OAKLAND COUNTY FAMILY DIVISION – ADOPTION SERVICES AGENCY VOLUNTARY RELEASE/CONSENT INFORMATION SHEET NOTE: This sheet is to be submitted to the Adoption Department prior to scheduling of the Request for Release/Consent Hearing. One sheet for EACH parent, i.e. Child’s Full Legal Name: DOB: Parent’s Full Legal Name: Race: DOB: Social Sercurity No.: Relationship to Child: Sex: Mother Driver’s License No.: Legal Father Putative Father Parent’s Address: City: State: Zip Code: County: Parent’s Telephone Number: Is Parent… currently married? Ever been married? Divorced? Details of Divorce – State/County; Date Final Order Entered; Divorce Number (ATTACH COPY OF DIVORCE DECREE TO INFORMATION SHEET) Parent’s Place of Employment: Address of Place of Employment: INFORMATION ON SIBLINGS OF CHILD (IF KNOWN) NAME DOB SEX SOCIAL SECURITY # WHEREABOUTS PLEASE COMPLETE BACK OF SHEET (IF APPLICABLE) American LegalNet, Inc. www.USCourtForms.com IF PARENT IS A MINOR – COMPLETE THIS SECTION Minor Parent’s Mother’s Name and Address Minor Parent’s Father’s Name and Address If minor parent’s parents are divorced, which parent has custody? (ATTACH COPY OF DIVORCE DECREE TO INFORMATION SHEET) Does minor parent live with custodial parent If not, with whom does minor parent reside (NAME AND RELATIONSHIP) Name of minor parent’s parent serving as Guardian ad Litem Name and relationship of person serving as Guardian ad Litem if not parent or minor parent American LegalNet, Inc. www.USCourtForms.com