47897 2025

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4.8 out of 5

247 votes

The document is a consent form for the Indiana Adoption Matching Registry, outlining the requirements and procedures for individuals seeking nonidentifying information related to adoption. It specifies eligibility criteria, necessary documentation, and sections for personal information of participants, adoptees, and their birth parents. The form must be completed in black ink and submitted to the Indiana State Department of Health.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'Date' and 'State File Number' at the top of the form. Ensure these are accurate as they are essential for processing.
In Part I, select your filing status by checking only one box that applies to you, such as 'Adult Adoptee' or 'Adoptive Parent'.
Proceed to Part II and enter your personal information including your name, date of birth, mailing address, and daytime telephone number. Remember to type clearly.
In Part III, provide the adoptee’s birth information including their birth name, date of birth, gender, and place of birth. Include full names of both birth parents if applicable.
Complete Part IV with the adoptee's information post-adoption including their new name and adoptive parents' names.
Finally, sign in Part V affirming that all information is true. Ensure you attach a valid photo ID before submission.

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Versions	Form popularity	Fillable & printable
2014	4.8 Satisfied (247 Votes)

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