1f39b844_Circuit_Court_Probate_Division__Name_of_Form
[Form Number] NHJB-2081-FP (10/01/2006) [Description] If the Department of Health and Human Services, or a child-placing agency, has through court action or parental surrender been given care, custody and control of an adoptee, the department or agency must complete this form to surrender their rights to the adoptee. The form specifies the rights being surrendered and the continued legal relationship with the child until a final decree of adoption is issued [Instructions To Complete] Instructions [Name of Form] 
Department of Health & Human Services or Agency Surrender of Parental Rights
New Hampshire Judicial Branch - Circuit Court Probate Division
Name of Form