ADOPT-230 Adoption Expenses

ADOPT-230
Adoption Expenses
If you are adopting your stepchild, do not fill out this form.
Name of child after adoption:
List the services you received that were related to the adoption of the child listed in :
How much paid, or
value of service
Name and address of
service provider Payment date
Service
a. Hospital
$
b. Prenatal care
$
c. Legal fees paid
$
d. Adoption agency fee
paid
$
e. Transportation
$
f. Adoption facilitator
fees paid
$
ADOPT-230, Page 1 of 2
Judicial Council of California, www.courtinfo.ca.gov
Adoption Expenses
Family Code, § 86 10
Revised January 1, 2007, Mandatory Form
Clerk stamps date here when form is filed.
Fill in court name and street address:
Superior Court of Californ ia, County of
Case Number:
Fill in case number if known:
2
3
2
1
Your name (adopting parent):
Relationship to child:
Address (skip this if you have a lawyer):
Street:
State: Zip:
City:
a.
b.
Lawyer (if any): (Name, address, telephone number, and State
Bar number):
Telephone number:
()
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