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Appendix D Pennsylvania Adoption Information Registry Act 101 REGISTRATION FORM (for use by Agencies, Courts and Others) (Births in Pennsylvania only) 8002270225 Please use this form to register information

How to fill out agency adoptee registration form

Who needs agency adoptee registration form?

1. Individuals who have been adopted through an agency and wish to register their information for potential reunification with biological relatives.
2. Adoptees who want to access their adoption records or obtain information about their biological parents.

How to fill out agency adoptee registration form:

1. Obtain the agency adoptee registration form: Contact the adoption agency or visit their website to request the form. Some agencies may offer online forms that can be downloaded and printed, while others may require you to visit their office in person.
2. Read the instructions: Before filling out the form, carefully read and understand the instructions provided. Make sure you have all the necessary information and documents required to complete the form.
3. Personal information: Start by entering your personal information on the form accurately. This may include your full name, current address, date of birth, social security number, and contact details.
4. Adoption details: Provide details about your adoption, such as the name of the agency involved, the date of adoption, and any other relevant information that may help in locating your adoption records.
5. Birth information: Fill in your birth information, including the place and date of birth, as well as the names of your birth parents, if known. If you are unsure about your birth parents' names, leave the space blank or indicate that the information is unknown.
6. Consent: Some forms may include a section where you need to sign and provide consent for the release of your adoption information to potential biological relatives. Read this section carefully and make sure you understand the implications before signing.
7. Supporting documents: Check if any supporting documents are required to be attached with the form, such as copies of your identification documents, proof of adoption, or any other relevant records. Ensure you gather and include these documents as specified.
8. Review and submit: Once you have filled out the form, review it carefully to ensure all the information is accurate and complete. Make any necessary corrections before signing and dating the form. Then, follow the instructions provided for submitting the form to the adoption agency. This may include mailing it, submitting it online, or visiting the agency office in person.
9. Keep a copy: It is always a good idea to make a copy of the completed form for your records before submitting it. This way, you have a copy of the information provided and a record of the form you submitted.
10. Follow up: After submitting the agency adoptee registration form, it is important to follow up with the adoption agency to ensure they have received your form and to inquire about any further steps or updates regarding your registration.

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What is agency adoptee registration form?

Agency adoptee registration form is a document used to register individuals who have been adopted through an agency.

Who is required to file agency adoptee registration form?

The adoptee or their legal guardian is required to file the agency adoptee registration form.

How to fill out agency adoptee registration form?

The form must be completed with the adoptee's personal information, details of the adoption agency, and any relevant documentation.

What is the purpose of agency adoptee registration form?

The purpose of the agency adoptee registration form is to create a record of individuals who have been adopted through an agency.

What information must be reported on agency adoptee registration form?

The form must include the adoptee's name, date of birth, the name of the adoption agency, and any other relevant information about the adoption.