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Model Forms

Recommended Model Forms
for use under the 1993 Adoption Convention

 

  • Introduction
  • Birth Family
    • Recommended Model Form No 1: Statement of consent of the legal parents or the legal representative of the child to the adoption (Art. 4(c))
  • Child
    • Recommended Model Form No 2: Report on the child (Art. 16)
    • Recommended Model Form No 3: Medical report on the child (Art. 16)
    • Recommended Model Form No 4: Report concerning the psychological and social circumstances of the small child (Art. 16)
    • Recommended Model Form No 5: Statement of consent of the child to the intercountry adoption (Art. 4 (d))
    • Recommended Model Form No 6: Post-adoption report on the child
  • Prospective Adoptive Parents
    • Recommended Model Form No 7: Report on the prospective adoptive parents
  • Article 17 Agreement
    • Recommended Model Form No 8A (SO): Agreement that the adoption may proceed (Art. 17(c))
    • Recommended Model Form No 8B (RS): Agreement that the adoption may proceed (Art. 17(c))
  • Article 23 Certificate
    • Recommended Model Form No 9: Certificate of conformity of intercountry adoption with the 1993 Adoption Convention (Art. 23)
    • Recommended Model Form No 10: Certificate of conformity following the conversion of a simple adoption to a full adoption (Arts 23 & 27)

All the Recommended Model Forms are available in English, French and Spanish.

Conventions (incl. Protocols and Principles)

  • Convention of 29 May 1993 on Protection of Children and Co-operation in Respect of Intercountry Adoption [33]

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