Wisconsin Report of Adoption (F-05022)
Official state formAdoptionForm F-05022Free downloadLast verified November 14, 2026
Report of a final adoption decree to the Wisconsin State Registrar so a new birth record can be created. The clerk of court completes the court part and makes sure the sealed report is sent to the State Registrar.
Who can use this form
- An adoption agency or attorney completes Parts I to IV before the final decree of adoption is entered.
- The clerk of court or deputy completes Parts V to VII and makes sure the signed, sealed report is sent to the State Registrar.
- The fee and mailing section is completed only if the report is filed with Wisconsin Vital Records.
What to send with it
- The completed, signed and sealed report.
- A check or money order payable to State of Wis. Vital Records.
- The name and address for sending the certified copy of the new birth record.
- Fees listed on the form: $20 to file, $10 to file an amendment, $20 for one certified copy of the new birth record and $3 for each additional copy.
Where to send it
- Mail to
- State Vital Records Office ATTN: PSSU PO Box 309 Madison, WI 53701-0309
- State fee
- Filing $20; amendment to the report $10; one certified copy of the new birth record $20; each additional copy $3. All as printed on the form.
- Typical processing
- Not provided
- Form revision
- Rev. 05/2021
- Source
- Official government page