California Form Ad 9 – Fill Out and Use This PDF

The California Ad 9 form, officially known as the Independent Adoption Questionnaire, is a crucial document for anyone in the process of adopting a child within the state of California. It requires detailed information about the petitioner(s), including background, employment, criminal history, and family relations, to ensure the child's future safety and well-being. If you're ready to take this significant step towards expanding your family, get started by clicking the button below to fill out your form.

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California Form Ad 9 PDF Details

The journey of adopting a child in California involves numerous steps and paperwork, among which the Independent Adoption Questionnaire, known as the AD 9 form, stands out as a thorough and essential document required by the California Department of Social Services (CDSS). This form serves as a comprehensive tool for potential adoptive parents to provide detailed personal, familial, and background information, aiming to streamline the adoption process and ensure the welfare of the child involved. It requires first and second petitioners to disclose various aspects of their lives, including but not limited to, personal identification, employment details, salary, education level, criminal history, and information about former marriages or registered domestic partnerships. Additionally, the form examines the family history of the petitioners, detailing the health, education, and any legal issues of current children and close relatives. The requirement to complete this form, along with the Adoption Questionnaire I (AD 4324), and return them within a stipulated time frame underlines the state’s commitment to safeguarding the interests and well-being of children undergoing the adoption process. By demanding such detailed disclosures, the CDSS aims to meticulously evaluate the suitability of the adoptive home, ensuring that it provides a stable, nurturing environment conducive to the child’s growth and development.

Question	Answer
Form Name	California Form Ad 9
Form Length	12 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	3 min
Other names	AD9 independent adoption questionnaire form

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES

STATE CASE NUMBER:

INDEPENDENT ADOPTION QUESTIONNAIRE

INFORMATION REQUIRED IN THE MATTER OF THE ADOPTION OF:

FIRST PETITIONER’S NAME:

SECOND PETITIONER’S NAME:

CHILD’S NAME:

CHILD’S ADOPTED NAME:

Dear Petitioner(s):

Complete this Independent Adoption Questionnaire (AD 9) and Adoption Questionnaire I (AD 4324) (to be filled out individually) and return them within one week.

Thank You.

__________________________________________________________________________

(NAME OF CDSS DISTRICT OFFICE OR DELEGATED COUNTY ADOPTION AGENCY)

(Please fill out as completely as possible, writing “NA” or “Unknown” where appropriate)

AD 9 (11/07)

PAGE 1 OF 12

I. FIRST PETITIONER’S INFORMATION

LAST NAME

FIRST NAME

MIDDLE NAME

GENDER

BIRTHDATE

PLACE OF BIRTH

ETHNICITY

RACE

RELIGION

SOCIAL SECURITY NUMBER

DRIVER LICENSE NUMBER

EDUCATION

OCCUPATION

MONTHLY SALARY

(HIGHEST GRADE

COMPLETED)

NAME AND ADDRESS OF EMPLOYER

LENGTH OF EMPLOYMENT

WORK HOURS

WORK TELEPHONE NUMBER

(

)

ARE YOU A UNITED STATES CITIZEN?

DATE OF ARRIVAL IN U.S.

DATE OF ARRIVAL IN

■ YES ■ NO

CALIFORNIA

IF NATURALIZED

ARE YOU A PERMANENT RESIDENT?

ALIEN REGISTRATION NUMBER

DATE:

PLACE:

■ YES ■ NO

A-

NUMBER:

MILITARY SERVICE:

DATE OF SERVICE:

DATE OF DISCHARGE:

■ YES ■ NO

■ HONORABLE

■ DISHONORABLE

CRIMINAL HISTORY

Have you ever been arrested for an offense other than a traffic infraction?

■ YES

■ NO

If YES, please explain the charges and any convictions:

______________________________________________________________________________________________________

Are you currently on probation or parole?

■ YES

■ NO

If YES, please explain the circumstance:

______________________________________________________________________________________________________

Have you ever been investigated for allegations of child neglect or abuse?

■ YES

■ NO

If YES, please explain the circumstances:

______________________________________________________________________________________________________

Have you ever been reported for allegations of domestic violence?

■ YES

■ NO

If YES, please explain the circumstances and outcome:

______________________________________________________________________________________________________

B.FORMER MARRIAGE(S)/REGISTERED DOMESTIC PARTNERSHIP(S) (RDP)

FULL NAME OF FORMER SPOUSE(S)/RDP(S)

(Give maiden name and current address)

WHERE

(License/Registration Issued in County/State)

MARRIAGE/RDP

(Date & Place)

DIVORCE/RDP TERMINATION

(Date & Place)

DEATH

(Date & Place)

AD 9 (11/07)

PAGE 2 OF 12

C.CHILD(REN) BORN PRIOR TO CURRENT MARRIAGE/REGISTERED DOMESTIC PARTNERSHIP

FULL NAME OF CHILD

DATE OF

BIRTH

EDUCATION

(Name & Address of School & Grade)

HEALTH CONDITIONS

IF ADOPTED

(Place, Date, Agency)

1)	Have any of your children ever been arrested for an offense other than a traffic infraction?	■ YES	■ NO
	If YES, please explain the charges and any convictions:
	______________________________________________________________________________________________________
	______________________________________________________________________________________________________
	______________________________________________________________________________________________________
2)	Are any of your children currently on probation or parole?	■ YES	■ NO
	If YES, please explain the circumstance:
	______________________________________________________________________________________________________
	______________________________________________________________________________________________________
	______________________________________________________________________________________________________
3)	Have any of your adult children ever been investigated for allegations of child neglect or abuse?	■ YES	■ NO
	If YES, please explain the circumstances:
	______________________________________________________________________________________________________
	______________________________________________________________________________________________________
	______________________________________________________________________________________________________
4)	Have any of your adult children ever been reported for allegations of domestic violence?	■ YES	■ NO

If YES, please explain the circumstances and outcome:

______________________________________________________________________________________________________

	D.	FAMILY HISTORY

		EDUCATION		HEALTH	DATE OF
RELATIVES’ NAMES	ADDRESS	(Highest Grade OCCUPATION	AGE	HEALTH	DEATH
RELATIVES’ NAMES	ADDRESS	(Highest Grade OCCUPATION	AGE	CONDITIONS	DEATH
		Completed)		CONDITIONS	(If Deceased)
		Completed)			(If Deceased)

FATHER

MOTHER

SIBLING

AD 9 (11/07)

PAGE 3 OF 12

II. SECOND PETITIONER’S INFORMATION

LAST NAME

FIRST NAME

MIDDLE NAME

GENDER

BIRTHDATE

PLACE OF BIRTH

ETHNICITY

RACE

RELIGION

SOCIAL SECURITY NUMBER

DRIVER LICENSE NUMBER

EDUCATION

OCCUPATION

MONTHLY SALARY

(HIGHEST GRADE

COMPLETED)

NAME AND ADDRESS OF EMPLOYER

LENGTH OF EMPLOYMENT

WORK HOURS

WORK TELEPHONE NUMBER

(

)

ARE YOU A UNITED STATES CITIZEN?

DATE OF ARRIVAL IN U.S.

DATE OF ARRIVAL IN

■ YES ■ NO

CALIFORNIA

IF NATURALIZED

ARE YOU A PERMANENT RESIDENT?

ALIEN REGISTRATION NUMBER

DATE:

PLACE:

■ YES ■ NO

A-

NUMBER:

MILITARY SERVICE:

DATE OF SERVICE:

DATE OF DISCHARGE:

■ YES ■ NO

■ HONORABLE

■ DISHONORABLE

CRIMINAL HISTORY

Have you ever been arrested for an offense other than a traffic infraction?

■ YES

■ NO

If YES, please explain the charges and any convictions:

______________________________________________________________________________________________________

Are you currently on probation or parole?

■ YES

■ NO

If YES, please explain the circumstance:

______________________________________________________________________________________________________

Have you ever been investigated for allegations of child neglect or abuse?

■ YES

■ NO

If YES, please explain the circumstances:

______________________________________________________________________________________________________

Have you ever been reported for allegations of domestic violence?

■ YES

■ NO

If YES, please explain the circumstances and outcome:

______________________________________________________________________________________________________

B.FORMER MARRIAGE(S)/REGISTERED DOMESTIC PARTNERSHIP(S) (RDP)

FULL NAME OF FORMER SPOUSE/REGISTERED

DOMESTIC PARTNER

(Give maiden name and current address)

WHERE

(License/Registration Issued in

County/State)

MARRIAGE/RDP

(Date & Place)

DIVORCE/RDP TERMINATION

(Date & Place)

DEATH

(Date & Place)

AD 9 (11/07)

PAGE 4 OF 12

C. CHILD(REN) BORN PRIOR TO CURRENT MARRIAGE/REGISTERED DOMESTIC PARTNERSHIP

FULL NAME OF CHILD

DATE OF

BIRTH

EDUCATION

(Name & Address of School & Grade)

HEALTH CONDITIONS

IF ADOPTED

(Place, Date, Agency)

1)	Have any of your children ever been arrested for an offense other than a traffic infraction?	■ YES	■ NO
	If YES, please explain the charges and any convictions:
	______________________________________________________________________________________________________
	______________________________________________________________________________________________________
	______________________________________________________________________________________________________
2)	Are any of your children currently on probation or parole?	■ YES	■ NO
	If YES, please explain the circumstance:
	______________________________________________________________________________________________________
	______________________________________________________________________________________________________
	______________________________________________________________________________________________________
3)	Have any of your adult children ever been investigated for allegations of child neglect or abuse?	■ YES	■ NO
	If YES, please explain the circumstances:
	______________________________________________________________________________________________________
	______________________________________________________________________________________________________
	______________________________________________________________________________________________________
4)	Have any of your adult children ever been reported for allegations of domestic violence?	■ YES	■ NO

If YES, please explain the circumstances and outcome:

______________________________________________________________________________________________________

	D.	FAMILY HISTORY

		EDUCATION		HEALTH	DATE OF
RELATIVES’ NAMES	ADDRESS	(Highest Grade OCCUPATION	AGE	HEALTH	DEATH
RELATIVES’ NAMES	ADDRESS	(Highest Grade OCCUPATION	AGE	CONDITIONS	DEATH
		Completed)		CONDITIONS	(If Deceased)
		Completed)			(If Deceased)

FATHER

MOTHER

SIBLING

AD 9 (11/07)

PAGE 5 OF 12

III. HOUSEHOLD INFORMATION

MAILING ADDRESS		CITY, STATE, ZIP			HOW LONG AT PRESENT ADDRESS

I. CELLULAR PHONE NUMBER		II. CELLULAR PHONE NUMBER			HOME TELEPHONE NUMBER
(	)	(	)		(	)

If you are a married or registered domestic couple:			If you are an unmarried couple:
DATE OF MARRIAGE/REGISTRATION:			LENGTH OF DOMESTIC PARTNERSHIP/RELATIONSHIP:

PLACE OF MARRIAGE/REGISTRATION:			HAVE YOU FILED A REGISTRATION OF DOMESTIC PARTNERSHIP WITH THE SECRETARY OF STATE?
			■ YES ■ NO
(CITY, COUNTY AND STATE)				IF YES, DATE OF FILING:_______________________________________________

DESCRIBE YOUR HOME (INCLUDE NUMBER OF BEDROOMS & BATHROOMS):

DIRECTIONS TO YOUR HOME:

HAVE YOU EVER HAD ANY PREVIOUS ADOPTIVE PLACEMENT(S)?	■ YES	■ NO IF YES, PLEASE DESCRIBE:

HAVE YOU EVER APPLIED WITH ANOTHER AGENCY?	■ YES	■ NO
IF YES, WHEN AND NAME OF AGENCY:

A.CHILD(REN) OF PETITIONER(S)

FULL NAME OF CHILD

DATE OF

BIRTH

EDUCATION

(Name & Address of School & Grade)

HEALTH CONDITIONS

IF ADOPTED

(Place, Date, Agency)

1)	Have any of your children ever been arrested for an offense other than a traffic infraction?	■ YES	■ NO
	If YES, please explain the charges and any convictions:
	______________________________________________________________________________________________________
	______________________________________________________________________________________________________
	______________________________________________________________________________________________________
2)	Are any of your children currently on probation or parole?	■ YES	■ NO
	If YES, please explain the circumstance:
	______________________________________________________________________________________________________
	______________________________________________________________________________________________________
	______________________________________________________________________________________________________
3)	Have any of your adult children ever been investigated for allegations of child neglect or abuse?	■ YES	■ NO
	If YES, please explain the circumstances:
	______________________________________________________________________________________________________
	______________________________________________________________________________________________________
	______________________________________________________________________________________________________
4)	Have any of your adult children ever been reported for allegations of domestic violence?	■ YES	■ NO

If YES, please explain the circumstances and outcome:

______________________________________________________________________________________________________

AD 9 (10/03)

PAGE 6 OF 12

B.OTHER MEMBERS OF THE HOUSEHOLD

FULL NAME

GENDER

DATE OF BIRTH RELATIONSHIP TO FAMILY

OCCUPATION

1)Have any of these members of the household ever been arrested for an offense other than a

traffic infraction?	■ YES ■ NO
If YES, please explain the charges and any convictions:

______________________________________________________________________________________________________

2) Are any of these members of the household currently on probation or parole?	■ YES ■ NO
If YES, please explain the circumstance:

______________________________________________________________________________________________________

3)Have any of these members of the household ever been investigated for allegations of child

neglect or abuse?	■ YES ■ NO
If YES, please explain the circumstances:

______________________________________________________________________________________________________

4) Have any of these members of the household ever been reported for allegations of domestic violence? ■ YES ■ NO If YES, please explain the circumstances and outcome:

______________________________________________________________________________________________________

IV. BIRTHPARENT/LEGAL PARENT INFORMATION

	BIRTHMOTHER/LEGAL PARENT				BIRTHFATHER/LEGAL PARENT
NAME (LAST, FIRST, MIDDLE)			NAME (LAST, FIRST, MIDDLE)

MAIDEN NAME OR ALIASES			ALIASES

ETHNICITY, RACE		BIRTHDATE	ETHNICITY, RACE			BIRTHDATE

ADDRESS			ADDRESS

TELEPHONE NUMBER			TELEPHONE NUMBER
(	)		(	)

A.PLACEMENT DETAILS

DESCRIBE FULLY HOW YOU FIRST LEARNED OF THE CHILD, IF AND WHEN YOU MET THE BIRTHPARENTS/LEGAL PARENT, AND HOW YOU SECURED THIS CHILD FOR ADOPTION. INCLUDE SPECIFIC INFORMATION PERTAINING TO THE TRANSFER OF CUSTODY AND THE NAME OF ANY INTERMEDIARY INVOLVED.

AD 9 (11/07)

PAGE 7 OF 12

B.EXPENSES RELATED TO ADOPTION

HOSPITAL

ADOPTION SERVICE

PROVIDER

PHYSICIAN

ATTORNEY

BIRTHPARENT/ LEGAL PARENT

OTHER

C.CONCERNING CHILD(REN) TO BE ADOPTED

CHILD #1

CHILD #2

NAME OF CHILD

BIRTHDATE

PLACE OF BIRTH

GENDER

DATE PLACED IN HOME

BIRTHDATE

PLACE OF BIRTH

GENDER

DATE PLACED IN HOME

NAME OF HOSPITAL

ADDRESS OF HOSPITAL

ATTENDING PHYSICIAN

HEIGHT

WEIGHT

EYE COLOR

HAIR COLOR

HEIGHT

WEIGHT

EYE COLOR

HAIR COLOR

HAS THE CHILD EVER BEEN KNOWN BY ANOTHER NAME?

■ YES

■ NO

■ YES

■ NO

CURRENT AGE

CURRENT WEIGHT

CURRENT AGE

CURRENT WEIGHT

DO YOU BELIEVE THE CHILD WAS EXPOSED TO ALCOHOL OR DRUGS IN UTERO?

■ YES

■ NO

■ YES

■ NO

DO YOU BELIEVE OR SUSPECT THE CHILD WAS SUBJECTED TO

PHYSICAL, SEXUAL OR EMOTIONAL ABUSE OR NEGLECT PRIOR

■ YES ■ NO

PHYSICAL, SEXUAL OR EMOTIONAL ABUSE OR NEGLECT PRIOR

■ YES ■ NO

TO PLACEMENT IN YOUR HOME?

IF YES, PLEASE PROVIDE DETAILS:

BRIEFLY DESCRIBE THE ADJUSTMENT OF YOUR CHILD(REN) TO YOUR HOME:

DESCRIBE CURRENT AND FUTURE PLANNED CHILD CARE ARRANGEMENTS:

DESCRIBE, IF ANY, RELIGIOUS TRAINING PLANS OF THE CHILD(REN):

D.SCHOOL INFORMATION (COMPLETE THIS SECTION IF CHILD(REN) ATTENDS SCHOOL)

NAME OF SCHOOL			NAME OF SCHOOL

SCHOOL ADDRESS			SCHOOL ADDRESS

SCHOOL PHONE		GRADE LEVEL	SCHOOL PHONE		GRADE LEVEL
(	)		(	)

REGISTERED NAME		TEACHER’S NAME	REGISTERED NAME		TEACHER’S NAME

AD 9 (11/07)

PAGE 8 OF 12

V.FINANCIAL INFORMATION

MONTHLY INCOME
GROSS WAGES
First Petitioner	. . . . . . . . . . . . . . . . . . . . . . . . .	. .	. . . . . . . . . . . . . . . . . . . . . . . .	$ __________________
Second Petitioner	. . . . . . . . . . . . . . . . . . . . . . . . .	. .	. . . . . . . . . . . . . . . . . . . . . . . .	$ __________________
NET WAGES
First Petitioner	. . . . . . . . . . . . . . . . . . . . . . . . .	. .	$ ______________________
Second Petitioner	. . . . . . . . . . . . . . . . . . . . . . . . .	. .	$ ______________________
OTHER INCOME (interest, property, dividends, etc.)		. .	. . . . . . . . . . . . . . . . . . . . . . . .	$ ___________________
			TOTAL GROSS INCOME	$ ___________________
MONTHLY EXPENSES
Housing (include taxes, insurance, & utilities)		. .	. . . . . . . . . . . . . . . . . . . . . . . .	$ ___________________
Insurance	. . . . . . . . . . . . . . . . . . . . . . . . .	. .	. . . . . . . . . . . . . . . . . . . . . . . .	$ ___________________
Food/Clothing	. . . . . . . . . . . . . . . . . . . . . . . . .	. .	. . . . . . . . . . . . . . . . . . . . . . . .	$ ___________________
Legal Obligations (child support, alimony, etc.)		. .	. . . . . . . . . . . . . . . . . . . . . . . .	$ ___________________
Extraordinary Expenses	. . . . . . . . . . . . . . . . . . . . . . . . .	. .	. . . . . . . . . . . . . . . . . . . . . . . .	$ ___________________
	MONTHLY CONSUMER DEBT PAYMENTS

ITEM	TERMINATION DATE		BALANCE DUE	MONTHLY PAYMENT

		$		$

		$		$

		$		$

		$		$

	TOTAL	$		$

If you own your home, please indicate the following:

Purchase Price	$ ___________________	Balance Due	$ _____________________
FINANCIAL ASSETS
Savings	$ ___________________	Investments	$ _____________________
Stocks, Bonds	$ ___________________	Real Property	$ _____________________
Other Resources	$ ___________________

If you are self-employed or an employer cannot verify your income for some other reason, please attach a copy of your last year’s federal income tax return.

I/We filed both state and federal income tax returns last year.

■ YES ■ NO If NO, state reason: __________________________________________________________________________

I/We have had the occasion to file for bankruptcy.

■ YES ■ NO

If YES, state reason: _________________________________________________________________________

PLEASE USE THIS SPACE TO NOTE ANY ADDITIONAL FINANCIAL INFORMATION THAT YOU BELIEVE THE DEPARTMENT SHOULD BE AWARE OF:

AD 9 (11/07)

PAGE 9 OF 12

VI. INSURANCE

Does your family have health and hospitalization insurance that covers all family members? ■ YES ■ NO

If YES, indicate the name of insurance carrier and address:____________________________________________________________

___________________________________________________________________________________________________________

Name and address of family physician:____________________________________________________________________________

___________________________________________________________________________________________________________

Name and address of pediatrician: _______________________________________________________________________________

___________________________________________________________________________________________________________

What provisions for medical care will be provided for the child(ren)?_____________________________________________________

___________________________________________________________________________________________________________

Check the types of insurance coverage your family has and briefly describe each coverage.

■Life Insurance: __________________________________________________________________________________________

______________________________________________________________________________________________________

■Disability Insurance: ______________________________________________________________________________________

______________________________________________________________________________________________________

■Automobile Insurance: ____________________________________________________________________________________

______________________________________________________________________________________________________

■Renters/Home Owners Insurance: ___________________________________________________________________________

______________________________________________________________________________________________________

■Other Policies: __________________________________________________________________________________________

______________________________________________________________________________________________________

NOTE: California law (Section 1373(c) of the Health and Safety Code, and Sections 10119, 10112, and 11512.1 of the Insurance Code) requires that effective January 1, 1988, all health care service plans provide accident and sickness coverage to each minor child placed for adoption from and after the moment the child is placed in the physical custody of the covered subscriber or enrollee of adoption.

AD 9 (11/07)	PAGE 10 OF 12

VII. ENVIRONMENTAL SAFETY

The following is a list of safety issues and practices. Please check each issue and/or practice that applies to your home. If a situation does not apply to your home, please mark N/A.

■All medications are locked up or stored in a manner to prevent access by children.

■In our automobile(s), safety belts and approved infant and child seats and restraints are use in accordance with state law.

■Operational smoke detectors are used in bedroom areas and in areas that pose a fire risk.

■A charged general purpose fire extinguisher is on hand for emergency use.

■Cleaning supplies, pesticides and other toxic substances are not kept in food storage areas and are inaccessible to young children.

■All hot surfaces, such as wood stoves or fireplace inserts, have been made inaccessible to children with screening or other protective barriers.

■We have an adequate septic and sewage disposal system.

■Electrical outlets and sockets are covered or equipped with protective devices to prevent electrical shock.

■Electrical wiring is enclosed

■Bunkbeds are not used for children under five.

■The temperature of the hot water heater is maintained between 105 - 120 degrees fahrenheit.

■Our family has and all family members are familiar with a fire evacuation plan.

■Our pets are free of disease and pose no physical or health risk to children.

■A first aid kit is in our home.

■A first aid kit is in our car(s).

■Adults in the home have taken a class in cardio-pulmonary resuscitation.

■All guns and ammunition are locked up and guns are unloaded with the firing pins removed.

■The swimming pool/hot tub/spa has either a five-foot fence constructed so that it does not obscure the pool/hot tub/spa from view around it with a self-latching gate or an approved pool/hot tub/spa cover.

■All stairways have a protective barrier or other device to prevent infants or small children from injuries on stairways.

■Our well has been certified free of impurities by the health department or a licensed water inspection company.

AD 9 (11/07)

PAGE 11 OF 12

VIII. REFERENCES

Please give names and addresses of four references who are not related. It is suggested that at least one be a business associate other than an employer, and at least two be friends (preferably with children) who have knowledge of your home environment and lifestyle. Your attorney or physician may not be given as a reference.

FULL NAME	OCCUPATION	STREET ADDRESS	CITY, STATE, ZIP		PHONE NUMBER

				(	)

				(	)

				(	)

				(	)

I/WE AFFIRM THAT THE INFORMATION PROVIDED IN THIS QUESTIONNAIRE IS TRUE AND CORRECT TO THE BEST OF MY/OUR KNOWLEDGE AND UNDERSTAND THAT IT WILL BE SUBJECT TO VERIFICATION BY THE CALIFORNIA DEPARTMENT OF SOCIAL

SERVICES OR A DELEGATED COUNTY ADOPTION AGENCY. I/WE UNDERSTAND THAT THE CALIFORNIA DEPARTMENT OF SOCIAL SERVICES OR DELEGATED COUNTY ADOPTION AGENCY HAS THE AUTHORITY AND RESPONSIBILITY TO PROVIDE INFORMATION TO THE CONSENTING BIRTHPARENTS IN THIS ADOPTION REGARDING MY/OUR SUITABILITY TO PARENT A CHILD AND THE ADJUSTMENT OF THE CHILD IN MY/OUR HOME. I/WE FURTHER AUTHORIZE THE CALIFORNIA DEPARTMENT OF SOCIAL SERVICES OR DELEGATED COUNTY ADOPTION AGENCY TO OBTAIN ANY INFORMATION FROM ANY PUBLIC AND/OR PRIVATE AGENCY, IF NECESSARY FOR THIS ADOPTION PROCEEDING.

SIGNATURE OF FIRST PETITIONER

SIGNATURE OF SECOND PETITIONER

DATE

AD 9 (11/07)

PAGE 12 OF 12

How to Edit California Form Ad 9 Online for Free

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Tips on how to fill in California Form Ad 9 stage 1

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Simple tips to fill out California Form Ad 9 stage 2

3. Within this step, look at LAST NAME, FIRST NAME, MIDDLE NAME, GENDER, I FIRST PETITIONERS INFORMATION, BIRTHDATE, PLACE OF BIRTH, ETHNICITY, RACE, RELIGION, SOCIAL SECURITY NUMBER, DRIVER LICENSE NUMBER, EDUCATION HIGHEST GRADE COMPLETED, OCCUPATION, and MONTHLY SALARY. Each one of these are required to be filled in with highest focus on detail.

Writing segment 3 of California Form Ad 9

4. Filling in Are you currently on probation or, YES NO, Have you ever been investigated, YES NO, Have you ever been reported for, YES NO, B FORMER MARRIAGESREGISTERED, and WHERE is key in the next part - make certain that you spend some time and be mindful with every single empty field!

California Form Ad 9 completion process detailed (stage 4)

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California Form Ad 9 conclusion process clarified (part 5)

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