Nevada Adoption Reunion Registry Form Guide

Nevada Adoptee Application: Jurat for the Adoption Reunion Registry

The Nevada Adoptee Application allows an adult whose adoption was finalized in Nevada to register voluntarily with the Nevada Adoption Reunion Registry. The applicant identifies the birth parents, siblings, or relatives the applicant wishes to contact and supplies information that may help DCFS evaluate a mutual Registry connection.

The Registry is based on mutual consent. A connection cannot occur unless the other person has also submitted a qualifying notarized application. Registration does not guarantee a match, direct contact, access to sealed court records, or release of every item in an adoption file.

The application is limited to adoptees who are at least 18 years old. Its certificate says “subscribed and sworn to,” and the form requires the adoptee to sign in the notary's presence. Lake Mead Mobile Notary can administer the oath or affirmation, identify the appearing applicant, witness the signature, and complete the jurat. We do not determine Registry eligibility, verify adoption history or family relationships, search for relatives, or decide whether DCFS may release information.

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Adoption Reunion Registry Adoptee Application | Rev. 3/2019NNA Certified Notary Signing Agent 2026 badge for Lake Mead Mobile Notary

Official DCFS Source

Use the Current Adoptee Application Listed by Nevada DCFS

Nevada DCFS currently lists fillable and printable English versions of the Adoptee Application and a Spanish fillable version on the official Adoption Reunion Registry Forms page.

  • The existing download is official

    The record currently links to the official fillable Adoptee Application published by Nevada DCFS. It is not a third-party legal form.

  • The English form is revised March 2019

    DCFS continued to list the March 2019 English application on the official forms page reviewed in 2026. Compare an older saved copy with the current source before completing or signing it.

  • Fillable and printable versions are available

    The fillable PDF can be completed electronically before printing. A printable version remains available for handwritten completion.

  • A Spanish fillable version is available

    DCFS currently supplies a Spanish application with a later Spanish-language revision. Use the official version rather than independently translating or altering the English certificate.

Mutual-Consent Registration

What the Adoptee Application Does

The application voluntarily places the adult adoptee's information in the State Register for Adoptions for a possible connection with another qualifying person who has also registered.

  • Registers the adoptee's information

    The applicant supplies current names, contact information, address, birth details, and available adoption information used by DCFS to evaluate a possible match.

  • Identifies whom the adoptee wishes to contact

    The form allows the applicant to identify birth parents, siblings, grandparents, aunts, uncles, and other relatives. The applicant should select only the person categories intended for the Registry process.

  • Requires another registered applicant

    The form and DCFS guidance state that contact cannot occur unless the other person has also completed a qualifying notarized application.

  • Authorizes sharing within the stated request

    The application states that the information provided may be shared with the person or persons indicated. Applicants should review the selected categories and contact information before signing.

  • Can be restricted or withdrawn in writing

    Nevada law permits an adopted person to restrict release to specified categories of relatives, and a registrant may request written withdrawal from the Register.

  • Does not guarantee contact

    Registration does not mean another person has applied, wants contact, or can be located. DCFS—not the notary—controls matching and release procedures.

Choose the Correct Request

The Registry Application Is Different From Other Adoption-Record Requests

Nevada DCFS and the courts use separate forms and procedures for contact registration, non-identifying information, court records, and relative registration.

  • Adoptee Application

    Use this application when the adult adoptee wants to register for a possible mutual-consent connection with birth parents, siblings, or other qualifying relatives.

  • Birth Parent Application

    A birth parent uses a separate sworn application. The adoptee cannot complete or sign the birth parent's registration.

  • Relative Part One and Part Two

    A qualifying relative begins with Part One. DCFS coordinates the separate Part Two birth-parent consent when the relative process requires it.

  • Request for Non-Identifying Information

    This separate request concerns available background, medical, and social information that does not identify a birth parent. DCFS states that Registry enrollment and birth-parent consent are not required for that request.

  • Copy of the adoption court order

    DCFS states that an adopted person may request a copy of the court order under the applicable records rules. That is separate from registering for contact.

  • Petition to unseal adoption records

    Adoption court files are confidential. Broader inspection generally requires a separate court petition and order rather than this Registry application.

Sworn Execution

The Adoptee Application Requires a Jurat

The form says the adoptee signature must be made in the notary's presence and uses “subscribed and sworn to” certificate wording.

  • Personal appearance is required

    The adult adoptee registering must personally appear. A birth parent, adoptive parent, sibling, relative, spouse, attorney, courier, or Registry representative cannot appear for an absent applicant.

  • An oath or affirmation is required

    The applicant must swear or affirm that the statements in the application are true.

  • The applicant signs during the appointment

    Leave the adoptee signature blank until the notary administers the oath or affirmation and witnesses the signing. This is not an acknowledgment of a prior signature.

  • Identity must be established

    Lake Mead Mobile Notary requires acceptable original, current physical identification for an in-person appointment. A photo, screenshot, scan, or photocopy is not accepted.

  • The notary completes the certificate

    The notary completes the venue, date, printed applicant name, notary signature, seal, and other required certificate information.

  • The notary does not verify the adoption facts

    The notary does not establish that the adoption was finalized in Nevada, confirm the birth or adoptive family information, verify Registry eligibility, or certify that another person has registered.

Applicant and Signer

The Adult Adoptee Registering Signs the Application

The application expresses the adoptee's own voluntary interest, information-sharing choices, and contact preferences.

  • The applicant must be at least 18

    DCFS and the form limit this application to an adult adoptee who is 18 years of age or older.

  • The adoption must have been finalized in Nevada

    DCFS states that adoptees whose adoption was finalized in Nevada are eligible to register. Direct uncertainty about jurisdiction or eligibility to the Registry Coordinator.

  • Birth and adoptive family information does not create additional signers

    The application asks for information about birth parents, adoptive parents, siblings, and relatives, but those persons do not sign the adoptee's personal application.

  • A parent cannot register an adult adoptee

    The mutual-consent process requires the adult adoptee's own notarized application. A birth parent, adoptive parent, or guardian cannot substitute a signature merely because of the family relationship.

  • Do not assume an agent may sign

    The form requests the adoptee's personal interest, certification, and signature. Contact DCFS before booking if a power of attorney, guardianship, or another representative arrangement is proposed.

  • DCFS determines the match and release

    The notary identifies the person appearing and performs the jurat. DCFS determines whether the applicant qualifies, whether another registration matches, and what information may be released.

Appointment Preparation

What to Complete and Bring to the Notary Appointment

  • Current and former names

    Complete the requested last, first, middle, maiden, and other names used, together with the applicant's date of birth and requested demographic information.

  • Current contact and address information

    Enter the telephone numbers, email or other contact information, home address, and mailing address when different.

  • Contact preferences

    Select the birth parent, sibling, grandparent, aunt, uncle, or other relative categories the applicant wishes to contact. Review the information-sharing statement before signing.

  • Available adoption information

    Complete the adoptive-parent names, adoption agency, city and state, and other adoption details to the extent known and as directed by DCFS.

  • Known birth-parent information

    Provide the requested names and identifying information when known. Direct questions about unknown or incomplete entries to the Registry.

  • Leave the signature and jurat incomplete

    Do not sign the adoptee signature line or complete the notarial venue, date, applicant name, notary signature, or seal before the appointment.

  • Original, current physical identification

    Bring an identification document acceptable to Lake Mead Mobile Notary. Digital images and photocopies are not accepted.

Booking Guidance

Choose the Appointment That Matches the Registry Forms

Book after the current official application is complete except for the adoptee signature and notarial certificate.

  • Mobile Notary – 1 Document

    Select this when one adult adoptee will sign one prepared Adoptee Application.

  • Mobile Notary – 2–4 Documents

    Select this when the appointment includes two to four separate documents requiring notarization, such as the Adoptee Application together with a separate non-identifying-information or Registry change request.

  • Several applicants or a larger document set

    Call or text (702) 748-7444 before booking when multiple people will sign separate forms, more than four documents require notarization, or special handling is needed.

  • Not ready to book

    Contact DCFS first when the applicant is under 18, the adoption was not finalized in Nevada, someone else proposes to sign for the adoptee, the form was already signed, or the customer needs court records rather than Registry registration.

After Notarization

Submit the Application and Keep the Registration Current

Follow current DCFS instructions for submission, contact updates, restrictions, and withdrawal rather than sending the application to a court or county clerk.

  1. Check the completed jurat

    Confirm that the signature, venue, date, printed applicant name, notary signature, and seal are visible and that the full application is included.

  2. Email a clear PDF when using electronic submission

    DCFS currently accepts notarized Registry applications by email as PDF files and may refuse submissions that are not notarized, legible, printable, or in PDF format.

  3. Verify the current Registry email

    The official Registry page currently directs emailed applications to [email protected]. Confirm the address before sending sensitive information.

  4. Use the application address when mailing

    The current application lists Nevada Division of Child and Family Services, Adoption Reunion Registry, 4126 Technology Way, Third Floor, Carson City, Nevada 89706.

  5. Keep contact information current

    The applicant is responsible for notifying the Registry of changes to the name, address, telephone number, email, medical information, or other registration details through the official change form.

  6. Request restrictions or withdrawal in writing

    Contact DCFS about restricting release categories. A registrant may withdraw by submitting the official Request for Change of Address or Other Registration Changes and selecting the withdrawal option.

Common Questions

Nevada Adoptee Adoption Reunion Registry Questions

Does the Adoptee Application require notarization?

Yes. The form requires the adoptee to sign in the notary's presence and uses a “subscribed and sworn to” jurat.

Can the adoptee sign before the notary arrives?

No. The notary must administer an oath or affirmation and witness the adoptee sign for the jurat.

How old must the adoptee be?

The applicant must be at least 18 years old.

Must the adoption have been finalized in Nevada?

DCFS states that the Registry is available to adoptees whose adoption was finalized in Nevada. Contact the Registry about an adoption finalized elsewhere.

Will DCFS contact a birth parent who has not registered?

Registration does not guarantee outreach or contact. DCFS describes the Registry as mutual consent, and contact cannot occur unless the other person has also submitted a qualifying application.

Can an adoptive parent sign for the adult adoptee?

No ordinary family relationship permits substitute signing. The adult adoptee personally completes and signs this sworn application. Contact DCFS before proposing any representative arrangement.

Is this the form for non-identifying adoption information?

No. Non-identifying information uses a separate DCFS request, and DCFS states that Registry enrollment is not required for that request.

Does the application unseal the court adoption file?

No. Court adoption records are confidential, and broader access generally requires a separate court petition and order.

Can the applicant withdraw or change the registration later?

Yes. DCFS provides a Request for Change of Address or Other Registration Changes form for updates and withdrawal.

Can the application be emailed to DCFS?

DCFS currently accepts notarized Registry applications by email in PDF format, subject to current notarization, legibility, printability, and submission requirements.

Which appointment should I choose?

Choose Mobile Notary – 1 Document when one adult adoptee will sign one prepared application. Choose the two-to-four-document appointment when additional separate forms also require notarization.