Welcome Adoptive Families  
   
 

Back To Adoption Circle Home

    

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:

 
 

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 $5.00 per request and mailing it to (Checks payable to: Ohio Treasurer Josh Mandel):

 

Ohio BMV
Attn: Records Request
P.O. Box 16520
Columbus, Ohio 43216-6520

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. 3 Non-Relative References 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 and Online Profile Guidelines

  

 

12. JFS 01681 "Adoptive Applicant Financial Statement"

  

 

13. Medical/Psychological Information Release.

 
 

14. 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.)

 
 

15. ODHS 1200 Fire Inspection Report

  
 

16. Permission to Release Homestudy (if applicable)

  
 

17. Pre Adoption Acknowledgement Form

  
 

18. Ohio Child Abuse Registry Report - DO THIS FIRST TO ENSURE RETURN ASAP. Each applicant must send signed letter requesting report with a copy of your Social Security card & driver’s license to:

  

Ohio Department of Job and Family Services
Children’s Protective Services Station
Attention: Barbara Parker
P.O. Box 182709
Columbus, OH 43218-2709

You must obtain child abuse checks from all states/countries that you have lived in since age 18. For Out of State Child Abuse Clearances Click Here