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In the District Court of Utah 

__________ Judicial District ________________ County 

Court Address ______________________________________________________ 

In the Matter of the Adoption of 

Adoption Decree 

_____________________________________ 
Adoptee 

_______________________________ 
Case Number 

_______________________________ 
Judge  

The matter before the court is the Petition to Adopt an Adult. This matter is being 
resolved by (Choose all that apply.): 

[  ]  The pleadings and other papers of the parties. 

[  ]  A hearing held before this court on _______________________ (date).  

[  ]  was represented by _____________________________________________ 

Petitioner 

[  ]  was present 

[  ]  was not present  

[  ]  was not represented. 

[  ]  Co-Petitioner 

[  ]  was present 

[  ]  was not present  

1007ADF Approved September 19, 
2017 / Revised October 30, 2019 
 

Adoption Decree 

Page 1 of 3 

 

 
Name 

ddress 

hone 

 
Email 

 

  A

  C

  P

ity, State, Zip 

[  ]  was represented by _____________________________________________ 

[  ]  was represented by _____________________________________________ 

[  ]  Others present were: ______________________________________________ 

  ] Any necessary consents and waivers of notice were given. 

  [

[  ] There were no objections. 

Having considered the documents filed with the court, the evidence and the arguments, 
and now being fully informed, 

The court orders: 

1. 

The adoptee is adopted by 

and is their child. 

2. 

The adoptee and 

 ____________________________________________________ (petitioner)  

[  ]  and ________________________________________________ (co- petitioner)  

____________________________________________________ (petitioner)  

[  ]  and ________________________________________________ (co- petitioner)  

have all the rights and duties of the relationship of child and parent. 

3. 

Notice to the adoptee’s legal parents of the adoption order is   

[  ]  waived for good cause, or  

[  ]  is not waived. 

4. 

[  ]  The adoptee’s family surname is changed. The adoptee’s birth certificate 

shall be amended and the adoptee’s name shall now be: 

1007ADF Approved September 19, 
2017 / Revised October 30, 2019 
 

Adoption Decree 

Page 2 of 3 

 

[  ]  was not represented. 

Adoptee  

[  ]  was present 

[  ]  was not present.  

[  ]  was not represented. 

 

 

 

 

 

First name 

Middle name 

New surname 

Married surname (if any) 

 

 

 

 

5. 

[  ]  The adoptee’s birth certificate shall be amended and the adopting parent(s)  

____________________________________________________ (petitioner)  

 

 

 

[  ]  and  

 

__________________________________________________ (co- petitioner)  

shall appear as the adoptee’s parent.  

Judge’s signature may instead appear at the top of the first page of this document. 

Date 

 

Signature ► 

Judge 

 

 

1007ADF Approved September 19, 
2017 / Revised October 30, 2019 
 

Adoption Decree 

Page 3 of 3

Adoption Decree

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): 3
Fields(s): 148
Average fields per page: 49
Reading Level: Grade 10
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.

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We've done our best to group similar variables togther to avoid overwhelming the user.

Suggested Screen 0:

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

Adoption Decree

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