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Embarking on the journey of adoption is a significant milestone filled with many legal and emotional steps, among which is the completion of the Kansas Report of Adoption form, officially known as form VS-221, revised in October 2021. This essential document serves multiple critical purposes, including the facilitation of amending the adopted child's birth record. It meticulously gathers detailed information spanning the child’s name after adoption, the adoptive parents' names and details, and specifics about the child’s original birth certificate. Additionally, it addresses whether the adopted child was born in a foreign country and if the adoptive parents are Kansas residents, which impacts the procedure for finalizing the adoption in terms of state records. The choices made in the form regarding entering the child in the Kansas Immunization Registry and the type of adoption (step-parent, traditional, or single-parent) have lasting effects on the child's legal documents and the family's future. Attorneys play a crucial role in this process, as their information and certification by the district court are crucial for the form's validity. Moreover, upon submission, the original birth certificate and the report of adoption will be sealed, with access granted only under specific conditions, highlighting the form's importance in safeguarding the privacy and rights of the adopted child and the adoptive family. This document not only symbolizes the legal union of the new family but also signifies the beginning of a new chapter, emphasizing the need for meticulous attention to detail and strict adherence to Kansas law.

Example - Kansas Report Of Adoption Form

Report of Adoption

FORM VS-220 Revised 10-2021

INFORMATION FOR AMENDED BIRTH RECORD FOLLOWING ADOPTION

 

 

 

 

 

 

 

 

 

 

DO THE PARENTS WISH TO ENROLL THE CHILD IN

CHILD

1. CHILD'S NAME AFTER ADOPTION (First, Middle, Last)

 

 

 

 

 

THE IMMUNIZATION REGISTRY?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/

 

/

 

 

 

 

 

 

 

 

Yes

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2. MOTHER'S/PARENT I PRESENT NAME (First, Middle, Last)

 

 

 

2a. SEX

 

2b. LAST NAME PRIOR TO FIRST MARRIAGE

 

 

 

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2C. BIRTH DATE (MM/DD/YYYY)

2d. BIRTH PLACE (State)

 

 

2e. RACE

 

2f. SOCIAL SECURITY NUMBER

 

 

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2g. RESIDENCE - At the time of the child's birth: (Street and number, City, County, State, Zip )

 

 

 

Inside City Limits?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. CURRENT MAILING ADDRESS OF PARENT(S): (Street and number, City, County, State, Zip)

 

 

 

Inside City Limits?

PARENTS

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

 

No

INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. FATHER'S/PARENT II NAME (First, Middle, Last)

 

 

 

4a. SEX

 

4b. LAST NAME PRIOR TO FIRST MARRIAGE

FOR NEW

 

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BIRTH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CERTIFICATE

4c. BIRTH DATE (MM/DD/YYYY)

4d. BIRTH PLACE (State)

 

 

4e. RACE

 

4f. SOCIAL SECURITY NUMBER

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. Was the child born in a foreign country?

Yes

No

5a. Was the child born to U.S. Citizens?

Yes

No

5b. Did the adoption occur in a foreign country?

Yes

No

5c. Are adopting parent’s Kansas residents?

Yes

No

6. TYPE OF ADOPTION (select one)

 

 

Step-Parent Adoption

 

 

 

Traditional Adoption

 

 

 

Single-Parent Adoption

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. NAME OF ATTORNEY:

 

 

 

 

 

7a. EMAIL ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ATTORNEY

7b. MAILING ADDRESS OF ATTORNEY: (Street and number, City, State, Zip)

7c. TELEPHONE NUMBER + AREA CODE

 

Parent(s) Signature (I/We agree that the above information is true and correct to the best of my/our knowledge)

Parent(s)

Signature

INFORMATION FROM ORIGINAL BIRTH CERTIFICATE

8. CHILD'S NAME AT BIRTH (First, Middle, Last)

 

 

 

 

 

 

/

 

 

/

 

8a. CHILD'S BIRTH DATE (MM/DD/YYYY)

8b. CHILD'S SEX

 

 

8c. BIRTH CERTIFICATE NUMBER (if known)

/

/

 

Male

 

Female

 

9.CHILD'S BIRTH PLACE: (City, County/Province, State/Country)

10.MOTHER'S/PARENT I NAME PRIOR TO FIRST MARRIAGE (First, Middle, Last)

/

/

 

 

11. FATHER'S/PARENT II NAME (First, Middle, Last)

 

/

/

CERTIFICATION OF DISTRICT COURT

(Place court seal here)

I hereby certify that the child identified above was adopted by the above-named parent(s) on the

 

day of

 

,

 

in the District Court of

 

County, KS.

(day)

(month)

(year)

(county)

Case Number

Signature of District Court Judge

Date

Kansas Department of Health and Environment

Office of Vital Statistics

1000 SW Jackson Street, Suite 120, Topeka, Kansas 66612

INSTRUCTIONS

Please enter the information requested for each item. This is a permanent record. All information must be typed.

Kansas District Courts are required by state statute (KSA 59-2104) to report adoptions to the Office of Vital Statistics. If the child being adopted was born outside the state of Kansas, the report of adoption will be forwarded to the appropriate state vital statistics office by the Kansas Office of Vital Statistics.

This Report of Adoption and the original Certificate of Live Birth will be sealed and will be opened only by court order or by written request of the adopted person, if of legal age, as directed by KSA 65-2423.

KSA 65-2423 also authorizes, upon request, the registration of birth certificates in the state of Kansas for children born in foreign countries that are not United States citizens born abroad, but adopted by residents of Kansas or adopted in Kansas.

When a Report of Adoption is received, the Office of Vital Statistics contacts the attorney, or adoptive parents, to obtain one or both parents’ signatures on the supplemental birth certificate. At that time, we also request the filing fee to prepare and file the new birth record.

If this adoption is a step-parent adoption, natural parent information will be taken from the original birth certificate on file with the Office of Vital Statistics.

If any items are unknown, they may be left blank. However, information in items 8 through 10 is needed to locate the original certificate.

You may obtain copies of the new certificate by paying the current certified copy fee.

For information on fees, please visit our website at https://www.kdhe.ks.gov/1171/Amendments-Corrections or call (785) 296-1436.

File Data

Name of Fact Detail
Purpose of the Form The Kansas Report of Adoption form is used to report adoptions to the Office of Vital Statistics as required by state statute.
Governing Law Kansas District Courts are mandated by KSA 59-2104 to report adoptions. Additionally, KSA 65-2423 provides directions regarding the adoption reports, including those for children born abroad but adopted by Kansas residents.
Contents Required for Filing This form collects comprehensive information for the amended birth record following adoption, including details about the child's name after adoption, information about the adoptive parents, original birth certificate information, and certification by the district court.
Post-Submission Process Upon receiving the Report of Adoption, the Office of Vital Statistics will contact the attorney or adoptive parents to finalize the amended birth record, including collecting a filing fee for processing the new record.

Kansas Report Of Adoption - Usage Guide

Filling out the Kansas Report of Adoption form is a straightforward process, but it's crucial to ensure all information is accurate and complete. This document is needed to amend the adoptive child's birth record and to obtain a new birth certificate reflecting the adoption. The steps below guide you through each section of the form to help you fill it out correctly. Once submitted, the Kansas Office of Vital Statistics will process the form. They may contact the attorney or adoptive parents if additional information or signatures are needed. Remember, this form is part of creating a permanent record for the adoptive child.

  1. Begin by entering the child's name after adoption (First, Middle, Last) in the designated space.
  2. Decide whether to enroll the child in the Child Immunization Registry and mark "Yes" or "No."
  3. Fill in the Mother's/Parent I's present name including first, middle, and last name.
  4. Specify Mother's/Parent I's sex, last name prior to first marriage, birth date (MM/DD/YYYY), birth place (State), race, and social security number.
  5. Provide Mother's/Parent I's residence at the time of the child's birth, including street and number, city, county, state, and zip. Indicate if it was inside city limits.
  6. Enter the current mailing address of parent(s): street and number, city, county, state, zip. Mark if it's inside city limits.
  7. Fill in the Father's/Parent II's name, sex, last name prior to first marriage, birth date, birth place (State), race, and social security number.
  8. Answer questions regarding if the child was born in a foreign country, born to U.S. citizens, the adoption occurred in a foreign country, and if the adopting parents are Kansas residents.
  9. Select the type of adoption from the options provided (Step-Parent Adoption, Traditional Adoption, Single-Parent Adoption).
  10. Provide the name of the attorney, email address, and mailing address including street and number, city, state, and zip.
  11. Both parents need to sign the form, agreeing that the information provided is true and correct.
  12. For information from the original birth certificate, enter the child's name at birth, birth date (MM/DD/YYYY), sex, and birth certificate number if known.
  13. Fill in the child's birth place: city, county/province, state/country.
  14. Enter Mother's/Parent I name prior to first marriage and Father's/Parent II name as listed on the original birth certificate.
  15. The form must then be certified by the District Court, with the court seal, indicating the child was adopted by the named parents on the specified date in the District Court of the specified county in Kansas. Include the case number and the signature of the District Court judge, along with the date.

After the form is completed and submitted, the Office of Vital Statistics processes the adoption report. Depending on the adoption type, they might use information from the original birth certificate. Should any information be unknown or unobtainable, leaving certain items blank is permissible. Information from items 8 through 10 is essential to locate the original certificate. Once finalized, the adoptive parents or their attorney will be contacted for signatures on the supplemental birth certificate and informed about the fee for preparing and filing the new birth record. This new certificate represents a significant step in acknowledging the legal and familial change brought about by adoption.

Get Clarifications on Kansas Report Of Adoption

What is the purpose of the Kansas Report of Adoption form (VS-220)?

The Kansas Report of Adoption form, also known as Form VS-220, serves a crucial purpose in the adoption process. It is designed to formally document the adoption of a child and facilitate the creation of an amended birth certificate that reflects the adoption. This form ensures that the adoptive parents are legally recognized on the new birth certificate, and it aids in the sealing of the original birth certificate, which can only be accessed through a court order or by the adopted person if they are of legal age. The form collects detailed information about the adopted child, the adoptive parents, and the adoption itself, which is then forwarded to the Office of Vital Statistics for processing.

Is it mandatory to fill out every section of the form?

While it is important to provide as much information as possible, if certain information is unknown, sections of the Kansas Report of Adoption form can be left blank. The form's instructions specifically note that items 8 through 10 are critical for locating the original certificate, but if any items are unknown, they do not necessarily have to be filled in. However, leaving sections blank could potentially delay the processing of the form since detailed information assists in accurately updating records and creating the amended birth certificate.

Can the form be used for children born outside of the United States?

Yes, the Kansas Report of Adoption form accommodates children born outside of the United States through sections designed to capture this information, including whether the child was born to U.S. citizens, if the adoption occurred in a foreign country, and if the adopting parents are Kansas residents. This enables the registration of birth certificates in Kansas for children born in foreign countries but adopted by residents of Kansas or adopted in Kansas, thereby ensuring the child has a legal document recognizing their adoption and status.

What happens to the original birth certificate after the adoption is finalized?

After the adoption is finalized and the Kansas Report of Adoption form is processed, the original Certificate of Live Birth is sealed. Access to this sealed document is highly restricted and can only be granted by a court order or by the written request of the adopted person, provided they have reached legal adulthood. This process is in place to protect the privacy of all parties involved in the adoption while also ensuring that there is a legal and accurate record of the adoptive relationship.

How are adoptive parents or attorneys notified to provide signatures for the supplementary birth certificate?

Upon receiving the Report of Adoption, the Office of Vital Statistics contacts either the attorney handling the adoption or the adoptive parents directly. This communication serves to arrange for one or both of the adoptive parents to provide their signatures for the supplementary birth certificate. It is also during this time that the office requests the filing fee needed to prepare and file the new birth record. This step is vital for finalizing the legal acknowledgment of the adoptive parents on the child’s birth certificate.

How can one obtain copies of the new birth certificate after an adoption?

Once the adoption process is completed and the amended birth certificate is created, copies of this new certificate can be obtained by paying the current certified copy fee. Interested parties should visit the official website of the Kansas Department of Health and Environment or contact their office directly at (785) 296-1436 for information on the fees and the process for obtaining certified copies of the amended birth certificate. This ensures that adoptive parents have the necessary legal documentation for their child that reflects the adoption.

Common mistakes

  1. Not typing the information: A common mistake is to fill in the information by hand instead of typing it. The form instructions clearly state that all information must be typed. This requirement ensures that the information is legible and reduces the risk of errors during the processing of the form.

  2. Failing to provide complete names: Some people might accidentally leave out the middle name or use initials instead of the full first, middle, and last names as requested. It's crucial to fill out the child's and parents' names in full, following the order (First, Middle, Last) as indicated, to avoid issues with the amended birth record.

  3. Incorrect or incomplete birth dates: Incorrectly entering birth dates including the child's and parents', or leaving these fields blank, can cause significant delays. The form requires birth dates in a specific format (MM/DD/YYYY), and these dates are essential for accurately updating records and locating the original certificate if necessary.

  4. Omitting original birth certificate information: Sometimes, information from the original birth certificate is left blank or not adequately completed. Items 8 through 10 are particularly crucial for locating and sealing the original birth certificate, as stated in the instructions. Providing accurate and complete information about the child's name at birth, birth date, and mother's and father's names prior to first marriage is necessary to ensure a smooth process.

Documents used along the form

When navigating the process of adoption in Kansas, completing the Kansas Report of Adoption form is a significant step towards integrating a new family member legally into your home. However, this form often accompanies a suite of other essential documents, each serving a unique purpose in cementing the legal, social, and familial bonds. Understanding these documents can provide adoptive parents with a clear pathway through the intricate adoption process, ensuring all legal and procedural requirements are thoroughly met.

  • Petition for Adoption: This document formally requests the court to approve the adoption. It includes details about the child, the adoptive parents, and the reason for adopting, laying the groundwork for the court's approval process.
  • Original Birth Certificate: The child’s original birth certificate must be submitted to amend the vital records post-adoption. It provides essential information that will be either sealed or replaced depending on state laws after the adoption is finalized.
  • Consent to Adoption: A legal agreement by the birth parents, surrendering their parental rights to the child, and consenting to the adoption. If the child is above a certain age, their consent might also be required.
  • Home Study Documents: These documents are compiled during the adoption home study process and include evaluations of the adoptive family's home environment, criminal background checks, financial statements, and personal references.
  • Post-Placement Reports: Following the placement of a child into an adoptive home, several visits by a social worker will occur, leading to the creation of post-placement reports. These reports assess the adjustment of the child and the family post-adoption.
  • Final Decree of Adoption: After all requirements are satisfied and the court approves the adoption, the final decree is issued. This legal document finalizes the adoption, establishing the adoptive parents as the child’s legal parents.
  • Application for Amended Birth Certificate: Post-adoption, this application is essential for obtaining a new birth certificate for the adopted child, reflecting the child's new name and the adoptive parents as the legal parents.
  • Medical and Social History Report: It contains health information and genetic data about the birth parents and the child. This document is important for the child’s future health care and understanding their background.

Integrating these documents with the Kansas Report of Adoption form creates a comprehensive dossier that supports the adoption journey from start to finish. Prospective adoptive parents are encouraged to familiarize themselves with these documents, ensuring a smooth and informed adoption process that prioritizes the best interests of the child. By doing so, families can navigate legal requirements confidently, focusing on welcoming their new family member with love and support.

Similar forms

The Kansas Report of Adoption form is similar to other important legal documents that collect comprehensive personal information for the purpose of altering official records. Two notable examples include the Application for a Social Security Card and the Application for a Passport. Both documents gather detailed personal data but for uniquely different purposes compared to the adoption form.

The Application for a Social Security Card requires detailed personal information similar to the Kansas Report of Adoption form. Both documents ask for names before and after an event (adoption/marriage for the adoption report and possibly name changes for the Social Security application), birth dates, places of birth, and Social Security numbers. The key similarity lies in the need for accuracy and completeness to ensure proper recording and updating of official records. However, whereas the adoption form’s primary purpose is to amend birth records following adoption, the Social Security application is used to issue a Social Security number, a crucial step in establishing a person's identity within the U.S. social system.

Similarly, the Application for a Passport gathers information like the Kansas Report of Adoption, including full names, birth dates, places of birth, and parental information. The passport application differs in its intent to verify a person's identity and citizenship to issue a travel document. Like the adoption report, a passport application requires verification from official documentation, underscoring the importance of the provided details being accurate and complete. The inherent similarity with the Kansas Report of Adoption underscores a deeper connection in the legal mandate to accurately reflect an individual’s personal and familial circumstances for governmental and international records.

Dos and Don'ts

When completing the Kansas Report Of Adoption form, it's important to proceed with attention to detail and thoroughness to ensure the process moves smoothly and without unnecessary delays. Here are six key do's and don'ts to guide you through filling out the form correctly and efficiently.

Do's:

  • Ensure all information is typed: For consistency and legibility, type all responses unless otherwise indicated by the form instructions.
  • Double-check information for accuracy: Verify all entries for correctness, including names, dates, and Social Security numbers, to avoid any discrepancies with official records.
  • Review original birth certificate details carefully: Information from the child's original birth certificate needs to match exactly, especially if the child was born outside of Kansas.
  • Indicate your decision on the immunization registry clearly: Whether you choose to enroll the child in the immunization registry or not, make sure to mark your response clearly to avoid confusion.
  • Consult with your attorney if unsure: If there are any questions or uncertainties about filling out the form, seeking guidance from your attorney can help ensure that everything is completed appropriately.
  • Sign the form to certify accuracy: Before submitting, ensure that all information provided is true and correct to the best of your knowledge, and validate this by signing the form.

Don'ts:

  • Leave fields blank: While the form states that unknown items may be left blank, strive to provide as much information as possible to facilitate the updating of records.
  • Guess information: If certain information is not known, it's better to seek out the correct details rather than making a guess that could lead to future issues.
  • Use nicknames or abbreviations: When filling out names on the form, use full legal names without nicknames or abbreviations to ensure consistency with legal documents.
  • Overlook the need for the court seal: The certification by the district court is crucial, and the place for the court seal should not be overlooked. Ensure this portion is completed by the court.
  • Forget to include contact information: Provide current and correct contact information for both the attorney and the adoptive parents to ensure any follow-up can be conducted smoothly.
  • Delay submitting the form: Once all sections of the form are completed, submit it promptly to the Office of Vital Statistics to avoid any potential delays in the adoption process.

Misconceptions

Adopting a child is a profound journey filled with paperwork and legal processes, one of which includes the Kansas Report of Adoption form. Despite its importance, there are several misconceptions surrounding this form that can confuse or mislead prospective adoptive parents. Understanding these misconceptions can help make the adoption process a bit smoother. Here are seven common misunderstandings:

  • The form is only necessary for children born in Kansas: Regardless of where the child was born, if the adoption is taking place in Kansas, the Report of Adoption form must be completed. This is important for ensuring that the Kansas Office of Vital Statistics has accurate records.
  • Completing the form updates the birth certificate immediately: Filling out the form is a step towards obtaining an amended birth certificate, but it does not automatically update the birth record. There are additional steps and communications with the Office of Vital Statistics to complete this process.
  • All sections must be filled out for submission: While it's important to provide as much information as possible, some sections of the form may not apply to your situation or may contain information that is currently unknown. In such cases, these sections can be left blank, though all known information should be provided to aid in locating the original birth certificate.
  • Only traditional adoptions need this form: The form must be used for all types of adoptions, including traditional, step-parent, and single-parent adoptions. It's a versatile document designed to accommodate the varying nature of families.
  • Personal signatures from the adopting parents are optional: The signatures of the adopting parents are a required part of the form. This certification ensures that the information provided is accurate to the best of the parents' knowledge.
  • The form's submission results in the sealing of the original birth certificate immediately: While the submission of the form does lead to the sealing of the original birth certificate, this process is part of a series of steps handled by the Office of Vital Statistics. The sealing is done to protect the privacy of the adoptive child and family but requires proper processing and time.
  • Adopting parents must contact the Office of Vital Statistics to initiate the amendment of the birth certificate: While adopting parents or the attorneys might need to communicate further with the Office of Vital Statistics, the office itself will reach out upon receipt of the Report of Adoption form to obtain necessary signatures or additional information for the amended birth certificate. This proactive step is part of the overall service provided.

Understanding these misconceptions about the Kansas Report of Adoption form can ease the complexities of the adoption process. It’s designed to protect the child's and family's privacy while ensuring all legal standards are met. If ever in doubt, reaching out directly to the Kansas Office of Vital Statistics or consulting with a legal expert can provide clarity and guidance on how to accurately complete and submit the form.

Key takeaways

When navigating the process of adoption in Kansas, particularly with filling out the Kansas Report Of Adoption form, it's paramount to understand the nuances and requirements involved. Here are several foundational points of guidance to consider:

  • All information provided on the Kansas Report Of Adoption must be typed, ensuring clarity and legibility. This is not just a formality but a vital step in creating a permanent record that will have lasting significance for the adopted child and their family.
  • The form serves a multi-purpose role, not only recording the adoption but also facilitating the amendment of the birth record. This dual functionality underscores the importance of accurately completing each section, as it directly affects the legal and personal records of the child.
  • For children adopted in Kansas but born outside the state, or even in a foreign country, the process includes the step of forwarding the Report of Adoption to the relevant state’s vital statistics office or addressing the requirements for international adoptions. This process ensures that children, regardless of their birthplace, have their adoption and amended birth certificate properly recognized within Kansas and elsewhere in the United e.
  • The decision to enroll the child in the Kansas Immunization Registry is included within the form, highlighting the state's commitment to the health and well-being of adopted children. It represents a crucial decision point for adoptive parents, blending public health with the administrative process of adoption.
  • After the adoption, the original Certificate of Live Birth and the Report of Adoption are sealed and can only be accessed under specific circumstances, as outlined by Kansas state law. This sealing process protects the privacy of the adoption details while also allowing for the documentation to be accessed by the adopted individual or through a court order if necessary.

This detailed approach to handling the Report of Adoption form ensures that adoptions are not only legally binding but also respectfully managed, acknowledging the importance of accuracy, privacy, and the well-being of the child and family involved. As such, navigating this process with attention to detail and adherence to Kansas state statutes is essential for all parties involved in the adoption process.

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