§4 ch27: Permanency Through Adoption
Attachment A Statement of Legal Risk
(SAMPLE)
Statement of Legal Risk
We, ______________________________________, the prospective adoptive parents of _______________________________, have been informed and understand that there is a legal risk involved with this child that needs to be reconciled prior to the adoption being finalized. Furthermore, we have been informed and understand that if the legal risks are not resolved, it may become necessary to remove the child from our home. The legal risks (specify circumstances of specific legal risk)
______________________________________________________________________
______________________________________________________________________
(Specifics regarding visitation with the birth parents or others specific to this placement should be explained here.
_________________________________ ________________
Prospective Adoptive Parent Date
_________________________________ ________________
Prospective Adoptive Parent Date
_________________________________ ________________
Children’s Services Worker Date
_________________________________ ________________
Children’s Services Supervisor I Date