Application Forms

Applicants are encouraged to read the Fact Sheet and Overview (form #824) to determine eligibility for services. The application packet can be processed by the Department of Human Services when the following documents are provided:

  1. A completed/signed application form;
  2. A notarized consent form;
  3. The statistical survey, and
  4. A copy of photo identification with a signature.

The type of consent form needed will depend upon if the applicant is an adult adoptee, birth parent, or sibling.

Adult Adoptee Birth Relatives – Parens or Siblings
Document Name Form Number Document Name Form Number
Fact Sheet and Overview 824 Fact Sheet and Overview 824
Reference – Search Support Groups Reference – Search Support Groups
Reference – The Girls Who Went Away Reference – The Girls Who Went Away
Application Form 2062 Application Form 2062
Consent Form – Adult Adoptee 2064 Consent Form – Birth Parent 2063
Statistical Survey 2066 Statistical Survey 2066
Adult Adoptee Disclosure Veto 2072 Birth Parent Disclosure Veto 2072

Other forms available are: Disclosure Vetoes Forms, which are for those wishing to declare their intention should their birth relative, seek to establish contact. The Fee Waiver Form is only required if the assigned Confidential Intermediary is from a private agency. This will not be known until the application is processed and the search is assigned.

These are forms that are for Confidential Intermediaries, to be used when providing PASCRS.

Confidential Intermediary Forms
Document Name Form Number
Birth Certificate Application DHMH
Death Certificate Application DHMH
Confidential Intermediary Service Agreement 2070
Pre-Search Questionnaire – Adoptee 2067
Pre-Search Questionnaire – Birth Parent 2068
Confidential Intermediary Status Report to Registrant 2073A
Confidential Intermediary Status Report to DHS/SSA 2073B
Client Satisfaction Survey 2074
Application Form for Minor in Out-Of-Home Placement 2088
Consent to Release Information Form for Minor in Out-Of-Home Placement 2090
Confidential Intermediary Service Agreement for Minor in Out-Of-Home Placement 2091
Status Report – Minor in Out-Of-Home Placement 2092
Information on Birth Family 2069
CI Qualifications & Requirements 2078
Application for Certification for Confidential Intermediaries 2075
CI Code of Ethics & Oath of Confidentiality 2076
CI Ethics & Oath Voluntary 2077

To receive a copy of the application documents, send an email to Information requested:

  1. name
  2. status: adoptee or birth relative
  3. phone number
  4. mailing address

Questions / concerns about PASCRS or the process, Contact at the Department of Human Services, Social Services Administration.

Department of Human Services
Social Services Administration
Post-Adoption Search Contact and Reunion Services
311 West Saratoga Street
Baltimore, Maryland 21201