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Adoptive Homestudy Document Checklists

 

1. Agency Homestudy Document Checklist

 
 

2. Homestudy Update Document Checklist

 
 

3. Out-of-State Document Checklist

 
 

4. Out-of-State Identified Checklist

 

5. Ohio Identified Document Checklist

 

6. Independent Homestudy Document Checklist

 
 

7. International Homestudy Checklist

 
 

8. Tips on Meeting with Birthparents

 

 

 

Adoption Circle Extra Homestudy Forms

 

1. State Application

 
 

2. Agency Application: Download PDF

 
 

3. Bureau of Motor Vehicle Driving Abstract. You may secure a copy of each of your driving records by completing the BMV 1173 form with $2.00 per request and mailing it to:

 

Ohio BMV Attn: Abstracts
P.O. Box 16520, Columbus, Ohio
43266-0020

This should be returned to you – not Adoption Circle. If you have not resided in Ohio for the past 5 years, you must secure driving abstracts from previous states of residence.

 

4. JFS O1653 "Medical Statement for Adoptive Applicant and All Household Members". Your physician MUST complete and sign and date the entire 2nd page of this form, including professional opinion section.

 
 

5. 4 References (minimum 3 non-relative). References must be from the same individuals listed on the JFS O1691. Adoptive Applicant Reference Forms are enclosed. You complete SECTION I with your name(s). The person providing the reference completes SECTION II AND III and then returns the form to Adoption Circle.

 
 

6. JFS 01673 Assessment for Child Placement (Homestudy)

 
 

7. JFS 01673A Child Characteristic Checklist for Foster and/or Adoption

 

 

8. Adoptive Placement Preference: Download PDF

 

 

9. Personal Questionnaires: Download PDF

 

 

10. Openness Planning for Adoptive Parents: Download PDF

 

 

11. Family Profile Letter

 

 

12. JFS 01681 "Adoptive Applicant Financial Statement"

 

 

13. JFS 01614 "O.A.P.L. Waiver". Waiver must be signed if you do not wish to register for waiting children in Ohio through the OAPL program. (See explanation on waiver.)

 

 

14. Medical/Psychological Information Release.

 
 

15. JFS 01348 Safety Audit (Social worker will complete this form at the time of visit. Review this form to make sure your home meets all safety requirements.)

 
 

16. ODHS 1200 Fire Inspection Report

 
 

17. Permission to Release Homestudy (if applicable)

 
 

18. Pre Adoption Acknowledgement Form

 
 

Adoption Circle
(614) 237-7222
(800) 927-7222
One Americana, Suite 304
400 South Fifth
Columbus, Ohio 43215