OCFS-5400. Adult Adoptee Birth Certificate Request for Information

Form OCFS-5400, the Adult Adoptee Birth Certificate Request for Information, serves the purpose of assisting adult adoptees in obtaining information related to their birth certificates. This form is used by individuals who were adopted in New York State and are now seeking access to non-identifying information about their birth parents and background.

The form consists of sections where applicants provide their personal information, adoption details, and reasons for requesting birth certificate information. Additional sections may include questions about the applicant's preferences for communication and any relevant medical information. The form aims to balance the adoptee's right to information with the privacy and confidentiality of birth parents.

Important fields in this form include sections for the adoptee's name, date of birth, and contact details. Accurate completion is crucial as it helps authorities verify the adoptee's identity and process the request effectively.

Application Example: An adult adoptee who was born in New York State and wishes to obtain non-identifying information about their birth parents uses Form OCFS-5400. By accurately completing the form and providing the necessary details, the adoptee initiates the process of accessing information that can contribute to their understanding of their origins and medical history.

Related Form: OCFS-5499 - Adult Adoptee Birth Certificate Application. While OCFS-5400 is for requesting non-identifying information, OCFS-5499 is used to request the original birth certificate, including identifying information. These forms address different levels of information disclosure.

Alternative Form: NYS DOH-4439 - Request for Certified Copy of Original Birth Record. This form, provided by the New York State Department of Health, allows adult adoptees to request a certified copy of their original birth certificate.