9-ANew York

Affirmation of Financial Disclosure – Parents (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 ↗

Affirmation of financial disclosure by the adoptive parents in an agency adoption in Family Court, reporting payments made in connection with the adoption, as Social Services Law section 374(6) requires.

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