e
e
e

Below you will find the forms needed to begin the homestudy process.  Please sent them completed to: Adoption Services Incorporated, 2185 Wickersham Lane, Germantown TN, 38139.  Call Ellen Rardin at (901) 753-9089 or email at ellen.rardin@gmail.com with any questions.

In order to view and download the forms, you will need a copy of Adobe Acrobat Reader, or Adobe Acrobat.  Adobe Acrobat Reader is free for download, please click on the logo to the right, a new window will open, and you will be taken to the download web site. Right click to download them to your computer for printing later.

Forms: 

Adoption Application Form - 131K
(This is an interactive form that can be completed on your computer with Acrobat Reader. Save the file and email it to ellen.rardin@gmail.com.)

Checklist - 76K

Medical Checklist - 107K

Official Release of Information to Sherriff's Office - 91K

Authorization For Release of Information and Waiver of Liability for Criminal Record/Child Abuse Registry - 845K

Contract to Employ - 906k

Home Study Procedures - 15k

Financial Form - 21k
(This is an interactive form that can be completed on your computer with Acrobat Reader. Save the file and email it to ellen.rardin@gmail.com.)

Fingerprint Instructions:

Fingerprint Applicant Information Form

The Tennessee Bureau of Investigation provides a national criminal record check through L 1 Identity Solutions,a private company.

To select your agency, click on the category Non-DCS Child Care Providers, then choose the appropriate applicant type, and then enter your agency ORI number.

You can also register by calling 855-226-2937, be sure to tell the Customer Service Representative your agency is under Non-DCS Child Care Providers category, then the appropriate applicant type ,Adoption. It has been most clients experience that it can be easier to make appointments for electronic fingerprinting by telephone. They will take your credit card information by phone as well. The representative will assign and time and place for you to have you fingerprints taken. The representative will ask you for thr agency ORI NUMBER which is TNCC 79079. This number connects the clients with the agency. A report will be sent directly to the agency after the TBI runs the fingerprints.

 

 

 

 


Adoption Counseling Services | 2185 Wickerham Lane | Germantown, TN 38139 | P: (901) 753-9089 | Email
Home | Birth Parents | Adoptive Parents | Contact | Links | Services | Bulletin Board | Forms


All content and images are copyrighted to Ellen Rardin and Adoption Counseling Services.
Site designed and maintained by PIP Printing and Marketing Services of Memphis, Tennessee. Visit us at www.digitalpip.com.