AR 246/98 ADULT ADOPTION REGULATION (Consolidated up to 198/2013)
ALBERTA REGULATION 246/98
Adult Adoption Act
ADULT ADOPTION REGULATION
Forms
1 The forms set out in the Schedule are prescribed as the forms for the purposes of the Adult Adoption Act. Appearance by potential adoptee
2 Where the person to be adopted indicates in Form 3 a wish to appear in person before the judge considering the adoption application, the applicant must
(a) serve the person to be adopted with a copy of the filed application and supporting documents personally or by double registered mail at least 10 days before the date of the hearing, and
(b) file an affidavit of service with the court clerk of the Court of Queen’s Bench at least 7 days before the date of the hearing.
AR 246/98 s2;164/2010
Repeal
3 The Adult Adoption Regulation (AR 359/94) is repealed. Expiry
4 For the purpose of ensuring that this Regulation is reviewed for ongoing relevancy and necessity, with the option that it may be repassed in its present or an amended form following a review, this Regulation expires on November 30, 2021.
AR 246/98 s4;63/2003;134/2010;198/2013
Schedule
Form 1 Application for Adoption Order
Adult Adoption Act
Clerk’s stamp:
COURT FILE NUMBER
COURT OF QUEEN’S BENCH OF ALBERTA
JUDICIAL CENTRE
APPLICANT(S)
DOCUMENT APPLICATION FOR
ADOPTION ORDER
ADDRESS FOR SERVICE AND
CONTACT INFORMATION OF
PARTY FILING THIS DOCUMENT
PERSON TO BE ADOPTED: (full name of person to be adopted, as on birth document)
DATE OF BIRTH: _______________
BIRTH REGISTRATION NUMBER: _______________
1 Application
By making this application, I/we state:
● that I am/we are adults who want to adopt this person.
● that to support my/our application, I/we have enclosed my/our affidavit(s) and the other information required by the Adult Adoption Act.
2 Signature(s)
(signature of applicant) year / month / day
(signature of applicant) year / month / day NOTICE TO:
An application for an order for adoption of (full name of person to be adopted, as on birth document) will be made to the Court as shown below:
Court Date ___________________
Time ___________________
Where ___________________
Before Whom ___________________
WARNING
Pursuant to the Adult Adoption Act and the Alberta Rules of Court, if you do not come to Court on the date and at the time shown above either in person or by your lawyer, the Court may make an adoption order in your absence.
Form 2 Affidavit of Applicant
Adult Adoption Act
Clerk’s stamp:
COURT FILE NUMBER
COURT OF QUEEN’S BENCH OF ALBERTA
JUDICIAL CENTRE
APPLICANT(S)
DOCUMENT AFFIDAVIT OF
APPLICANT
ADDRESS FOR SERVICE AND
CONTACT INFORMATION OF
PARTY FILING THIS DOCUMENT
PERSON TO BE ADOPTED: (full name of person to be adopted, as on birth document)
DATE OF BIRTH: _______________
BIRTH REGISTRATION NUMBER: _______________
I, (legal name of applicant) , of (address) , in the Province of Alberta, swear/affirm that:
1. I am applying for an adoption order: (check one of the following)
□ as an individual.
□ jointly with my spouse, and a certified copy of our marriage certificate is attached.
2. I am years old.
3. I have known (name of person to be adopted) for the past years.
The nature of our relationship is: .
4. The reason I wish to adopt (name of person to be adopted) is .
5. Sealing the court file: (check one of the following)
□ I am applying to have the court file sealed. My reason for wanting the court file sealed is__________________.
□ I am not applying to have the court file sealed.
Sworn/Affirmed before me ) on __________________, 20____, ) at , Alberta )
_________________________________ ) Signature of Applicant
(Notary Public / Commissioner for Oaths ) in and for the Province of Alberta) )
Form 3 Affidavit of Person to be Adopted
Adult Adoption Act
Clerk’s stamp:
COURT FILE NUMBER
COURT OF QUEEN’S BENCH OF ALBERTA
JUDICIAL CENTRE
APPLICANT(S)
DOCUMENT AFFIDAVIT OF PERSON
TO BE ADOPTED
ADDRESS FOR SERVICE AND
CONTACT INFORMATION OF
PARTY FILING THIS DOCUMENT
PERSON TO BE ADOPTED: (full name of person to be adopted, as on birth document)
DATE OF BIRTH: _______________
BIRTH REGISTRATION NUMBER: _______________
I, (legal name of applicant) , of (address) , in the Province of Alberta, swear/affirm that:
1. I am years old. A certified copy of my birth document is attached.
2. I consent to my adoption by (name(s) of applicant(s)) . I understand the nature and effect of an adoption order.
3. Change of name: (check one of the following)
□ A certified copy of my change of name certificate is attached.
□ I have not had a change of name.
4. Citizenship/residency: (check one of the following)
□ I am a Canadian citizen.
□ I have been lawfully admitted to Canada for permanent residence and notarized copies of my immigration documents are attached.
5. The reason I want to be adopted by (name(s) of applicant(s)) is .
6. Court hearing: (check one of the following)
□ I wish to appear in person before the judge considering this adoption application.
□ I do not wish to appear in person before the judge considering this adoption application.
7. Sealing the court file: (check one of the following)
□ I am applying to have the court file sealed. My reason for wanting the court file sealed is .
□ I am not applying to have the court file sealed.
Sworn/Affirmed before me ) on __________________, 20____, ) at , Alberta )
_________________________________ ) Signature of Person
(Notary Public / Commissioner for Oaths ) to be Adopted in and for the Province of Alberta) )
Form 4 Adoption Order
Adult Adoption Act
Clerk’s stamp:
COURT FILE NUMBER
COURT OF QUEEN’S BENCH OF ALBERTA
JUDICIAL CENTRE
APPLICANT(S)
DOCUMENT ADOPTION ORDER
ADDRESS FOR SERVICE AND
CONTACT INFORMATION OF
PARTY FILING THIS DOCUMENT
DATE ON WHICH ORDER WAS PRONOUNCED:
NAME OF JUDGE WHO MADE THIS ORDER:
LOCATION OF HEARING: ______________, Alberta
THIS COURT having received the application of (name(s) of applicant(s)) under the Adult Adoption Act for an adoption order in respect of:
(full name of person to be adopted, as on birth document),
born (date—yyyy/mm/dd)
Birth Registration Number .
AND THIS COURT having reviewed the evidence presented, and being satisfied that the adoption is not contrary to the public interest and that it is not contrary to the public interest to grant this application;
IT IS ORDERED THAT:
1. The application is granted as requested and the adoption is effective from and after the date of this Order.
2. (Other applicable terms)
_______________________________
Justice of the Court of Queen’s Bench
AR 246/98 Sched;164/2010;227/2011;198/2013
