back|  <<Child Welfare Manual>>
<< Chapter 1 >> |<<Previous>>

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

Chapter Memoranda History: (prior to 1/31/07)

 CD04-73, CD06-47,

Memoranda History: