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Home Study Forms Checklist - Domestic
- Home Study Checklist/ Instructions
- Application
- Home Study Agreement / Fee Schedule / Refund Policy [* mail with application]
- Child Abuse and Neglect Consent (16 and older) [* mail with application]
- Sexual Offender Registry Consent
- HIPPA Form & Criminal Acknowledgement
- Selft Studies
- Employment Verification
- Financial Form / Mortgage verification, mortgage payment stub, or lease agreement
- Most Recent Federal Tax Return (Form 1040 pages 1 & 2)
- Medical Reports / TB and HIV test results / Urine Drug Screen Results (16 and older)
- Pediatrician Report and Immunization verification of children already in the home [if applicable]
- Health Insurance Card (copy the front and back of your insurance cards)
- Child Safety Agreement
- Criminal Checks
- Arrest Disposition and Letter of Explanation [if applicable]
- Five Reference Letters [one must be from a family member]
- Address Form
- FedEx Account Number
- Adoption Training Certificate
- Birth Certificates for all family members in the home / Marriage Certificate / Divorce Decree / Death Certificate / Adoption Decree for all adopted children in the household [photocopies only]
- Pet Vaccinations
- Pictures - front of home, child’s bedroom, adoptive parent(s), children in the household
- Driver’s licenses and car insurance policies for all drivers in the home (photocopy)
- Septic Tank Letter (if applicable)
- Well Water Test (if applicable)
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