

county.  

petition is filed. 

[  ]  I am not a resident of this state and the proposed adoptee was born in this 

[  ]  The proposed adoptee resides in this county on the day on which this 

1001ADF Approved September 19, 
2017 / Revised February 8, 2021 

Verified Petition for Adoption of an Adult 

Page 1 of 4 

1. 

2. 

 

 

[  ]  A parent of the proposed adoptee resides in this county on the day on which 

the petition is filed. 

3. 

The full name of the adult to be adopted (the “adoptee”) is: 

First name 

Middle name 

Surname on birth certificate 

Married surname (if any) 

 

 

 

 

4. 

5. 

6. 

7. 

8. 

The adoptee was born on _______________________ (date). 

The adoptee was born in ________________________________________ (city, 
county and state, OR city and country). 

The adoptee lives in ____________________________________________ (city, 
state). 

The adoptee is not a vulnerable adult. (Utah Code 78B-6-117). 

(Choose one.): 

[  ]  The adoptee is citizen or national of the United States. 

[  ]  The adoptee is not a citizen or national of the United States but is legally in 
the United States.  (Attach written evidence from the United States Citizenship and 
Immigration Services showing that the adoptee was admitted into the United States for 
permanent residence, was admitted into the United States temporarily in one of the lawful 
nonimmigrant categories, or was legally paroled into the United States.) 

9. 

The adoptee consents to this adoption.  

10. 

The adoptee is (Choose one.):  

[  ]  not married.     

[  ]  married, and the adoptee’s spouse  (Choose one.): 

[  ]  has waived  

[  ]  has not waived 

in writing notice of the adult adoption proceeding. 

1001ADF Approved September 19, 
2017 / Revised February 8, 2021 

 

Verified Petition for Adoption of an Adult 

Page 2 of 4 

 

11. 

I am:  

[  ]  not married.   

[  ]  not cohabitating in a relationship that is not a legally valid and binding 

marriage under Utah law. 

[  ]  married, and   

[  ] my spouse consents to this adoption. 

12. 

I was born on _________________ (date) and I am at least ten years older than 
the adoptee. 

13. 

[  ]  My spouse was born on _________________ (date) and is at least ten 

years older than the adoptee. 

14. 

[  ]  

I ask the court to waive the requirement to provide notice of the adoption 
once ordered to the adoptee’s legal parents for the following reasons: 

 15. 

[  ]  The adoptee’s name should remain the same as in paragraph 3 above. 

[  ]  The adoptee will take my family surname as the adopting parent, and 

therefore the adoptee’s name should be changed on the adoptee’s birth 
certificate to: 

First name 

Middle name 

New surname 

Married surname (if any) 

 

 

 

 

16. 

I ask the court to enter a decree declaring me to be the legal parent of  

_____________________________________________________________ 
(name of adoptee). 

1001ADF Approved September 19, 
2017 / Revised February 8, 2021 

Verified Petition for Adoption of an Adult 

Page 3 of 4 

     

 

 

 

17.     [  ]  I ask the court to order that the adoptee’s birth certificate be amended to 

name me as the adoptee’s parent. 

 declare under criminal penalty under the law of Utah that everything stated in this document is true. 

Signed at ______________________________________________________ (city, and state or country). 

 
Date 

Signature ► 

Printed Name 

 

 

1001ADF Approved September 19, 
2017 / Revised February 8, 2021 

Verified Petition for Adoption of an Adult 

Page 4 of 4 

  I

Verified Petition for Adoption of an Adult

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Utah state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from legacy.utcourts.gov (2023-03)
Page(s): 4
Fields(s): 118
Average fields per page: 29
Reading Level: Grade 11
LIST Grouping(s): GO-00-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

users1_name__1 was name (1.00 conf)
users1_address_line_one was address (1.00 conf)
city_state_zip was city__state__zip (0.35 conf)
users1_phone_number was phone (1.00 conf)
email was email (0.38 conf)
af_f was AFF005 (0.51 conf)
district_court_utah was in_the_district_court_of_utah (0.34 conf)
judicial_district was judicial_district (0.38 conf)
page_field__1 was page_0_field_8 (0.31 conf)
court_address was court_address (0.42 conf)
county was county (0.39 conf)
page_field__2 was page_0_field_11 (0.31 conf)
page_field__3 was page_0_field_12 (0.31 conf)
verified_petition_adoption was verified_petition_for_adoption_of_an (0.41 conf)
page_field__4 was page_0_field_14 (0.31 conf)
page_field__5 was page_0_field_15 (0.31 conf)
page_field__6 was page_0_field_16 (0.31 conf)
page_field__7 was page_0_field_17 (0.31 conf)
page_field__8 was page_0_field_18 (0.31 conf)
docket_number was case_number (1.00 conf)
matter_adoption was in_the_matter_of_the_adoption_of (0.33 conf)
page_field__9 was page_0_field_21 (0.31 conf)
page_field__10 was page_0_field_22 (0.31 conf)
adoptee was adoptee (0.41 conf)
page_field__11 was page_0_field_24 (0.31 conf)
page_field__12 was page_0_field_25 (0.31 conf)
page_field__13 was page_0_field_26 (0.31 conf)
page_field__14 was page_0_field_27 (0.31 conf)
page_field__15 was page_0_field_28 (0.31 conf)
page_field__16 was page_0_field_29 (0.31 conf)
page_field__17 was page_0_field_30 (0.31 conf)
name_adoptee was name_of_adoptee (0.31 conf)
page_field__18 was page_0_field_32 (0.31 conf)
page_field__19 was page_0_field_33 (0.31 conf)
page_field__20 was page_0_field_34 (0.31 conf)
judge was judge (0.39 conf)
page_field__21 was page_0_field_36 (0.31 conf)
page_field__22 was page_0_field_37 (0.37 conf)
utah_jurisdiction_case_code_b was utah_has_jurisdiction_in_this_case_utah_code_78b_6_105 (0.35 conf)
page_field__23 was page_0_field_39 (0.37 conf)
page_field__24 was page_0_field_40 (0.31 conf)
petitioner_want_adopt was i_am_the_petitioner_and_i_want_to_adopt (0.43 conf)
page_field__25 was page_0_field_42 (0.37 conf)
page_field__26 was page_0_field_43 (0.37 conf)
adult was who_is_an_adult (0.41 conf)
page_field__27 was page_0_field_45 (0.31 conf)
page_field__28 was page_0_field_46 (0.37 conf)
page__1 was page_1_of_4 (0.42 conf)
page_check__1 was page_0_check_0 (0.34 conf)
petitioner_attorney was petitioner_s_attorney (0.40 conf)
reside_county was i_reside_in_this_county (0.41 conf)
resident_state_proposed_adoptee_born was i_am_not_a_resident_of_this_state_and_the_proposed_adoptee_was_born_in_this (0.42 conf)
proposed_resides_county_day was the_proposed_adoptee_resides_in_this_county_on_the_day_on_which_this (0.30 conf)
signature_date was date (1.00 conf)
page_field__29 was page_1_field_1 (0.36 conf)
county_state_city_country was county_and_state__or_city_and_country (0.42 conf)
adoptee_born was the_adoptee_was_born_on (0.42 conf)
users1_address_city was city (1.00 conf)
page_field__30 was page_1_field_5 (0.36 conf)
page_field__31 was page_1_field_6 (0.36 conf)
page_field__32 was page_1_field_7 (0.36 conf)
page_field__33 was page_1_field_8 (0.36 conf)
page_field__34 was page_1_field_9 (0.36 conf)
page_field__35 was page_1_field_10 (0.36 conf)
page_field__36 was page_1_field_11 (0.36 conf)
page_field__37 was page_1_field_12 (0.36 conf)
adoptee_vulnerable_adult_utah_code_b was the_adoptee_is_not_a_vulnerable_adult_utah_code_78b_6_117 (0.38 conf)
page_field__38 was page_1_field_14 (0.36 conf)
page_field__39 was page_1_field_15 (0.36 conf)
page_field__40 was page_1_field_16 (0.36 conf)
page_field__41 was page_1_field_17 (0.36 conf)
adoptee_lives was the_adoptee_lives_in (0.35 conf)
page__2 was page_2_of_4 (0.42 conf)
parent_proposed_adoptee_resides_county_day was a_parent_of_the_proposed_adoptee_resides_in_this_county_on_the_day_on_which (0.36 conf)
citizen_united_states was the_adoptee_is_citizen_or_national_of_the_united_states (0.43 conf)
citizen_states_legally was the_adoptee_is_not_a_citizen_or_national_of_the_united_states_but_is_legally_in (0.45 conf)
married__1 was not_married (0.33 conf)
married_spouse_choose_one was married__and_the_adoptee_s_spouse_choose_one (0.44 conf)
waived__1 was has_waived (0.39 conf)
waived__2 was has_not_waived (0.37 conf)
date_least_ten_years_older was date__and_i_am_at_least_ten_years_older_than (0.43 conf)
spouse_born was my_spouse_was_born_on (0.39 conf)
born was i_was_born_on (0.32 conf)
date_least_ten was date__and_is_at_least_ten (0.38 conf)
page_field__42 was page_2_field_4 (0.36 conf)
years_older_adoptee was years_older_than_the_adoptee (0.31 conf)
ordered_following_reasons was once_ordered_to_the_adoptee_s_legal_parents_for_the_following_reasons (0.36 conf)
enter_decree_declaring_legal was i_ask_the_court_to_enter_a_decree_declaring_me_to_be_the_legal_parent_of (0.38 conf)
page_field__43 was page_2_field_8 (0.36 conf)
page_field__44 was page_2_field_9 (0.36 conf)
page_field__45 was page_2_field_10 (0.36 conf)
page_field__46 was page_2_field_11 (0.36 conf)
married_surname was married_surname__if_any (0.34 conf)
page_field__47 was page_2_field_13 (0.36 conf)
page_field__48 was page_2_field_14 (0.36 conf)
page_field__49 was page_2_field_15 (0.36 conf)
page_field__50 was page_2_field_16 (0.36 conf)
page__3 was page_3_of_4 (0.42 conf)
page_check__2 was page_2_check_0 (0.33 conf)
relationship_legally_valid was not_cohabitating_in_a_relationship_that_is_not_a_legally_valid_and_binding (0.46 conf)
married__2 was married__and (0.34 conf)
spouse_consents_adoption was my_spouse_consents_to_this_adoption (0.45 conf)
page_check__3 was page_2_check_4 (0.26 conf)
page_check__4 was page_2_check_5 (0.26 conf)
name_remain_paragraph was the_adoptee_s_name_should_remain_the_same_as_in_paragraph_3_above (0.38 conf)
family_adopting_parent was the_adoptee_will_take_my_family_surname_as_the_adopting_parent__and (0.38 conf)
city_state_country was city__and_state_or_country (0.47 conf)
users1_signature was signature (1.00 conf)
page_field__51 was page_3_field_2 (0.36 conf)
page_field__52 was page_3_field_3 (0.36 conf)
page_field__53 was page_3_field_4 (0.36 conf)
declare_criminal_stated was i_declare_under_criminal_penalty_under_the_law_of_utah_that_everything_stated_in_this_document_is_true (0.52 conf)
signed was signed_at (0.36 conf)
page_field__54 was page_3_field_7 (0.36 conf)
page_field__55 was page_3_field_8 (0.36 conf)
users1_name__2 was printed_name (1.00 conf)
page__4 was page_4_of_4 (0.42 conf)
name_adoptee_parent was name_me_as_the_adoptee_s_parent (0.45 conf)

Create an Interactive Version of this Form:

The Weaver creates a draft guided interview from a template form, like the one provided here. You can use the link below to open this form in the Weaver. To learn more, read "Weaving" your form into a draft interview.

Launch Form in Weaver

The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Verified Petition for Adoption of an Adult

About This Form:

Identified Data Fields:

Create an Interactive Version of this Form:

The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02