court_form | California
ADOPT-230 - Adoption Expenses
Summary
Adoption Expenses
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Form ID: ADOPT-230 Title: Adoption Expenses Effective Date: 2025-07-01 Mandatory Form: yes Languages: 汉语, 한국어, español, Tiếng Việt Info Page: https://selfhelp.courts.ca.gov/jcc-form/ADOPT-230 Primary Download URL: https://www.courts.ca.gov/documents/adopt230.pdf Alternate Download URLs: https://www.courts.ca.gov/documents/adopt230c.pdf, https://www.courts.ca.gov/documents/adopt230k.pdf, https://www.courts.ca.gov/documents/adopt230s.pdf, https://www.courts.ca.gov/documents/adopt230v.pdf Form Detail Page: Adoption Expenses (ADOPT-230) Tells the court what expenses the adoptive parents have paid on behalf of the birth parent(s). Only needed in independent or agency adoptions and can only list expenses that are allowable by law. Get form ADOPT-230 汉语 Get form ADOPT-230 in Chinese Simplified (Chinese Simplified) 한국어 Get form ADOPT-230 in Korean (Korean) español Get form ADOPT-230 in Spanish (Spanish) Tiếng Việt Get form ADOPT-230 in Vietnamese (Vietnamese) Effective: July 1, 2025 Go to How-to instructions for Adoption Go to Adoption Form Packets PDF Text: Judicial Council of California, courts.ca.gov Rev. July 1, 2025, Mandatory Form Family Code, § 8610 Adoption Expenses ADOPT-230, Page 1 of 2 ADOPT-230 Adoption Expenses Clerk stamps date here when form is filed. Fill in court name and street address: Superior Court of California, County of Fill in case number if known: Case Number: If you are adopting your stepchild, do not fill out this form. 1 a. Your name (adopting parent or parents): (1) (2) b. Address (skip this if you have a lawyer): Street: City: State: Zip: c. Telephone number: d. Lawyer (if any): (Name, address, telephone number, and State Bar number): Check this box if there are more adopting parents. Use a separate piece of paper and write “ADOPT-230, Other Adopting Parents” at the top and complete a–d. Turn it in with this form. 2 Name of child after adoption: 3 List services you received that were related to the adoption of the child listed in 2 . Include all medical, hospital, attorney, legal fees and costs, doctors and physicians, surgeons, licensed adoption agency, or any other person or organization that received payment in connection with the birth of the child, expenses, and services received by either birth parent or by the child. (Examples of other services provided: prenatal care, transportation, counseling, adoption service provider, pregnancy expenses, court filing fees, fingerprinting fees.) Service Name and address of service provider How much paid, or value of service Payment date a. $ b. $ c. $ d. $ For your protection and privacy, please press the Clear This Form button after you have printed the form. Rev. July 1, 2025 Adoption Expenses ADOPT-230, Page 2 of 2 Adopting parent or parents: Case Number: Service Name and address of service provider How much paid, or value of service Payment date e. $ f. $ g. $ h. $ i. $ j. $ k. $ l. $ Number of pages attached: Check this box if you need more space to list the services related to this adoption. Use a separate piece of paper and write “ADOPT-230, Item 3—Payment for Services” at the top and include the service, name and address of provider, amount paid, and payment date. Turn it in with this form. 4 I declare under penalty of perjury under the laws of the State of California that I have listed all payments (or anything of value) that I have paid or agreed to pay, or that were paid on my behalf, related to the child I want to adopt. I declare under penalty of perjury under the laws of the State of California that the information in this form is true and correct, which means that if I lie on this form, I am guilty of a crime. Date: Type or print your name Signature of adopting parent Date: Type or print your name Signature of adopting parent Date: Type or print your name Signature of adopting parent
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Form ID: ADOPT-230 Title: Adoption Expenses Effective Date: 2025-07-01 Mandatory Form: yes Languages: 汉语, 한국어, español, Tiếng Việt Info Page: https://selfhelp.courts.ca.gov/jcc-form/ADOPT-230 Primary Download URL: https://www.courts.ca.gov/documents/adopt230.pdf Alternate Download URLs: https://www.courts.ca.go…
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adoption service provider, pregnancy expenses, court filing fees, fingerprinting fees.) Service Name and address of service provider How much paid, or value of service Payment date a. $ b. $ c. $ d. $ For your protection and privacy, please press the Clear This Form button after you have printed the form. …