Letter for Adoptee Referring to a State Agency for aid in Location of Local or Private Agency Records Date

Post-Adoption Consultant
State Agency
Address
City, State
Dear Consultant:
I need to discover the name and location of the agency that handled my adoption. Please include information if this agency is still in operation and, if not, where my files may be found.
Name: (give adoptive name)
Date of Birth: (as you know it)
Sex and Race:
Name of Adoptive Parents:
Court record number:(if known)
I appreciate your time and effort on this matter.
Sincerely,

(your signature) also know as: (list maiden name if married female) address:
City, State
Note: you may wish to include a copy of your amended birth certificate.