DSS-5190 - NC DHHS Online Publications - Home - info dhhs state nc-2026

1. Click ‘Get Form’ to open the DSS-5190 document in the editor.
2. Begin by filling in your name and personal details at the top of the form, including your date of birth and permanent address.
3. Indicate your relationship to the child by selecting either 'mother' or 'father' and provide the child's original name, sex, and birth details.
4. Consent to the adoption by entering the full name of the petitioning stepparent and acknowledging your voluntary transfer of custody rights.
5. Review each statement carefully, ensuring you understand your rights and obligations before signing. You may also want to consult legal counsel if needed.
6. Complete any additional sections regarding court information and revocation notice details as required.
7. Finally, sign and date the form. Ensure that a notary public acknowledges your signature for it to be valid.

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