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SAMPLE NON-ID LETTER (Adoptee's Version)

June 27, 2017

SAMPLE FOR NON-ID LETTER for Adoptees (Non-Identifying Information from state or adoption agency) 

 

To Whom It May Concern: 

 

My name is (your name). 

I was born on (your d.o.b) in (your town) (State). 
I was adopted at birth by (adopted moms name, maiden name), and (adopted dads name) of (city, state of adopted parents, where they lived at adoption). 


My adoption was finalized in (your county) and was handled by (agency and/or attorney). 


I want to request my full birth name and whether I was named by my birth mother or by a social worker or foster parent. I understand I may only be entitled to "as much information concerning my natural parents as will not endanger the anonymity of the natural parents." I am therefore requesting copies of all original documents with identifying info whited out. If this request cannot be honored, I then request answers to the following: Regarding my natural mother: 

 

1. Age and Date of Birth 
2. Name at time of my Birth

3. Height 
4. Weight 
5. Hair color 
6. Eye color 
7. Education 
8. Religious background 
9. Socio-Economic background 
10. Ethnic origin