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Nevada Adoption Reunion Registry Form Guide
The Nevada Relative Part Two Birth Parent Consent is not a consent to adoption and does not terminate parental rights. It is the birth parent's written consent for the Nevada Adoption Reunion Registry to release information about an adult adoptee to the named relative when the Registry's matching requirements are satisfied.
This form belongs to the relative-registration process. The relative first completes the Relative Part One Application, and the Registry coordinates Part Two when appropriate. The form states that the adoptee must be at least 18 years old, both the relative and adoptee must have Registry applications on file, and the birth parent may withdraw this consent at any time by notifying the Registry in writing.
The certificate says “subscribed and sworn to,” and the form expressly requires the birth parent to sign in the notary's presence. Lake Mead Mobile Notary can administer the oath or affirmation, identify the appearing birth parent, witness the signature, and complete the jurat. We do not determine Registry eligibility, family relationship, whether a match exists, which birth-parent consent is required, or whether DCFS will release information.
Official DCFS Source
Nevada DCFS currently lists fillable and printable English versions of Relative Part Two, together with a Spanish fillable version, on its official Adoption Reunion Registry Forms page.
The download supplied for this resource is the current fillable PDF linked by Nevada DCFS. The document is issued by the Adoption Reunion Registry and is not a third-party form.
Although the form carries a March 2019 revision, DCFS continued to list it on the official forms page reviewed in 2026. Confirm the current version before completing a saved copy.
The form is titled “Consent of Birth Parent to Release Adoption Reunion Registry Information (Part 2).” That title is materially different from a legal consent to adoption.
Customers who cannot use the fillable English PDF should open the official forms page and select the printable or Spanish option supplied by DCFS.
Consent Scope
The birth parent is authorizing a specific release through the Adoption Reunion Registry. The form does not reopen or change the underlying adoption.
The form identifies the adopted child by the child's name before adoption and identifies the relative who may receive information when the Registry's requirements are met.
The named relative must be within the Registry's eligible degree of blood relationship. The form asks the birth parent to describe that relationship in detail.
The form states that information may not be released regarding the adoptee unless the adoptee is 18 years old or older.
The form states that the birth parent may withdraw the consent at any time by notifying the Adoption Reunion Registry in writing.
Signing Part Two does not consent to a new adoption, relinquish a child, terminate parental rights, transfer custody, or authorize a relative to become the child's legal parent.
The Registry process is separate from a petition to unseal an adoption case or obtain an original birth certificate. Those requests follow different legal procedures.
Two-Part Relative Process
Part Two should be used as part of the official Registry sequence, not as a standalone request for adoption information.
The eligible relative registers contact information through the Relative Part One Application and identifies the family connection to the adopted person.
DCFS describes the Registry as a mutual-consent process. A family connection requires the adult adoptee and the relative to have qualifying applications on file.
DCFS states that the Registry Coordinator contacts the relative if there is a family connection and then directs the Part Two birth-parent consent step.
The birth parent enters the identifying, relationship, and contact information, takes an oath or affirmation, and signs in the notary's presence.
The Adoption Reunion Registry—not the notary—determines whether the consent and Registry requirements permit release of information.
Sworn Execution
The certificate says “subscribed and sworn to before me,” and the signature line says the birth parent must sign in the presence of a notary.
The birth parent giving consent must personally appear before the notary. A relative, adoptee, spouse, attorney, courier, or agency representative cannot appear for an absent signer.
The birth parent must swear or affirm that the statements and certification in the form are true.
This is not an acknowledgment of a prior signature. Leave the birth-parent signature blank until the notary administers the oath or affirmation and witnesses the signing.
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, appearing person's name, signature, seal, and other required certificate information.
The notary does not verify biological parentage, the pre-adoption name, family relationship, adoptee age, Registry status, or eligibility for information release.
Birth-Parent Signature
The form is written for the birth mother or birth father who is consenting to the Registry's release of information to the named relative.
The appearing signer identifies as the birth mother or birth father of the adopted child and certifies that relationship under oath or affirmation.
The relative completes Part One and is named in Part Two, but cannot sign the birth parent's sworn consent merely because the relative is requesting a Registry connection.
The adoptee uses the separate Adoptee Application. Part Two is the birth parent's consent document within the relative process.
The form requests the birth parent's personal certification and signature. Contact the Registry before booking if someone proposes to sign under a power of attorney, guardianship, or another representative capacity.
Do not assume that one parent's form, two parents' forms, or no consent will satisfy every case. The Registry Coordinator should identify what is required for the particular family connection.
The form states that DCFS may give consideration to a death certificate when the birth parent is deceased. There is no deceased signer to notarize, and DCFS must decide how the exception is handled.
Appointment Preparation
Enter the birth parent's name as requested and confirm which birth parent DCFS instructed to complete the consent.
Complete the child's name before adoption, date of birth, and other requested identifying information using the information accepted by the Registry.
Enter the relative's name and describe the blood relationship in detail. Direct eligibility questions to the Registry Coordinator.
Complete the last, first, middle, maiden, or other names used, date of birth, telephone numbers, email or other contact details, home address, and mailing address when different.
Do not sign the birth-parent signature line or complete the notarial venue, date, notary signature, or seal before meeting the notary.
Bring an identification document acceptable to Lake Mead Mobile Notary. Digital images and photocopies are not accepted for the in-person appointment.
Keep any DCFS instructions available so questions about the required parent, named relative, matching process, or submission method can be directed to the Registry rather than the notary.
Booking Guidance
Book after DCFS has identified the required form and the birth parent is ready to appear, take the oath or affirmation, and sign.
Select this when one Relative Part Two Birth Parent Consent is the only document requiring notarization and one birth parent will sign.
Select this when the appointment includes two to four separate notarized Registry forms, such as Part Two together with a Birth Parent Application or a relative's separate Part One Application.
Call or text (702) 748-7444 before booking when several people will sign different forms, more than four documents require notarization, or special handling is needed.
Contact DCFS first when no Registry match has been identified, the signer is not the birth parent, the birth parent is deceased, the correct parent is unclear, the form was already signed, or the customer is seeking consent to a new adoption.
After Notarization
Follow the current DCFS submission instructions rather than sending the form to a court, county clerk, adoption agency, or relative.
Confirm that the birth-parent signature, venue, date, printed signer name, notary signature, and seal are visible and that no required page was omitted.
DCFS currently permits notarized Registry applications to be emailed as PDF files and reserves the right to refuse an emailed document that is not notarized, legible, printable, or in PDF format.
The official Registry page currently directs emailed applications to [email protected]. Verify the address on the official page before sending sensitive information.
The form currently lists Nevada Division of Child and Family Services, Adoption Reunion Registry, 4126 Technology Way, Third Floor, Carson City, Nevada 89706.
The official page currently lists the Adoption Reunion Registry Coordinator at (775) 684-7294 for questions about registration, matching, consent, and submission.
Common Questions
No. It authorizes release of information through the Nevada Adoption Reunion Registry concerning an adoption that has already occurred. It does not authorize a new adoption or terminate parental rights.
The birth mother or birth father giving the written approval signs the form. DCFS should identify which consent is required for the particular Registry connection.
No. The relative is named in Part Two and separately completes the Relative Part One Application. Part Two contains the birth parent's sworn consent.
It requires a jurat. The certificate says “subscribed and sworn to,” and the form instructs the birth parent to sign in the notary's presence.
No. The notary must administer an oath or affirmation and witness the birth parent sign for the jurat.
The form states that the birth parent may withdraw the consent at any time by notifying the Adoption Reunion Registry in writing.
The form states that DCFS may give consideration to a death certificate. Contact the Registry Coordinator for instructions; there is no deceased person's signature to notarize.
Yes for the release described by this form. The form states that no information may be released regarding the adoptee unless the adoptee is 18 years old or older.
The form and current DCFS instructions state that both must have completed qualifying Registry applications before information can be released through this relative process.
No. DCFS determines eligibility within the permitted degree of consanguinity and whether the Registry's requirements have been met. The notary performs the jurat.
Choose Mobile Notary – 1 Document when one birth parent will sign one prepared Relative Part Two consent. Choose the two-to-four-document appointment when additional separate Registry forms also require notarization.
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