Adoption Act -- ADOPTION REGULATION

This archived regulation consolidation is current to April 1, 2005 and includes changes enacted and in force by that date. For the most current information, click here.

Adoption Act; Financial Administration Act
ADOPTION REGULATION

Schedule 3

Form 1

(section 6 (1))

NOTICE OF INTENT TO RECEIVE A
CHILD BY DIRECT PLACEMENT

[Check one]

TO: [ ]	Director of Adoption		[ ]	Name of Agency .................................................................
	Ministry of Children and Families			Address ...........................................................................

THIS WILL BE YOUR NOTICE that

.................................... [first applicant] and ................................. [second applicant] who reside at ................................. in the city/town of ............................. in the Province of British Columbia intend to receive a .......................... [sex] child into my/our home for the purposes of adoption.

The child ......................................... [legal name] was born on ................................ [date of birth] at .......................................... [city/town] ................................................. [province/state/country].

The birth mother is .............................................................................................. and resides at ................................................................................ [full address (city/town/province/state/country)], and can be reached by telephone at .............................................. .

If known, complete as much of the following information as possible:

The birth father's name is ............................................................................. and he resides at ................................................................................. [full address (city/town/province/state/country)] and can be reached by telephone at ............................................... .

If the child you intend to receive is not yet born, please indicate approximate date of birth .............................................. .

Circumstances regarding proposed placement. How you came to know about the child proposed for adoption:

......................................................................................................................................................................

Dated ............................................. at ..........................................................................................................

First Applicant:
[Signature] ..................................................... [Name (please print)] .................................................

Second Applicant:
[Signature] ..................................................... [Name (please print)] ...............................................

Witness:
[Signature] ...................................................... [Address] ..............................................................

Legal authority for collection of this information is the Adoption Act, section 8 (1).

Form 2

(section 9 (1) (a))

Court Registry
Registry No.

IN THE SUPREME COURT OF BRITISH COLUMBIA
IN THE MATTER OF THE ADOPTION ACT

IN THE MATTER OF A ............................ [male/female] CHILD

Birth Registration Number ...............................

A F F I D A V I T

Parent or Guardian's Consent to Adoption

I, ................................................................................................ [Name in full of person consenting] of ............................................... [Address], .................................................................................... [Occupation],
swear (affirm) as follows:

	1.	I am the ............................................................................... [Mother/Father/Guardian] of the child .............................................................................. [Name in full of child to be adopted] born on the ............................. day of .................................... , 19......... at ................................... [Place of birth].
	2.*	The meaning and effect of adoption was fully explained to me by .......................................... [Name of social worker or lawyer].
	3.*	The circumstances under which I can revoke my consent were fully explained to me by ..................................................................... [Name of social worker or lawyer].
	4.	I consent to the adoption of my child.
		OR
	**	I consent to the adoption of my child by ........................................................... [Insert name of parent in direct placement].
	5.	I am signing this consent freely and voluntarily.

(* Not required where the guardian is the director of adoption or administrator of an adoption agency)

(** Only applies to a direct placement)

SWORN BEFORE me at .................................................		)
in the Province of British Columbia		)
		) ................................................
		)[Signature of person consenting]
This ................................. day of .............................. 19......		)
.......................................................................................		)
A commissioner for taking affidavits for British Columbia

Form 3

(section 9 (1) (b))

Court Registry
Registry No.

IN THE SUPREME COURT OF BRITISH COLUMBIA
IN THE MATTER OF THE ADOPTION ACT

IN THE MATTER OF A ............................ [male/female] CHILD

Birth Registration Number ...............................

A F F I D A V I T

Consent to Adoption by Child Over Twelve

I, .................................................................................................. [Name in full of child consenting] of ................................................................................................................................ [Address],

swear (affirm) as follows:

	1.	I am the child to be adopted by ..................................................... [Name of adopting parents].
	2.	The meaning and effect of adoption was fully explained to me by ............................................................ [Name of social worker or lawyer].
	3.	The circumstances under which I can revoke my consent were fully explained to me by ............................................................ [Name of social worker or lawyer].
	4.	I consent to being adopted by the applicants.
	5.	I am signing this consent freely and voluntarily.
	6.	I do not consent to my name being changed.
		OR
		I consent to the change of my name to ............................................................................

SWORN BEFORE me at ................................................. in the Province of British Columbia		)
		)
		) ................................................
		) [Signature of person consenting]
This ................................. day of .............................. 19......		)
.......................................................................................		)
A commissioner for taking affidavits for British Columbia

Form 4

(section 13 (1))

Ministry for
Children and Families

APPLICATION FOR REGISTRATION
OF BIRTH FATHER

BIRTH FATHER INFORMATION:

Surname: ..................................................... Given names: .....................................................

Date of birth: .............................. Other known names: ...............................................................

Address: .................................................................................. Postal code: ............................

Phone number: ..............................................................

BIRTH MOTHER INFORMATION:

Surname: ..................................................... Given names: .....................................................

Date of birth: ............................. Other known names/maiden name: ...............................................

Address: .................................................................................. Postal code: ............................

Phone number: ..............................................................

CHILD INFORMATION:

Surname: ..................................................... Given names: .....................................................

Gender: ..................................................... Date of birth: ..........................................................

Expected date of birth: ................................. Birth place: ............................................................

Address: .................................................................................. Postal code: .............................

Phone number: ..............................................................

Birth Father Signature: .................................................................. Date: ...............................

1.	Include a copy of birth certificate or driver's licence or passport.
2.	Acknowledgment of receipt of your registration will be sent to the address provided on this registration form.
3.	Mail to:
		Director of Adoption Birth Fathers' Registry Ministry of Children and Families Victoria, British Columbia V8W 1X4

Offence

Section 86 of the Adoption Act states that a person must not make a statement that the person knows to be false or misleading in an application on the birth fathers' registry. A person who contravenes this section commits an offence and is liable to a fine of up to $5 000.

Form 5

(section 17)

BIRTH PARENT
EXPENSES AFFIDAVIT

IN THE SUPREME COURT OF BRITISH COLUMBIA
IN THE MATTER OF THE ADOPTION ACT

A F F I D A V I T

I, ........................................................... [Name in full], ............................................ [Occupation], and ........................................................ [Name in full], ............................................ [Occupation], of ........................................................................................................................ [Street address] ...................................................................................... [City, Municipality, etc], British Columbia, swear (affirm) as follows:

1.	I/We are applying to adopt a ............................................ [Male/Female] child born on the .................. day of .............. , 19 ......., Birth Registration Number .............................
2.	I/We have paid for or given to or on behalf of the birth parents the following:
	Item	Amount
	(a) accommodation	.................................
	(b) medical services	.................................
	(c) transportation	.................................
	(d) counselling	.................................
	(e) cost of gifts	.................................
	Total	.................................
OR
	I/We have not given to or on behalf of the birth parents, either directly or indirectly, any payment or reward.

SWORN BEFORE me at ................................................. in the Province of British Columbia		)
		)
		) ................................................
		)[Signature]
This ................................. day of .............................. 19......		)
.......................................................................................		)
A commissioner for taking affidavits for British Columbia
SWORN BEFORE me at ................................................. in the Province of British Columbia		)
		)
		) ................................................
		)[Signature]
This ................................. day of .............................. 19......		)
.......................................................................................		)
A commissioner for taking affidavits for British Columbia

[Provisions relevant to the enactment of this regulation: Adoption Act, R.S.B.C. 1996, c. 5, section 91, 93; Financial Administration Act, R.S.B.C. 1996, c. 138, section 19]

Note: this regulation replaces B.C. Regs. 278/78, 372/89, 257/91 and 290/91.

1. see now section 2 of Schedule D of B.C. Reg. 75/97, the Income Assistance Regulation.

2. see now section 10 (3)(b) of B.C. Reg. 74/97, the BC Benefits (Child Care) Regulation.

[ B.C. Reg.291/96 | Schedule 1 | Schedule1a | Schedule 2 | Schedule3 ]