ADOPTION: Private Child-Placing Agency

1. INTO VIRGINIA ICPC 100A (4 copies) 2 complete packets Cover letter American Indian Heritage (ICWA) statement Termination of Parental Rights (TPR) court order giving the agency the authority to place child for adoption OR Relinquishment document in which birth parent surrenders all parental rights to the agency and gives the agency the authority to place the child for adoption Documentation addressing how the legal rights of the birth father (and legal father if applicable) will be handled Birth mother and birth father social background and medical history Child’s complete hospital records (infant) or current medicals (older child) Child’s summary (older child) Legal risk statement (if needed) Home study for adoptive parents - Adoptive studies must include criminal background checks (FBI fingerprint results) and child protective services (CPS) checks Affidavit of paternity Fee disclosure statement OUT OF VIRGINIA ICPC 100A (5 copies) 3 complete packets Cover Letter American Indian Heritage (ICWA) statement Termination of Parental Rights (TPR) court order giving the agency the authority to place child for adoption OR Relinquishment document in which birth parent surrenders all parental rights to the agency and gives the agency the authority to place the child for adoption Documentation addressing how the legal rights of the birth father (and legal father if applicable) will be handled Birth mother and birth father social background and medical history Child's complete hospital records (infant) or current medicals (older child) Child’s summary (older child) Legal risk statement (if needed) Home study for adoptive parents - Adoptive studies must include criminal background checks (FBI fingerprint results) and child protective services (CPS) checks Affidavit of paternity Fee disclosure statement ADOPTION: Private Child-Placing Agency