Adoption Disclosure Request for Non-Identifying Information If you wish to receive information from your file, complete the Adoption Disclosure Request for Non-Identifying Information form. Your request will typically be processed within a thirty-day period. However, that time frame begins only after the Society receives a completed application (including proof of identification) and clarification from you as to what information you are seeking. In most cases, you will receive a copy of your file. However, all the identifying information will be redacted, as per the current adoption disclosure legislation. If it is not practical to redact a copy of your file, the Society will provide you with a summary of the involvement. A copy of your identification (i.e. birth certificate, health card, driver’s license) will be required for verification purposes. You may wish to visit Service Ontario at https://www.ontario.ca/page/search-adoption-records for more information about adoption disclosure legislation. Please contact the Adoption Disclosure Department at 519-252-1171 ext 3724 or by email at AdoptionDisclosure@wecas.on.ca if you have any questions. Consent for release of Non-Identifying InformationPrior to providing any information you must provide your consent by clicking the checkbox below. Once you provide your consent the form will become available.Confirmation of identity* By clicking here, I confirm I am the person to whom the information pertains and I release the Windsor-Essex Children’s Aid Society from any liability or consequences pertaining to the release of this information. Applicant DetailsRequest Date* Applicant Name*If no middle name enter spaces into the box First Middle Last Birth Date* Email* Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Daytime Phone*Can a message be left for you at the number provided?* Yes No Applicant must meet one of the following criteria to be eligible (please check the one that applies to you)* An adopted person aged 18 years or older An adopted person under 18 years of age, with adoptive parents written consent A birth parent An adoptive parent A birth grandparent A child of a deceased adopted person, and you are aged 18 or older A sibling of a birth parent, and you are aged 18 or older An adopted person aged 18 or older, applying to receive information about an adopted birth sibling A birth sibling aged 18 or older, applying to receive information about an adopted birth sibling Applicant RelationshipIf applying as a birth relative, indicate your relationship to the adopteeHave you registered with the Adoption Disclosure Register (through ServiceOntario)? Yes No If you registered with the Adoption Disclosure Register, when?Provide proof of identification*email: AdoptionDisclosure@wecas.on.cafax: 519-256-1820mail: Windsor-Essex Children’s Aid Society Attn: Adoption Disclosure 1671 Riverside Drive East Windsor, ON N8Y 5B5To proceed with the request, a copy of photo identification must be provided to confirm your identity. Indicate which method proof will be provided.Have you requested/received any non-identifying information from the Society in the past? Yes No If yes, specify when (approximately):Have you updated your file for the purpose of disclosure? Yes No What information are you requesting?*Family InformationPlease complete the name and birthdate details for family members to the best of your knowledge. This information assists in locating your records. If you do not know the names type "unknown" in each box, if you do not know birthdate leave the box blankAdoptee's Full Birth Name:*Enter "Unknown" if not known First Middle Last Adoptee's Date of Birth: Adoptee’s Full Adoptive Name:*Enter "Unknown" if not known First Middle Last Adoptee's Date of Birth: Birth Mother’s Full Name:*Enter "Unknown" if not known First Middle Last Birth Mother's Date of Birth: Enter "Unknown" if not knownBirth Father's Full Name*Enter "Unknown" if not known First Middle Last Birth Father's Date of Birth: Adoptive Mother's Name:*Enter "Unknown" if not known First Middle Last Adoptive Mother's Date of Birth Adoptive Father's Name:*Enter "Unknown" if not known First Middle Last Adoptive Father's Date of Birth: Δ
