1-BNew York

Verified Schedule (Agency)

New York Family Court · Family Law

Copy of the court's form from nycourts.gov, taken October 21, 2026. See it on the court's site ↗

Verified schedule under Domestic Relations Law §§111-a and 112 by an authorized agency in a Family Court agency adoption, giving the child's background and how the child was freed for adoption.

This form must be printed and filled by hand, or opened in Adobe Acrobat.
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