Birthparent 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:
Birthmother Name at time of birth:
Birthfather Name:
Date of Birth (or Approx):
Hospital:
City and County of Birth:
Approx. date/county of finalization:
Placement Agency/Maternity home:

On ______________I gave birth to a son/daughter at (name of hospital) in (name of city) and placed he/she for adoption through (name of agency or private attorney). The purpose of this letter is to clarify the details of this adoption and to request non-identifying information on the placement of my son/daughter.

Please correct or provide the date of birth, sex of the child, maternity home and hospital if necessary, incorrect or unknown.

Also, please send the non-identifying information on the adopting parents. I am interested in their ages, states of birth, states of residence at the time of placement, religion, education and occupation. Did they have or adopt other children, and if so, what are their ages and genders? How long were the parents married before adopting?

(If you have any medical problems mention them here).

Please send me a Voluntary Registry packet.

Thank you,
your current name
address
city, state, zip code
telephone number

**Must be notarized**

Be sure to provide as much information as you can about the adoption. The state will still be able to help you if you are missing the exact date of birth, hospital etc.

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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