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

The highlighted fields are missing or incorrect.

Please correct the following information:

Child Information



Child's Date of Birth
Was the child born in the US?

Adoptive Parent Information





Address



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

Date the case is determined to involve emigration from the United States (generally the time the adoptive child is match with adoptive parents)
Date of U.S. final adoption or date on which custody for the purpose of adoption was granted in the United States
Date of foreign final adoption if custody for purpose of adoption was granted in the United States, to the extent practicable

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