Ariz. Admin. Code § R21-5-410 - Information about Birth Parents

A. Before accepting a child for placement, the adoption entity shall make a good faith effort to obtain the following information described in this Section from the child's birth parent, or person having custody of the child:

1. Information about each birth parent including:

a. Name and any aliases used;

b. Address, phone number, and residential history;

c. Date and place of birth;

d. Social security number;

e. Race, citizenship, and any Native American tribal affiliation or membership;

f. Physical description;

g. Name of current employer and employment history;

h. Educational history;

i. Marital history and status;

j. Record of other births and children born to the birth parent;

k. Hobbies;

l. Future plans;

m. Record of arrests or convictions;

n. Medical, psychological, and substance use history;

o. For the birth mother, history of prenatal care, gestational substance or drug abuse, pregnancy, and delivery;

p. Immediate family relationships; and

q. Significant family events.

2. An explanation of the birth parent's decision to place the child for adoption, the factors that influenced the decision, and a record of any counseling the birth parent received concerning the decision.

3. A record of the birth parent's contact with the child.

4. A statement of the birth parent's feelings about future contact with the child.

5. A list of the birth parent's preferences regarding an adoptive home for the child.

6. Medical or psychological history on the birth parent's own parents, siblings, grandparents, aunts, uncles, and first cousins.

7. Information on the child being surrendered for adoption, as appropriate to the age of the child and the child's:

a. Developmental history,

b. Medical and psychological history,

c. Family background,

d. Educational history, and

e. Membership in or affiliation with any Native American tribe.

8. A listing of the birth parent's insurance policies, including:

a. Any insurance that may be available to cover the medical expenses of the birth mother or adoptive child; and

b. The name of the insured, the insurance policy number, and the effective dates of coverage.

B. The adoption entity shall document all statements and information in a permanent record.

Notes

Ariz. Admin. Code § R21-5-410

New section made by exempt rulemaking at 21 A.A.R. 3256, effective 1/24/2016.