383-c-3 Notice of proceeding for approval of surrender instrument  


Secs. 383-c, Soc. Serv. Law
 
Form 383-c-3
 
 
(Notice)
 
 
10/90
 
FAMILY COURT OF THE STATE OF NEW YORK
 
COUNTY OF __
________________
In the Matter of the Application for Approval
 
Docket No.
__
of a Surrender Instrument Concerning
 
 
NOTICE OF PROCEEDING
 
_________
 
FOR APPROVAL OF
 
 
SURRENDER INSTRUMENT
 
Pursuant to Section 383-c of the
 
Social Services Law
________________
TO: __
PLEASE TAKE NOTICE that the annexed petition requesting approval of an instrument of surrender concerning __ the above-named child has been presented to the Family Court of the State of New York, __ County, and that a hearing on the petition will be held on the __ day of __, 19, at __ o'clock in the __ noon of that day at which time you will have an opportunity to be heard.
PLEASE TAKE FURTHER NOTICE that you have the right to be represented by a lawyer and, if you are the (mother) (father) of the above-named child and the Court finds that you are unable to pay for a lawyer, you have the right to have a lawyer assigned by the Court.
FAILURE TO APPEAR MAY RESULT WITHOUT FURTHER NOTICE IN COURT APPROVAL OF THE TRANSFER OF CUSTODY AND GUARDIANSHIP OF THE CHILD TO A SOCIAL SERVICES OFFICIAL FOR THE PURPOSE OF ADOPTION.
Dated: ______
Attorney(s) for Petitioner
 
Office and P.O. Address
 
Telephone Number