Adoption Forms

• DHS-222 Adoption Closing Summary
  Rev 03/10
• DHS-605 Not Recommended for Adoption Letter 
  Rev. 02/23
• DHS-606 Child Adoption Assessment Addendum 
  Rev. 02/15
• DHS-607 Adoptive Placement/Adoptive Finalization 

  Rev. 02/19

• DHS-608 Personal Reference Letter 

  Rev. 02/17

• DHS-608-SP Personal Reference Letter (Spanish) 

  Rev. 02/17

• DHS-609 Adoption Checklist 
  Rev. 02/16
• DHS-610 Professional Reference 
  Rev. 02/16
• DHS-611 Adult Child Reference 
  Rev. 02/16
• DHS-611-SP Adult Child Reference (Spanish) 

  Rev. 02/16

• DHS-612 Child Specific Adoption Placement Assessment 

  Rev. 10/22

• DHS-612-CH Adoptive Family Assessment Addendum - Criminal History 
  Rev. 06/16
• DHS-613 Adoptive Placement Supervisory Report 
  Rev. 12/09
• DHS-614 Quarterly Adoption Progress Report 
  Rev. 04/12
• DHS-832 Adoption Payment Exception Request 

  Rev. 02/21

• DHS 1926 Preliminary Adoptive Family Assessment 
  Rev. 01/09
• DHS-1927 Child Adoption Assessment 
  Rev. 11/16
• DHS-3153-A Adoption Application 

  Rev. 06/19

• DHS-3190 Physician's Statement for Adoption 
  Rev. 06/10
• DHS-3217 Adoption Consent Request (Child in Home, No Competing Parties) 

  Rev. 11/23

• DHS-3217-A Adoption Consent Request (Recruited Family or Competing Parties) 

  Rev. 03/23

• DHS-4809,  Intent to Adopt for Current Placement
  Rev. 06/23
• DHS-4809-SP, Intent to Adopt for Current Placement (Spanish) 
  Rev. 06/23
• DHS-4809-AR, Intent to Adopt for Current Placement (Arabic)
  Rev. 06/23
• DHS-4818 Verification of Information Provided to Adoptive Parent(s) 
  Rev. 10/15
• DHS-4818-SP Verification of Information Provided to Adoptive Parent(s) (Spanish) 
  Rev. 10/15
• DHS-5308 Verification of Court Acceptance of Adoption Petition 

  Rev. 06/19

• MDHHS-5445 Competing Party Rate Exception Request 

  Rev. 09/16

• MDHHS-5526, Alternate Care Provider Assessment for Prospective Adoptive Parents 

  Rev. 04/17

• MDHHS-5527 Statement For Alternate Care Provider 

  Rev. 04/17

• MDHHS-5612-A Verification of Tribal Adoption Assistance Safety Requirements 

  Rev. 10/21

• MDHHS-5619 PRIDE Training Referral 

  Rev. 01/20

• MDHHS-5643 Adoptive Family Assessment 

  Rev. 10/22

• MDHHS-5643-A Adoptive Family Assessment Addendum 

  Rev. 11/23

• MDHHS-5749, Grow Training Referral Exception Request 

  Rev. 08/21

• MDHHS-5827, Michigan Children's Institute (MCI) Consent Review 

  Rev. 06/23

• MDHHS-5912 Post Adoption Services in Michigan 

  Rev. 01/23

• MDHHS-5970 Adoption Assistance Application for Previously Adopted Children Who Were Eligible for Adoption Assistance 

  Rev. 11/21

• MDHHS-5996, Legal Packet Supplemental-Adoption Assistance Verification

  Rev. 05/22

• DHS-6006 Young Adult Adoption and Guardianship Assistance Verification of Eligibility

  Rev. 06/22

• MDHHS-6021 Adoption Incentive and Guardianship Payment Request

  Rev. 10/22

• MDHHS-6038, Consideration to Adopt

  New 6/23

• MDHHS-6038, Consideration to Adopt (Arabic) 

New 6/23

• MDHHS-6038, Consideration to Adopt (Spanish) 

  New 6/23

• MDHHS-6044 Consideration to Adopt Response

  New 06/23

• MDHHS-6183 Adoption and Guardianship Payment Request

New 01/25

Adoption Subsidy Forms