Form Ad 926 - Statement Of Understanding - Parent Who Places The Child With The Prospective Adoptive Parent(S) Page 5

Download a blank fillable Form Ad 926 - Statement Of Understanding - Parent Who Places The Child With The Prospective Adoptive Parent(S) in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Ad 926 - Statement Of Understanding - Parent Who Places The Child With The Prospective Adoptive Parent(S) with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
I, ______________________________________________, mother/father of ___________________________.
NAME OF PLACING PARENT
NAME OF CHILD
understand and agree to the statements I have initialed above.
SIGNATURE OF PLACING PARENT
DATE
TO BE COMPLETED BY THE ADOPTION SERVICE PROVIDER
I, ___________________________________, have witnessed the signing of this Statement of Understanding by
NAME OF WITNESS
_______________________________ on _______________________, I am:
DATE
____ A representative of ____________________________________, a California licensed private
adoption agency.
NAME OF AGENCY
____ An individual California Adoption Service Provider (ASP).
____ A representative of _________________________________, an adoption agency licensed or
NAME OF AGENCY
otherwise approved under the laws of the state of ______________________, the state where the
NAME OF STATE
adoption placement agreement is being signed.
____ An individual licensed or otherwise certified as a clinical social worker under the laws of the
______________________, state where the adoption placement agreement is being signed.
NAME OF STATE
____ Independent counsel for the placing parent(s), serving as an ASP, pursuant to Family Code Section
8502(b) and 8801.5(e).
SIGNATURE OF ABOVE WITNESS
DATE
AD 926 (7/17) PARENT WHO PLACES THE CHILD WITH THE PROSPECTIVE ADOPTIVE PARENT(S)
PAGE 5 OF 5

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form Ad 927 - Statement Of Understanding - Parent Who Places The Indian Child With The Prospective Adoptive Parent(s) Form Ad 927 - Statement Of Understanding - Parent Who Places The Indian Child With The Prospective Adoptive Parent(s) Legal
Form Ad 900a - Statement Of Understanding - Parent Who Did Not Give Physical Custody Of The Indian Child To The Petitioner(s) Form Ad 900a - Statement Of Understanding - Parent Who Did Not Give Physical Custody Of The Indian Child To The Petitioner(s) Legal
Form Ad 900 - Statement Of Understanding - Parent Who Gave Physical Custody Of The Indian Child To The Petitioner(s) Form Ad 900 - Statement Of Understanding - Parent Who Gave Physical Custody Of The Indian Child To The Petitioner(s) Legal
Form Ad 887a - Statement Of Understanding - Parent Who Did Not Give Physical Custody Of The Child To The Petitioner(s) Form Ad 887a - Statement Of Understanding - Parent Who Did Not Give Physical Custody Of The Child To The Petitioner(s) Legal
Form Ad 887 - Statement Of Understanding - Parent Who Gave Physical Custody Of The Child To The Petitioner(s) Form Ad 887 - Statement Of Understanding - Parent Who Gave Physical Custody Of The Child To The Petitioner(s) Legal
Form Ad 900b - Statement Of Understanding - Alleged Father Of An Indian Child Form Ad 900b - Statement Of Understanding - Alleged Father Of An Indian Child Legal
Form Ad 887b - Statement Of Understanding - Alleged Natural Father Form Ad 887b - Statement Of Understanding - Alleged Natural Father Legal
Form Nsctng 017 - Statement Of Understanding For Coast Guard Training Form Nsctng 017 - Statement Of Understanding For Coast Guard Training Business
Form Nsctng 016 - Statement Of Understanding Recruiting Station Duty Form Nsctng 016 - Statement Of Understanding Recruiting Station Duty Business
Form Arc 1 - Statement Of Facts Supporting Eligibility For The Approved Relative Caregiver (arc) Funding Option Program Form Arc 1 - Statement Of Facts Supporting Eligibility For The Approved Relative Caregiver (arc) Funding Option Program Legal

Related Categories

Parent category: Legal
Download
Go
Page of 5