Forms

ADOPTION FORMS:

DSS – 1800 – PETITION FOR ADOPTION

DSS – 1801 – AGENCY CONSENT

DSS – 1802 – CONSENT TO ADOPT BY PARENT

DSS – 1803 – CONSENT OF CHILD FOR ADOPTION

DSS – 1804 – RELINQUISHMENT OF MINOR FOR ADOPTION

DSS – 1805 – REVOCATION OF RELINQUISHMENT TO ADOPTION

DSS – 1806 – REVOCATION OF CONSENT TO ADOPTION

DSS – 1809 – AFFIDAVIT OF PARENTAGE

DSS – 5102 – NON IDENTIFYING BACKGROUND INFORMATION

DSS – 5103 – ADOPTION HEALTH HISTORY

DSS – 5145 – APPLICATION FOR REIMBURSEMENT OF NON-RECURRING COST

DSS – 5146 – AGREEMENT OF REIMBURSEMENT OF NON-RECURRING COST

DSS – 5191 – AFFIDAVIT – DISCLOSURE OF FEES

DSS – 5246 – INFORMATION SHARING ACKNOWLEDGMENT

FOSTER HOME / LICENSING FORMS:

Foster and Adopt Intake Form

Foster Care-Adoption Application

Discipline Policy

Physical Form

Fire Inspection

Fire Drill Log Sheet

Medical History Form

Environmental Checklist