Form DCF-3062 "Request for Adoption Search and Reunion Registry" - Connecticut

What Is Form DCF-3062?

This is a legal form that was released by the Connecticut State Department of Children and Families - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2018;
  • The latest edition provided by the Connecticut State Department of Children and Families;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DCF-3062 by clicking the link below or browse more documents and templates provided by the Connecticut State Department of Children and Families.

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Download Form DCF-3062 "Request for Adoption Search and Reunion Registry" - Connecticut

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Connecticut Department of Children and Families
REQUEST FOR ADOPTION SEARCH AND REUNION REGISTRY
DCF-3062
12/18 (New)
Page 1 of 1
I declare under penalty of perjury under the laws of the State of Connecticut that the following is true and correct.
LAST Name of Requestor:
FIRST Name of Requestor:
DOB:
Birth Mother
Birth Father
Birth Relative, Please specify:
NOTE: If a birth relative who has not been adopted or has had a termination of parental rights petition granted wants to conduct a search,
a signed and notarized consent form from the birth parents must be obtained in order for this request to be processed.
Address (No. and Street):
City:
State:
Zip:
CT
E-mail:
Phone #:
List the Name of the Child at the Time of Birth
LAST Name:
FIRST Name:
DOB:
Gender:
Select One or enter your own
Place my name on the registry, should someone wish to contact me.
I would like to request that the Department of Children and Families perform a search for my biological
child/relative, who is now 18 years of age or older, to determine if he or she would like to be in contact with me.
Signature of Requestor:
Date:
Name of Notary Public:
Signature of Notary Public:
Select one
Subscribed and Sworn To Before Me This
Day of
Select one
Area for Notary Seal:
RETURN COMPLETED FORM TO:
DCF - Adoption Search
th
505 Hudson Street, 10
Floor
Hartford, CT 06106
Connecticut Department of Children and Families
REQUEST FOR ADOPTION SEARCH AND REUNION REGISTRY
DCF-3062
12/18 (New)
Page 1 of 1
I declare under penalty of perjury under the laws of the State of Connecticut that the following is true and correct.
LAST Name of Requestor:
FIRST Name of Requestor:
DOB:
Birth Mother
Birth Father
Birth Relative, Please specify:
NOTE: If a birth relative who has not been adopted or has had a termination of parental rights petition granted wants to conduct a search,
a signed and notarized consent form from the birth parents must be obtained in order for this request to be processed.
Address (No. and Street):
City:
State:
Zip:
CT
E-mail:
Phone #:
List the Name of the Child at the Time of Birth
LAST Name:
FIRST Name:
DOB:
Gender:
Select One or enter your own
Place my name on the registry, should someone wish to contact me.
I would like to request that the Department of Children and Families perform a search for my biological
child/relative, who is now 18 years of age or older, to determine if he or she would like to be in contact with me.
Signature of Requestor:
Date:
Name of Notary Public:
Signature of Notary Public:
Select one
Subscribed and Sworn To Before Me This
Day of
Select one
Area for Notary Seal:
RETURN COMPLETED FORM TO:
DCF - Adoption Search
th
505 Hudson Street, 10
Floor
Hartford, CT 06106