This is a legal form that was released by the New York State Department of Health - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the DOH-4455 form?
A: The DOH-4455 form is the Adoption Information Registry Birth Parent Registration Form in New York.
Q: What is the purpose of the DOH-4455 form?
A: The purpose of the DOH-4455 form is for birth parents in New York to register with the Adoption Information Registry.
Q: Who needs to fill out the DOH-4455 form?
A: Birth parents in New York who wish to register with the Adoption Information Registry need to fill out the DOH-4455 form.
Q: What information is required on the DOH-4455 form?
A: The DOH-4455 form requires information such as the birth parent's name, date of birth, address, and contact details.
Q: Is there a fee to submit the DOH-4455 form?
A: There is no fee to submit the DOH-4455 form for birth parents registering with the Adoption Information Registry in New York.
Q: What does the Adoption Information Registry do?
A: The Adoption Information Registry in New York maintains a database of birth parents and adult adoptees who are interested in making contact with each other.
Q: Can birth parents and adoptees access the information in the Adoption Information Registry?
A: Yes, birth parents and adult adoptees who are registered with the Adoption Information Registry in New York can access the available information.
Q: Can birth parents remain anonymous if they register with the Adoption Information Registry?
A: Yes, birth parents have the option to request that their identifying information remains confidential when registering with the Adoption Information Registry.
Q: How long does it take to process the DOH-4455 form?
A: It may take several weeks to process the DOH-4455 form and for the birth parent to be registered with the Adoption Information Registry in New York.
Form Details:
Download a fillable version of Form DOH-4455 by clicking the link below or browse more documents and templates provided by the New York State Department of Health.