Notification of Order of Adoption
New York State Courts · Family Law
Copy of the court's form from nycourts.gov, taken October 21, 2026. See it on the court's site ↗
Notification to the New York City Department of Health and Mental Hygiene's Office of Vital Records under Judiciary Law §254 reporting an order of adoption, so that the child's birth record can be amended.
This form must be printed and filled by hand, or opened in Adobe Acrobat.