ADOPTEES
This is a social history profile about your birth family and the circum- stances leading to your
adoption. You are entitled to this information under Ontario's Child & Family Services Act. If your
adoption was handled through a Children's Aid Society, you must apply to that agency. If it
was handled privately, that is, through a doctor or lawyer, apply directly to the Ministry
(see numbers above). If you do not know who handled your adoption, you may ask your adoptive
parents or other family member, or you can contact the Ministry (see above) and ask.
When applying for non-identifying background information, include as much of the following data as
you know
Full adoptive name and exact date of birth,
city or town where you were born,
full names and
address of adoptive parents when you went to live with them,
your birth name,
and a photocopy of
your birth certificate,
baptismal certificate, or driver's licence.
Non-identifying background information is compiled from the file an agency or the Ministry has about
your birth family.
How much information you can obtain depends wholly upon how much information
was gathered and recorded when you were born, and may include some or all of the following
-ages of birth parents, their parents (ie. birth grandparents) and
siblings (ie. birth aunts and uncles)-birth family's ethnic origin/
nationality/
-languages spoken-descriptions of birth relatives personalities,
hobbies, talents and interests and physical appearances-medical infor-mation
-levels of education attained and general employment history
-religion
-marital status of birth parents, grandparents etcetera
-outline of birth parents' relationship & circumstances leading to your adoption
Your Name
Your Address
Your Postal Code
Your Phone Number
Date:
Childrens Aid Society
I am writing to request non-identifying background information about myself
and my birth family. Enclosed is a copy of my: a)drivers license; b)birth
certificate; or c)baptismal certificate
I was born on........(full date) at........(hospital if known),
I understand that, under the Child & Family Services Act, I am entitled to
certain information about myself and origins. I respectifully request that
this information be forwarded to me, at the above address.
I would further request, that my name and information be submitted to the
Adoption Disclosure Registry.
Thank you for your consideration.
Sincerely,
Adopted name and Birth name if known
in the town/city of
I was adopted by:
My adoptive father's full name:
My adoptive mother's full name:
When I went to live with them, they lived at:.....(address if known)
in.....................(town or city)
