I-800A Immigration and Clearance Language

I-800A Immigration and Clearance Language

In a direct question asked by this worker of insert husband’s full name as to whether he has any history as either a victim or offender of any physical, sexual, emotional, child, alcohol or substance abuse, or domestic violence even if such history did not result in an arrest or conviction, insert husband’s full name answered “No, not in the United States or abroad.” In a direct question asked by this worker of insert husband’s full name as to whether he has any history of an arrest, even if such an arrest did not result in a conviction, he answered “No, not in the US or abroad.”

Upon direct questioning by this worker as to whether or not insert husband’s full name has ever had a previous adoptive home study completed, ever began a home study process in relation to an adoption or to any form of foster or other custodial care of a child that was not completed, or have at any time been rejected or denied as a prospective adoptive parent or have ever been the subject of an unfavorable family assessment, insert husband’s full name answered “No.”

In a direct question asked by this worker of insert wife’s full name as to whether she has any history as either a victim or offender of any physical, sexual, emotional, child, alcohol or substance abuse, or domestic violence even if such history did not result in an arrest or conviction, insert wife’s full name answered “No, not in the United States or abroad.” In a direct question asked by this worker of insert wife’s full name as to whether she has any history of an arrest, even if such an arrest did not result in a conviction, ahe answered “No, not in the US or abroad.”

Upon direct questioning by this worker as to whether or not insert wife’s ’s full name has ever had a previous adoptive home study completed, ever began a home study process in relation to an adoption or to any form of foster or other custodial care of a child that was not completed, or have at any time been rejected or denied as a prospective adoptive parent or have ever been the subject of an unfavorable family assessment, insert wife’s full name answered “No.”

The insert name of law enforcement entity local law enforcement check where insert husband’s full name resides, confirmed on insert date of report that he does not have a criminal record in that locality. A criminal records check conducted by the Florida Department of Law Enforcement dated insert date of report was received with the result of “no records found” for insert husband’s full name.

Since the age of 18, insert husband’s full name has lived in Florida, state 2, state 3, and state 4. A background screening through the Florida Department of Children and Families Abuse Registry was completed on insert date of report and indicated no reports of abuse or neglect against insert husband’s full name . A background screening through the insert name of DCF entity on insert date of report indicates no reports of child abuse/neglect in the state of insert state 2 for insert husband’s full name . A background screening completed by the the insert name of DCF entity on insert date of report , indicates to reports of child abuse/neglect in the state of insert state 3 for insert husband’s full name . A background screening through the the insert name of DCF entity on insert date of report , indicates no reports of child abuse/neglect in the state of insert state 4 for insert husband’s full name.

The insert name of law enforcement entity local law enforcement check where insert wife’s full name resides, confirmed on insert date of report that she does not have a criminal record in that locality. A criminal records check conducted by the Florida Department of Law Enforcement dated insert date of report was received with the result of “no records found” for insert wife’s full name .

Since the age of 18, insert wife’s full name has lived in Florida, state 2, state 3. A background screening through the Florida Department of Children and Families Abuse Registry was completed on insert date of report and indicated no reports of abuse or neglect against insert wife’s full name . A background screening through the insert name of DCF entity on insert date of report indicates no reports of child abuse/neglect in the state of insert state 2 for insert wife’s full name . A background screening completed by the insert name of DCF entity on insert date of report , indicates to reports of child abuse/neglect in the state of insert state 3 for insert wife’s full name .

insert husband’s full name and insert wife’s full name will be fingerprinted by USCIS for FBI clearance.

insert number references were obtained all attesting to the good moral character of insert first names and last name of family and the belief that they would make wonderful parents to an adoptive child. It is the assessment of this social worker that insert first names and last name of family are suitable for the upbringing of children and meet the State of Florida Pre-adoptive requirements.

The adoptive applicants, insert first names and last name of family meet the requirements to adopt from China (as posted on the CCAA website [dated 10.10.05] under the heading “What requirements should the adopters meet?”). They are over the age of 30 years, they have the capacity for rearing and educating an adoptive child, and they do not have any disease that would make them considered medically unfit for adoption. They will be adopting an abandoned child from a social welfare institute.

Additionally, insert first names and last name of family meet the eligibility requirements listed on the US Department of State’s webpage titled “New Regulations for Adopting from the People’s Republic of China.” (It should be noted these posted guidelines can be waived by the China Center of Adoption Affairs on a case-by-case basis.) They have been married for at least two years, are between the ages of 30 and 50, are physically and mentally fit, have stable employment and a combined income of over $10,000 per member of the household (including the child to be adopted), are high school graduates, have less than 5 minor children currently living in their home, do not have a significant criminal record, have demonstrated the ability to provide the care needed to meet the needs of an orphaned child, and have agreed to complete all post-adoption requirements of the country

Home Study Preparer’s Authority to Conduct Home Studies, Declarations, and Signature

Since the State of Florida does not require third party verification, this home study report is being sent directly to the United States Citizenship and Immigration Services for processing.

Insert preparer name (and title) if applicable, certifies that insert he or she as applicable J is authorized under 22CFR, part 96,to complete home studies for Convention adoption casesthrough Chinese Children Adoption International, which is a fully licensed agency with the authority to complete home studies, and is licensed through the State of Florida, certificate #18-3022-000-08 with an expiration date of December 14, 2009. This worker is additionally approved to perform home studies under the license of Chinese Children Adoption International, Inc., a private child placement agency licensed by the State of Florida Department of Children and Families to place children for adoption and to conduct home studies in Florida.

Chinese Children Adoption International, Inc. is accredited to provide adoption services in connection with adoptions under The Hague Convention Protection of Children and Co-Operation in Respect of Intercountry adoption. The certificate of accreditation was issued 4/1/08 and expires on 4/1/12. The agency’s license number is 83179 and is renewed annually. The current license is valid through September 2009.

In accordance with 8 CFR 204.311(f) the home study preparer declares under penalty of perjury under United States law that:

1. The home study preparer personally, and with professional diligence reasonably necessary to protect the best interests of any child(ren) the applicants might adopt, conducted the home study (including personal interviews, home visits, and all other aspects of the investigation needed to prepare the home study report).

2. The factual statements in the home study are true and correct to the best of the signer’s knowledge, information, and belief.

3. The home study is a true and accurate copy of the home study that was provided to the prospective adoptive parents and immigration.

4. The home study preparer has advised the applicants of the duty of candor and has informed the adoptive applicants of their duty to disclose all information, and the consequences should they fail to disclose any information for questions asked. Further, this worker has advised the applicants of their duty of candor under paragraph (d) of this section, specifically including the on-going duty under paragraph (d)(2) of this section concerning disclosure of new events or information warranting submission of an updated or amended home study.

Respectfully submitted,

______

Insert your name/title and sign above Date