SURR-1aNew York

Affirmation of Caseworker Regarding Persons Entitled to Notice of Surrender 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 by a caseworker identifying the persons entitled to notice of a judicial or extra-judicial surrender of a child in foster care.

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