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Nevada Adoption Reunion Registry Form Guide
The Nevada Relative Part One Application allows a qualifying relative to register voluntarily with the Nevada Adoption Reunion Registry concerning an adult adoptee whose adoption was finalized in Nevada. It is not an application to adopt a child and does not begin a kinship, close-family, or stepparent adoption case.
Part One records the relative's contact information, relationship to the adoptee, and available birth and adoption details. DCFS describes the Registry as a mutual-consent process. The relative cannot receive identifying contact information unless the adult adoptee also has a qualifying Registry application on file and the required birth-parent consent is obtained through Part Two.
The certificate says “subscribed and sworn to,” and the form requires the relative 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 whether the relationship qualifies, verify adoption or biological-family facts, locate the adoptee or birth parent, or decide whether DCFS may release information.
Official DCFS Source
The existing record points to an unrelated non-identifying- information request. Nevada DCFS currently lists the official fillable Relative Part One Application, a printable version, and a Spanish fillable version on the Adoption Reunion Registry Forms page.
The present link opens an Adoptee or Adoptive Parent Request for Non-Identifying Information. That form does not register a relative and must not remain attached to this record.
Nevada DCFS publishes the Relative Part One Application through the Adoption Reunion Registry. The fillable version is the appropriate primary download for this page.
DCFS continued to list the July 2019 English form on the official forms page reviewed in 2026. Compare any saved copy with the current agency source before completing or signing it.
The official Spanish Relative Part One form shows a June 2022 Spanish-language revision. Use the version supplied by DCFS rather than translating or altering the English certificate.
Mutual-Consent Registration
Part One records the relative's information and interest in obtaining information about the identified adult adoptee through Nevada's mutual-consent Registry.
The applicant supplies current and former names, date of birth, telephone numbers, email or other contact information, home address, and mailing address.
The form requests the adoptee's birth name, birth date and place, adopted name when known, and the adoption agency information available to the relative.
The applicant provides the name or names of the child's birth parent through whom the family relationship exists and describes the relationship specifically.
The form states that no information can be received unless the adoptee also completes a Registry application and is at least 18 years old.
The form states that contact information may be released only with the required birth-parent consent through the separate Part Two process.
The applicant may withdraw the registration by notifying the Adoption Reunion Registry in writing through the current change or withdrawal process.
Relationship Screening
The Registry page describes eligible relatives as persons related to the adoptee within the third degree of consanguinity. The current form also prints a limited list of relationship categories. Contact DCFS when the relationship is unclear.
The applicant should use the current DCFS relationship chart and Registry instructions rather than assuming that every family, step-family, in-law, adoptive, or household relationship qualifies.
The form asks the applicant to identify the child's birth parent to whom the applicant is related and explain the exact relationship, such as sibling of a birth parent or parent of a birth parent.
Terms such as cousin, step-relative, great-aunt, great-uncle, niece, nephew, grandparent, or sibling can produce different degree calculations and family structures. The Registry—not the notary—decides eligibility.
DCFS states that the Registry is available when the adoption was finalized in Nevada. Direct questions about another state or country to the Registry Coordinator.
The form states that information may not be released until the adoptee is at least 18 years old.
Identification establishes the identity of the applicant who appears. It does not prove consanguinity, adoption history, biological parentage, or eligibility for the Registry.
Two-Part Relative Process
Part One registers the relative. Part Two is a separate birth-parent consent used later when DCFS identifies a qualifying family connection.
The relative provides personal, relationship, adoptee, birth- parent, and adoption information and signs the sworn application before a notary.
DCFS describes the Registry as mutual consent. A family connection cannot occur unless the adult adoptee also has a qualifying notarized application on file.
The Adoption Reunion Registry compares the submitted information and determines whether the applicants and family relationship satisfy the program requirements.
If there is a family connection, DCFS contacts the relative and directs the separate birth-parent consent step. The birth parent signs Part Two before a notary.
The Registry—not the notary—determines whether the applications, match, consent, age, relationship, and other requirements permit information release.
Sworn Execution
The form says the relative signature must be made in the presence of a notary and uses “subscribed and sworn to” certificate wording.
The relative applying must personally appear. An adoptee, birth parent, spouse, family member, 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 relative-signature line 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 the family relationship, adoption jurisdiction, adoptee identity, birth-parent connection, or existence of a Registry match.
Appointment Preparation
Complete the current and former names, date of birth, telephone numbers, email or other contact information, home address, and mailing address.
Enter the birth name, nickname or other names used, date and place of birth, and requested demographic information to the extent known.
Supply the adopted name and adoption-agency city and state when available. Direct questions about unknown entries to DCFS.
Provide the name and available identifying information for the child's birth parent through whom the relationship exists.
Explain the relationship precisely rather than entering only a broad family label. Use the current DCFS chart and Registry instructions.
Do not sign the relative-signature line or complete the notarial venue, date, printed 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 relative's signature and notarial certificate.
Select this when one relative will sign one prepared Relative Part One Application.
Select this when two to four separate Registry forms require notarization, such as separate Part One applications for multiple applicants or Part One together with another applicant's Registry form after DCFS has confirmed the correct documents.
Call or text (702) 748-7444 before booking when multiple relatives will sign separate forms, more than four documents require notarization, or special handling is needed.
Contact DCFS first when the relationship is unclear, the adoption was not finalized in Nevada, the adoptee is under 18, someone else proposes to sign for the relative, the form was already signed, or the customer is trying to complete a kinship adoption.
After Notarization
Follow current DCFS submission, update, and withdrawal instructions rather than sending Part One to a court, county clerk, adoption agency, or family member.
Confirm that the relative's signature, venue, date, printed applicant name, notary signature, and seal are visible and that the complete 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 applicant is responsible for notifying the Registry of name, address, telephone, email, medical, or other registration changes through the official change form.
A registrant may withdraw by submitting the official Request for Change of Address or Other Registration Changes and selecting the withdrawal option.
Common Questions
No. It registers a qualifying relative with the post-adoption Adoption Reunion Registry. It does not begin a relative, kinship, close-family, or stepparent adoption.
Yes. The form requires the relative 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 relative sign for the jurat.
DCFS describes eligibility as a relationship to the adoptee within the third degree of consanguinity and provides a relationship chart. Contact the Registry when a step-family, adoptive-family, in-law, cousin, great-relative, or other relationship is unclear.
Yes. DCFS describes the Registry as mutual consent, and Part One states that the relative cannot receive information unless the adult adoptee also completes a Registry application.
Part Two is the birth parent's separate sworn consent for release of Registry information to the named relative. DCFS coordinates Part Two after identifying a family connection.
No. The birth parent giving the consent signs Part Two. The relative signs Part One.
DCFS states that consideration may be given to a death certificate. Contact the Registry Coordinator because there is no deceased person's signature to notarize.
The official form contains one applicant section and one relative signature. Ask DCFS whether each relative should submit a separate application.
DCFS currently accepts notarized Registry applications by email in PDF format, subject to current notarization, legibility, printability, and submission requirements.
Choose Mobile Notary – 1 Document when one relative will sign one prepared Part One application. Choose the two-to-four-document appointment when additional separate Registry applications also require notarization.
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