CHECKLIST Report of Intention to Adoption 23 Pa.C.S.A. §2531, §2532 (This report is not required when proposed adopter(s) are related to the adoptee as set froth in 23 Pa.C.S.A. §2531(c)). ____ Report ____ Attorney caption: Name, Address, Telephone #, Attorney ID # ____ Signed by proposed adoptive parent(s) ____ Verified by proposed adoptive parent(s) ____ Pre-placement Report (23 Pa.C.S.A. §2531(b)(7)) NOTE: In order to initiate adoption proceedings, this Report must be filed within thirty (30) days of the date of receipt of the custody or physical care of the child. 23 Pa.C.S.A. §2532. American LegalNet, Inc. www.USCourtForms.com