Adoption Application

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Monday05 December 2016

Packet B - Connecticut

Welcome to Packet B!  By now you have likely been assigned a social worker and have your first meeting shortly.  Packet B items are the supporting documentation we need in order to be able to complete your home study.  Please be sure to read all instructions carefully. 

We recommend you begin gathering these documents as soon as possible. Some of the clearances, for example, take some time to be returned.  Unless otherwise directed, you may send documents to WHFC as you receive or complete them, or submit all documents at once. Remember that we are here to help you every step of the way! Please don't hesitate to contact us if you have any questions or concerns.

WHFC Forms


MEDICAL STATEMENT
Complete one for each person living in your home
Last updated: 3/30/2009 (60k - 2pp)

RELEASE OF COUNSELING INFORMATION
If applicable
Last updated: 6/5/2008 (48k - 1pp)

AUTHORIZATION FORM
To release criminal conviction record information
Last updated: 5/13/2009 (64k - 1pp)

AFFIDAVIT OF HEALTH INSURANCE COVERAGE
Signed by either your employer or health insurer
Last updated: 1/1/2009 (63k - 2pp)

THREE (3) LETTERS OF REFERENCE
See enclosed instructions
Last updated: 1/15/2015

DOCUMENTATION OF ARREST HISTORY
If applicable. See enclosed instructions
Last updated: 1/15/2015

PRE-ADOPTION EDUCATION OVERVIEW
Last updated: 1/15/2015

PRE-ADOPTION EDUCATION SCHEDULE 2016 (for classes in MA and NH)

PRE-ADOPTION EDUCATION SCHEDULE 2017 (for classes in MA and NH)

Please also submit photocopies of the following:

BIRTH CERTIFICATE for each applicant


MARRIAGE LICENSE/ CERTIFICATE if applicable


FINAL DIVORCE DECREE(S) or DEATH CERTIFICATE OF SPOUSE if applicable

*NOTE: These documents must be civil (government-issued) records where the event was registered. While we only need photocopies for your records at WHFC, we advise you have a couple of originals on hand of each document for us during the adopiton process.  

COPY OF MOST RECENT TAX RETURN (first two pages only).  


Child Abuse & Criminal Background Clearances

CHILD ABUSE CLEARANCE INSTRUCTIONS and CHECKLIST
Last updated: 1/15/2015

INSTRUCTIONS FOR NEXT TWO ITEMS
Last updated: 9/29/2016

CHILD PLACING AGENCY LICENSING AND RESPONSIBILITIES
Last updated: 1/15/2015

STATE OF CONNECTICUT CRIMINAL HISTORY RECORD REQUEST
Last updated: 09/29/2016

Filing Procedures for Immigration FOR THOSE ADOPTING INTERNATIONALLY

I-600A FILING INSTRUCTIONS
Last updated: 11/16/2016

I-800A FILING INSTRUCTIONS
Last updated: 11/16/2016


Please mail to the address below after making copies for your records.

Wide Horizons For Children
375 Totten Pond Road, Suite 400
Waltham, MA 02451
Attn: Applications Coordinator