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Nevada Adoption Reunion Registry Form Guide
The Nevada Birth Parent Application allows a birth parent to register voluntarily with the Nevada Adoption Reunion Registry and express interest in contact with an adult child who was adopted. DCFS describes the Registry as a mutual-consent process, so a family connection cannot occur unless the adult adoptee also submits a qualifying Registry application.
The form is not a consent to a new adoption, does not terminate parental rights, and does not automatically open sealed adoption records. It registers the birth parent's contact and adoption information for the Registry's matching process concerning the child identified on the application.
The certificate says “subscribed and sworn to,” and the form requires the birth parent 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 verify biological parentage, adoption history, Registry eligibility, matching status, or whether DCFS will release information or arrange contact.
Official DCFS Source
Nevada DCFS currently lists fillable and printable English versions of the Birth Parent Application and a Spanish fillable version on the official Adoption Reunion Registry Forms page.
The record currently links to an official DCFS printable application. A fillable official version is also available from the same forms page.
DCFS continued to list the March 2019 English application on the official forms page reviewed in 2026. Compare a saved copy with the current source before completing or signing it.
The fillable PDF allows the applicant to enter information before printing, while the printable version remains available for handwritten completion.
Applicants who prefer Spanish should obtain the version currently linked by DCFS rather than translating or altering the English certificate independently.
Mutual-Consent Registration
The application voluntarily adds the birth parent's information to the Registry for a possible match concerning the adopted child identified on the form.
The applicant supplies current names, contact information, address, and other identifying details used by the Registry.
The form requests the child's birth name, birth date, place of birth, and available adoption information so DCFS can evaluate a potential connection.
The birth parent states an interest in making contact with the child who was adopted. Registration does not guarantee that the adult adoptee has applied or wishes to connect.
DCFS states that a match cannot occur unless both applicants have notarized Registry applications on file. The adoptee cannot register until reaching 18 years of age.
The form states that the application is only for the birth parent signing it and the child identified on that application. Contact DCFS about separate registrations involving another child.
The applicant may withdraw from the Registry by submitting the official change or withdrawal form in writing.
Choose the Correct DCFS Request
Several official DCFS forms concern adoption records and family information. They do not serve the same purpose.
Use this application when a birth parent wants to register for a possible match and contact with the adult adoptee.
The adult adopted person uses a separate application. The birth parent cannot complete or sign the adoptee's registration.
A qualifying relative uses Part One. Part Two is a separate birth-parent consent used only when DCFS coordinates that relative-registration process.
This request concerns available non-identifying adoption-file information. DCFS states that adoptees do not need birth-parent consent or Registry enrollment for that separate request.
A birth parent seeking copies of adoption documents previously signed uses a different official request.
Court adoption records are confidential. Opening the court file requires a separate court process and is not accomplished through this Registry application.
Sworn Execution
The form says the birth-parent signature must be made in the presence of a notary and uses “subscribed and sworn to” certificate wording.
The birth parent registering must personally appear. An adoptee, relative, spouse, attorney, courier, or Registry representative cannot appear for an absent applicant.
The applicant must swear or affirm that the statements in the application are true.
Leave the birth-parent signature blank until the notary administers the oath or affirmation and witnesses the signing. This is not an acknowledgment of a prior signature.
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 venue, date, applicant's printed name, notary signature, seal, and other required certificate information.
The notary does not establish biological parentage, confirm the adoption agency or adopted name, validate the applicant's Registry eligibility, or certify that the adoptee has registered.
Applicant and Signer
The application is personal to the birth parent and the adopted child named in the form.
The eligible birth parent registering with DCFS completes and signs the application under oath or affirmation.
The application asks for the other birth parent's name and information when known, but listing that information does not make the other parent a signer on this applicant's form.
The adopted person cannot be registered by the birth parent and must voluntarily complete the Adoptee Application after reaching the required age.
Relatives use the separate two-part relative-registration process. They cannot substitute their signature on this personal birth-parent application.
The form requests the birth parent's personal interest, certification, and signature. Contact DCFS before booking when a power of attorney, guardianship, or another representative arrangement is proposed.
DCFS states that birth parents who relinquished a child for adoption or whose parental rights were terminated by a Nevada court may register when the adoption was finalized in Nevada. The notary does not adjudicate those conditions.
Appointment Preparation
Complete the requested last, first, middle, maiden, and other names used, together with date of birth and gender information.
Enter the telephone numbers, email or other contact information, inmate number when applicable, home address, and mailing address when different.
Provide the requested names, contact details, and mailing information to the extent known. Direct uncertainty about required entries to the Registry.
Complete the child's birth name, nickname or other names used, date of birth, city and state of birth, and gender as requested.
Enter the adoption agency, child's adopted name, and adoptive parent names when available and as directed by DCFS.
Do not sign the birth-parent signature line or complete the notarial venue, date, applicant name, notary signature, or seal before the appointment.
Bring an identification document acceptable to Lake Mead Mobile Notary. Digital images and photocopies are not accepted.
Booking Guidance
Book after the current official application is complete except for the birth-parent signature and notarial certificate.
Select this when one birth parent will sign one prepared Birth Parent Application.
Select this when the appointment includes two to four separate Registry documents requiring notarization, such as the Birth Parent Application together with a separate change, records, or information request.
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.
Contact DCFS first when the adoption was not finalized in Nevada, the signer is not the birth parent, the customer needs non-identifying information or copies of prior documents, the form was already signed, or the customer is trying to unseal a court record.
After Notarization
Follow the current DCFS instructions for submission, changes, and withdrawal rather than sending the application to a court or county clerk.
Confirm that the signature, venue, date, printed applicant name, notary signature, and seal are visible and that the full application is included.
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.
The official Registry page currently directs emailed applications to [email protected]. Confirm the address before sending sensitive information.
The current application lists Nevada Division of Child and Family Services, Adoption Reunion Registry, 4126 Technology Way, Third Floor, Carson City, Nevada 89706.
The birth parent is responsible for notifying the Registry of name, address, telephone, email, medical, or other registration changes through the official change form.
A Registry application may be withdrawn by submitting the official Request for Change of Address or Other Registration Changes and selecting the withdrawal option.
Common Questions
Yes. The form requires the birth parent to sign in the notary's presence and uses a “subscribed and sworn to” jurat.
No. The notary must administer an oath or affirmation and witness the birth parent sign for the jurat.
No. It registers the birth parent for a possible Adoption Reunion Registry match concerning an adoption that has already occurred.
Registration does not guarantee contact. DCFS describes the Registry as mutual consent, so the adult adoptee must also submit a qualifying notarized application.
The adoptee must be at least 18 years old to submit the Adoptee Application and participate in the adult Registry match described by DCFS.
The form states that the application is only for the applicant and the child identified on that application. Ask DCFS whether a separate application is required for another child.
Yes. DCFS provides a Request for Change of Address or Other Registration Changes form that includes a withdrawal option.
No. Non-identifying-information requests use a separate DCFS form and follow a different process.
The notary verifies the identity of the person who appears but does not investigate biological parentage, adoption history, or Registry eligibility.
DCFS currently accepts notarized Registry applications by email in PDF format, subject to legibility, printability, and current submission requirements.
Choose Mobile Notary – 1 Document when one birth parent will sign one prepared application. Choose the two-to-four-document appointment when additional separate Registry forms also require notarization.
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