 |
SAFE Questionnaire I - one each for
applicant and spouse. Give to your social worker.
|
|
|
Verification of Medical Insurance
Coverage for Child - please make a photocopy of your medical
insurance card and the page in your policy book that authorizes
coverage of your adopted child. Give to your social worker.
|
|
|
Medical Report/Letter (see forms) -
one for each member of household. If you use this form for the
adults, keep the original -it most likely can be used for your
dossier. Give photocopy to your social worker.
|
|
|
Background Investigation Unit form (child abuse
registry form) - one form per couple, $10 per form. Anyone age 18
and over living in the home must complete this form.
Mail directly to CDHS.
|
|
|
Fingerprint cards - one per person
age 18 and older living in the household. Mail to CBI with payment.
|
|
|
CBI Fingerprint Card Credit Card
Payment Form (optional)
|
|
|
Financial Statement (see form) -
complete and give to your social worker.
|
|
|
A current photograph of all members
of the household - give to your social worker.
|
|
|
Birth certificates or naturalization
papers (photocopies) - give to your social worker.
|
|
|
Marriage certificate (photocopy) -
give to your social worker.
|
|
|
Divorce decree of former marriages or
the death certificate of all former spouse(s) (photocopy) - give to
your social worker.
|
|
|
IRS 1040 signed tax forms -first two
pages of most recent 3 years. Give to your social worker.
|
|
|
Employment Statement (see form)
- one for each
applicant who is employed. Can be a photocopy - keep the original for
your dossier. Give to your social worker. |
