Adoption Application

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Tuesday06 December 2016


In order to request a child protective records research check, each individual subject must complete this form.  A check or money order for $15/person, made payable to Treasurer State of Maine, must accompany this request.

Upon completion, both forms, and a self-addressed stamped envelope*, must be mailed to:
Department of Health and Human Services
Child Protective Intake, Records Research, SHS 11
2 Anthony Avenue
Augusta, ME 04333

*Please request that the results of your background check be returned directly to:

Wide Horizons For Children
375 Totten Pond Road, Suite 400
Waltham, MA 02451