California Form Ad 9 PDF Details

Form Ad 9 is an important document for any California resident or business. This form is used to report and pay taxes on income, and it's necessary to submit a Form Ad 9 every year. In this blog post, we'll go over what you need to know about Form Ad 9, including when to file it and how to complete it. We'll also provide some tips on how to reduce your tax liability. Thanks for reading!

QuestionAnswer
Form NameCalifornia Form Ad 9
Form Length12 pages
Fillable?No
Fillable fields0
Avg. time to fill out3 min
Other namesAD9 independent adoption questionnaire form

Form Preview Example

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A.

CRIMINAL HISTORY

 

 

 

 

 

 

 

1)

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

 

 

YES

NO

 

If YES, please explain the charges and any convictions:

 

 

 

 

 

 

 

 

 

 

______________________________________________________________________________________________________

 

______________________________________________________________________________________________________

 

______________________________________________________________________________________________________

2)

Are you currently on probation or parole?

 

 

 

 

 

YES

NO

 

If YES, please explain the circumstance:

 

 

 

 

 

 

 

 

 

 

 

______________________________________________________________________________________________________

 

______________________________________________________________________________________________________

 

______________________________________________________________________________________________________

3)

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

 

 

YES

NO

 

If YES, please explain the circumstances:

 

 

 

 

 

 

 

 

 

 

 

______________________________________________________________________________________________________

 

______________________________________________________________________________________________________

 

______________________________________________________________________________________________________

4)

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

DEATH

CONDITIONS

 

 

Completed)

 

(If Deceased)

 

 

 

 

FATHER

MOTHER

SIBLING

SIBLING

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A.

CRIMINAL HISTORY

 

 

 

 

 

 

 

1)

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

 

 

YES

NO

 

If YES, please explain the charges and any convictions:

 

 

 

 

 

 

 

 

 

 

______________________________________________________________________________________________________

 

______________________________________________________________________________________________________

 

______________________________________________________________________________________________________

2)

Are you currently on probation or parole?

 

 

 

 

 

YES

NO

 

If YES, please explain the circumstance:

 

 

 

 

 

 

 

 

 

 

 

______________________________________________________________________________________________________

 

______________________________________________________________________________________________________

 

______________________________________________________________________________________________________

3)

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

 

 

YES

NO

 

If YES, please explain the circumstances:

 

 

 

 

 

 

 

 

 

 

 

______________________________________________________________________________________________________

 

______________________________________________________________________________________________________

 

______________________________________________________________________________________________________

4)

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

DEATH

CONDITIONS

 

 

Completed)

 

(If Deceased)

 

 

 

 

FATHER

MOTHER

SIBLING

SIBLING

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

 

 

 

 

 

 

NAME OF CHILD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BIRTHDATE

 

 

PLACE OF BIRTH

 

 

GENDER

 

DATE PLACED IN HOME

BIRTHDATE

 

 

PLACE OF BIRTH

GENDER

DATE PLACED IN HOME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF HOSPITAL

 

 

 

 

 

 

NAME OF HOSPITAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS OF HOSPITAL

 

 

 

 

 

 

ADDRESS OF HOSPITAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ATTENDING PHYSICIAN

 

 

 

 

 

 

ATTENDING PHYSICIAN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HEIGHT

 

 

WEIGHT

 

EYE COLOR

 

HAIR COLOR

HEIGHT

 

WEIGHT

 

EYE COLOR

 

HAIR COLOR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HAS THE CHILD EVER BEEN KNOWN BY ANOTHER NAME?

 

 

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?

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

 

 

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?

 

 

 

 

 

TO PLACEMENT IN YOUR HOME?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IF YES, PLEASE PROVIDE DETAILS:

 

 

 

 

 

 

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

DATE

AD 9 (11/07)

PAGE 12 OF 12

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