Home Study Check List
- Application
- Reference Letters (1 from relative, 2 from friends, 1 from clergy)
- Autobiographic Questionnaire (Partner #1)
- Autobiographic Questionnaire (Partner #2)
- Birth Certificates on all family members in the household
- Marriage Certificate
- Police Clearance on all adults 18 yrs or older living at home
- DCF Child Abuse Check on all adults 18 yrs or older living at home
- Divorce Certificate (if applicable)
- DMV report on driving record of each adult member in the household
- Employment Letter (verification of employment of husband & wife)
- Medical report on each member in the home
- Vet’s medical report on all pets in the household
- Letter from appointed guardians for adopted child
- Itemized expenses and income for the month
- Filled out Financial Statement Report
- Copy of medical insurance form stating that additional child will be covered as well and pre-existing conditions
- Statement as to how adoption payments will be made
- Statement that couple has a Will verifying that an adopted child will have same rights to inheritance as any biological child
- Copy of life insurance form with amount of coverage and the company it is through
- Copy of training certificates for both couple or individual
- Copy of last 1040 Income Tax form stating last adjusted gross income
- Copy of Passport (foreign adoption)
- Most Recent Well Water Test Results/Wood Stove Inspections Results(where appropriate)
- Receipt of Discipline REGULATIONS 17A-120-109
- Receipt of HIPPA Privacy Policy