Report on Outgoing Adoption

Form Submitted


Your form has been sent to the Office of Children's Issues at the U.S. Department of State. As a reporting provider, you must report any change to the information provided herein and the following milestone case information within 30 days of occurrence.

 

Please print this confirmation for your records Print Page

The highlighted fields are missing or incorrect.

Please correct the following information:

Child Information





Yes No

Adoptive Parent Information









Adoption Location

from which the child is emigrating
where the final adoption is taking place OR the U.S. State where legal custody for the purpose of adoption is being granted
The where the final adoption is taking place

Reporting Provider Information








Case and Final Adoption Information (Optional)

As a reporting provider, I understand that I must report any change to the information provided herein and the following milestone case information witin 30 day of occurrence





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