Affirmation of Authorized Agency Employee Witness to Execution of Extra-Judicial Surrender Instrument of Child in Foster Care
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 ↗
Affirmation of the authorized agency employee who witnessed a parent's signing of an extra-judicial surrender instrument for a child in foster care.
This form must be printed and filled by hand, or opened in Adobe Acrobat.