Search Services Request Form Contact Us Date of Request: Contact Name: Contact Name at the time of Adoption: Date of Birth: Address: City: State: AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code: Email: Home Phone: Cell Phone: Preferred Method of Contact: Home Phone Cell Phone Email I (the requester) am one of the following: Birthparent (adoptee aged 21 or older) Adoptee (18 years of age or over) Adoptive Parent (adoptee under age 18) Legal Guardian of Adoptee (adoptee under age 18) Descendant of a deceased adoptee Grandparent (if birth parent consents, is incapacitated or deceased) Birth sibling of an adoptee (21 years or older) Other Services Requested: Search Information/Education Birthparent Requesting Update on Child Update Information on File (See Birthparent/Adoptee Authorization Forms) Non-identifying Information (medical/social history available from file) Identifying Information (Information can be released with required authorization or if subject is deceased) Search Program Services Additional Comments: Fees for search program services completed by The Children’s Home: $100 fee for non-identifying $250 fee for partial search $500 fee for full search Please leave this field empty. Search Program Services Search Services Request Form Meet Our Adoption Staff View All Staff