Adoptee Sample Letter Requesting Non-Identifying Information, (NON-ID) 

Department of  Social Services Adoption Program
PO Box 3318
Baton Rouge, LA 70821

Subject: Request for non-identifying information

Reference:
Adoptive (maiden) name:
Adoptee's date of birth:
Hospital, City and County of Birth:
Approx. date/county of finalization:
Adoptive parents full names:
Placement Agency/Maternity home name:

Please send the non-identifying information on my birth-parents. I am interested in their ages, states of birth, usual residences at the time of my birth, religion, education, occupation, physical descriptions and medical background of parents. I am also interested in any non-identifying information for biological grandparents, aunts, and uncles. Do I have any biological siblings and if so, what are their sexes and ages? Were my birth-parents married, and if so when and where? I would also like to know the circumstances of my relinquishment. 

Please send me a Voluntary Registry packet.

Sincerely,
your (current) name
address
city, state, zip code
telephone number

**Must be notarized**

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Protestant Home for Babies, New Orleans, Louisiana
An Adoption Maternity Home
Dedicated to Search and Reunion to find your Birth-family, Birth-mother, and Adoptee