Illinois Adoption Registry Application - Illinois Department of Public ... - idph state il 2026

1. Click ‘Get Form’ to open the Illinois Adoption Registry Application in our editor.
2. Begin by filling out Section A, Registrant Information. Enter your name, today's date, mailing address, sex, and optional phone number. Ensure all details are accurate for processing.
3. If you are submitting photographs, complete Section B. Indicate that the enclosed photograph(s) will be released as specified on your Information Exchange Authorization form and sign with the date.
4. For an optional written statement, proceed to Section C. Fill in the necessary details and sign to confirm that no identifying information is included.
5. In Section D, if requesting non-identifying information, provide the adopted/surrendered name and date of birth before signing.
6. Finally, if you are a birth parent requesting actual date and place of birth information in Section E, complete the section and sign accordingly.

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