Adoption Application

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Sunday29 March 2015

Packet B - Connecticut

Please be sure to read all instructions carefully, especially those related to the State of Connecticut Criminal Background Checks and U.S. Citizenship and Immigration Services (USCIS).

We recommend you begin gathering these documents as soon as possible. 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.

You may find it easier to print this checklist and use it as you complete the necessary paperwork.

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 2015 (for classes in MA and NH)

Government-Issued Documents

BIRTH CERTIFICATE*
One (1) original or copy for each applicant


MARRIAGE LICENSE/ CERTIFICATE*
If applicable, one (1) original or copy


FINAL DIVORCE DECREE(S)*
If applicable, one (1) original or copy for each applicant

*NOTE: These documents must be civil (government-issued) records where the event was registered. We recommend obtaining at least five (5) original or certified copies (copies with an official raised seal) of all legal certificates for future use in completing adoption program dossiers and U.S. legalization procedures.


Child Abuse & Criminal Background Clearances

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

INSTRUCTIONS FOR NEXT TWO ITEMS
Last updated: 1/15/2015

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

STATE OF CONNECTICUT CRIMINAL HISTORY RECORD REQUEST
Last updated: 01/15/2015

Filing Procedures for Immigration

I-600A FILING INSTRUCTIONS
Last updated: 1/15/2015

I-800A FILING INSTRUCTIONS
Last updated: 01/15/2015


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