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Description: NJ DCF Logo with reverse copy 

 

New Jersey Department of Children and Families Policy Manual

 

Manual:

CP&P

Child Protection & Permanency

Effective Date:

Volume:

X

Forms

Chapter:

A

Forms

 

12-27-2011

Subchapter:

1

Forms

Issuance:

14.207

CP&P Form 14-207A, Birth Family Search Cover Letter and Adoption Registry Release (Birth Family Member)

CP&P Form 14-207B, Adoption Registry Release (Birth Family Member)

 

Click here to view, complete template portions, and print the CP&P Form 14-207A.

Click here to view, complete template portions, and print the CP&P Form 14-207B.

WHEN TO USE IT

Send the CP&P Forms 14-207A and B, Birth Family Search Cover Letter and Adoption Registry Release (Birth Family Member), to the birth family member when a request for identifying information or contact is made by an Adult Adoptee or Adoptive Parent of a minor child, and the CP&P Form 14-205B was not previously completed by the birth parent(s) or birth family member (i.e., aunt, uncle, sibling, grandparent).

For the birth parent(s) and other family members, the CP&P Form 14-207B:

      Confirms, by their signing the Adoption Release, their willingness to have contact with an Adult Adoptee or Adoptive Parent(s) of a minor child, and the level of contact they prefer, or their decision not to have contact; and

 

      Provides an avenue for giving health, medical, or other significant non-medical information to the Adult Adoptee or Adoptive Parent(s) of a minor child.

HOW TO USE IT

Adoption Staff:

      Prepare the CP&P Form 14-207A, an on-line cover letter template, and print it on agency letterhead.

 

      Complete the text boxes for the text fields "Sent To" and "Date Sent," at the bottom of pages 2 and 3.

 

      Print CP&P Form 14-207B for completion by the birth parent or family member.

 

      Prepare a self-addressed envelope to the Adoption Registry and send it with the CP&P Forms 14-207A and B to the birth parent(s) or family member(s) in the circumstances noted above.

If a birth parent(s) or family member(s) wishes to contact, or be contacted by, the Adult Adoptee or Adoptive Parent(s) of a minor child, he or she:

      Completes the top portion of the Adoption Registry Release (Birth Family Member), indicating the level of contact he or she prefers, and what identifying information may be shared.

 

      Returns the CP&P Form 14-207B with official photo identification to the CP&P Adoption Registry in the Office of Adoption Operations at PO Box 717, Trenton, New Jersey, 0862-0717.  

 

      May send cards or letters to the Registry to be saved for the adoptee, and notify CP&P of any future changes including, but not limited to, changes in family health and medical information, and other non-health information for himself or herself and other family members.

 

If a birth parent(s) or family member(s) does not wish to have contact with the adoptee, or the forms were sent to the wrong person, CP&P requests that he or she:

 

      Complete the bottom portion of the Adoption Registry Release (Birth Family Member), and return it to the CP&P Adoption Registry, in the Office of Adoption Operations at PO Box 717, Trenton, New Jersey, 08625-0717; and/or 

 

      Provide family health and medical information, and other non-health information for him or herself and other family members as requested, but indicate that he or she is not giving consent to share any identifying information.

A birth parent(s) or other family member(s) is encouraged to contact the Adoption Registry by calling (609) 888-7474 if he or she has any questions.

 

DISTRIBUTION

Original          -           Adoption Registry File

Copy               -           Birth family member