Last name
Address
City
State
Zip code
Email address
Phone number
Date of birth
Place of birth
Adoption agency
Name of hospital
Name of home for unwed mothers
Were there foster parents involved ?
Are your adoptive parents supportive ?
Did birth father know of the adoption ?
Did your adoptive parents ever meet your birth parents?
Adopted fathers name
Adopted mothers name
Birth fathers name
Birth mothers name
What official documents do you have?
Any names you have connected with the birth.? (Lawyers,doctors,notary's,friends,etc.)
What non identifying information do you have?
What identifying information do you have?
What stories were you told over the years?
What search activities have you done to date?
Give me anything else that might be helpful.
Would you like to be contacted by phone?
May we call you collect to discuss your search?
What time is convenient to call you?
