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Indiana Department of Child Services

Protecting our Children, Families, and Future

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Electronic Interest Form

If you do not have access to email, please print this form and fax or mail it to:
Indiana Adoption Program, c/o IFCAA
509 E. National Ave., Suite A, Indianapolis, IN 46227
Fax: (317) 524-2609

Call us toll-free 1-888-25-ADOPT [1-888-252-3678] with questions. 

Please list the names and ID numbers of the Children in whom you are Interested:

Name:

Race:

Age:

Spouse's name, if applicable:

Spouse' Race:

Spouse' Age:

Email:

Address:

City:

State:

ZIP:

County:

Home Phone Number:

Work Phone Number:

Do you already have an approved Adoptive Homestudy?

Are you in the process of having a Homestudy Completed?

Number of Children currently in your home?

Age of Children?

Desired Age Range of Child?

Desired Sex?

How did you hear about us?

Comments:

*ONLY if you already have an approved Adoptive Homestudy
Please provide the following about the Agency which conducted the Homestudy:

Agency Name:

Case Worker's Name:

Agency Address:

Agency City:

  State: ZIP:

Agency Telephone Number:


 

About Us | FAQ | Inquiry Form | Legal Issues | Terminology Indiana Adoption Program
View Children (details) | Unidentifiable Children | Contact Us | Picture Book


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Updated as of Tuesday, April 4, 2006
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Call us at: 1(888)25-ADOPT  [1-888-252-3678]
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