Fillable EPAP Self-Represented DISTRICT COURT CLARK COUNTY, NEVADA (Family Law Self Help Center)

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EPAP Self-Represented DISTRICT COURT CLARK COUNTY, NEVADA (Family Law Self Help Center)

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© 2016 Family Law Self-Help Center Affidavit to Waive Investigation / Fees
1
EPAP
Name: ______________________________
Address: ____________________________
City, State, Zip: _______________________
Phone: ______________________________
Email: ______________________________
Self-Represented
DISTRICT COURT
CLARK COUNTY, NEVADA
In the Matter of the Petition of
_
_____________________________ and
_
_____________________________
(adoptive parents’ names)
For adoption of a minor child.
CASE NO.: ____________________
DEPT: ____________________
EX PARTE APPLICATION TO WAIVE CHILD WELFARE INVESTIGATION
AND AFFIDAVIT OF FEES
Petitioners respectfully state:
1. Petitioners are (name of first petitioner) ______________________________, and
(name of second petitioner) ______________________________. Petitioners filed a
Petition for Adoption in the above-entitled court, requesting to adopt (name of
child(ren)) _____________________________________________________________.
2. Petitioners are related to the child(ren) to be adopted as follows:
Parent and Stepparent of the children.
Grandparents of the children.
Aunts/Uncles of the children.
Siblings of the children.
© 2016 Family Law Self-Help Center Affidavit to Waive Investigation / Fees
2
3. Because at least one of the petitioners is related to the child within the third degree of
consanguinity, petitioners respectfully request that the Court waive the child welfare
services investigation pursuant to NRS 127.120(2).
4. Because at least one of the petitioners is related to the child within the third degree of
consanguinity, petitioners respectfully request that the Court waive the affidavit setting
forth fees, donations, and expenses pursuant to NRS 127.127.
5. Petitioners declare under penalty of perjury under the laws of the State of Nevada that
the foregoing is true and correct.
Date: _____________________________
________________________________
(First Petitioner’s signature)
________________________________
(First Petitioner’s printed name)
Date: _____________________________
________________________________
(Second Petitioner’s signature)
_________________________________
(Second Petitioner’s printed name)
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EPAP Self-Represented DISTRICT COURT CLARK COUNTY, NEVADA (Family Law Self Help Center)

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Completed 9 February 2021

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