Forms Used During the Adoption Process

General Agency Forms • Program Forms • Travel Information • Other Downloads

All forms require are in PDF format and require a special viewer.
Please download Adobe Acrobat Reader to view these forms.
Only the reader is required, optional downloads are not.

General Agency Forms

• Application
• Family Application
• Agreements and Waivers
• Authorization for Release of Information
• Statement of Financial Responsibility

• Homestudy Forms
• Overview of the Process
• Financial Worksheet / Statement
• Employment Verification Form
• Instructions for Certificate of Self Employment
• Medical Exam Report (Child)
• Medical Exam Report (Adult)
• School Report
• Reference Letter
• Guardianship Statement
• Personal Statement Section A
• Personal Statement Section B
• Personal Statement Section C
• Personal Statement Section D

• Post Placement Forms
• Child's Arrival Medical Report
• Monthly Post Placement Report
• Pre-Finalization Medical Report
• Items Needed for Finalization
• - Copy of Child's Documents
• - Copy of Child's Certificate of Citizenship
• - Accounting of all adoption expenses
• - Finalization visit completed by Social Worker

• Immigration Forms
• Important Document Information
• Proof of Insurance
• I-600A - Application for Advance Processing of Orphan Petition
• I-600 - Petition to Classify Orphan as an Immediate Relative
• I-824 - Application for Action on an Approved Application
• I-864 - Affidavit of Support
• I-864A - Contract Between Sponsor and Household Member
• Affidavit by Adoptive Parents (Vaccination)
• www.uscis.gov

• Sample Notary Coversheets
• True Original Authentication
• Travel Information Sheet

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Program Forms

• China Program Instructions
• Flow Chart/Checksheet
• China Program Packet Action List
• China Program Information and Guidelines
• Instruction for Police Clearance Letter
• Application Form for Authentication or Notarization
• China Referral Checksheet
• Visa Instruction for China

• China Sample Documents and Forms
• Adoption Application
• Financial Statement
• Employment Certificate
• Statement of Non-Employment
• General Physical Examination
• Power of Attorney
• Statement of Non-Traveling Spouse
• Declaration of Guardianship
• Statement of Unmarried
• Divorce Decree Declaration
• Visa Application Forms

• Vietnam Program Forms
• Adoption Application
• Commitment
• Medical Certificate
• Passport Notary Coversheet
• I171H Notary Coversheet

• Vietnam Sample Documents and Forms
• Financial Statement
• Employment Certificate
• Power of Attorney

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Travel Information

• Travel Information
• China Travel Information
• Final Orientation (CS)
• Travel Tips/Reminders
• Travel Information Sheet
• China Trip - Supply and To Do List
• Suggested Packing List
• The Ultimate Traveler's Checklist
• International Travel Tips
• Healthy Flying
• Vaccines for Travel
• United Airlines
• -Restricted Articles
• -Checked Baggage
• -Carry-on Baggage
• China Cell Phone Rental

• Related Stories and Articles
• The Journey
• Paul's Chengdu Story
• 10,000 Miles and 1,001 Strings (Wendy Williams)

Other Downloads

• Summer 2009 Teachers from China
• Agenda
• Volunteer Sign-ups
• Home Stay Sign-Ups

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