Petition for Approval of Extra-judicial Surrender Instrument
New York Family Court · Juvenile & Dependency
Copy of the court's form from nycourts.gov, taken October 21, 2026. See it on the court's site ↗
Petition under Social Services Law §§383-c and 384 by an authorized agency asking the Family Court to approve an extrajudicial surrender by which a parent surrendered a child for adoption.
This form must be printed and filled by hand, or opened in Adobe Acrobat.