Supplemental Report of Investigation or Visitation Format

The following form can be used as a supporting report of investigation or visitation format for an adoption process in the State of Virginia.

Extracted Text for Proper Search

032-04-0099- 00-eng (08/13)  SUPPLEMENTARY REPORT OF INVESTIGATION
 
(OR VISITATION) FORMAT  
       SUPPLEMENTARY REPORT OF  
VIRGINIA                                    INVESTIGATION (OR VISITATION)  
       BY  (name of agency)  
In The Circuit  Court  of  (city/county)      Agency Case No.   
       Virginia Adoption Case No.  
       Chancery No. (if applicable)  
       (current date)  
 
In Re:   Adoption of ___________________________________  
(child's name)  
  Also Known As _________________________________  
(show all names by which child is known)  
 
      To Be Named ___________________________________  
       By  ___________________________________________  
                  (male petitioner's name)  
          And  __________________________________________  
                  (female petitioner's name)  
___ ______________________________________  
                  (street address)  
                 
__________________________________________  
                  (specify city or county)  
 
To the Honorable (Judge's name), Judge of the Circuit Court of the  
(city/county ): 
 
 
The (name of agency) having submitted a Report of Investigation (or  
Visitation) on (date) makes the following Supplementary Report:  
 
 
Optional Paragraph:  The child to be adopted is a (race and sex)  
born (date of birth) in (place of birth) (state whet her birth information has been verified 
and show birth registration number, if  
available).  He/she is identified as (child's name) on his/her birth  
certificate.  He/she is not related to the petitioners by blood or  
marriage (or state the relationship of t he child to the 
petitioners).

032-04-0099- 00-eng (08/13)  
                  Supplementary Report of Investigation (or Visitation) (Continued) 
 
 
 
Text	:  Include additional information.  Formal headings are not used in the body of the 
report.    	
 
 
Agency's  Recommendation	:  If there is no change, repeat the recom mendation made in 
the prior report.  Include the amount of the fee assessed.    	
 
 
Respectfully submitted, 
 
  ____________________________________ 
Superintendent/Director  
  ____________________________________ 
(name of agency)  
  OR 
 
  John Doe  
Superintendent/Director  
 
  By _________________________________  
   (name and title of person  
    signing report)  
 
Prepared by:  (caseworker's name)  
 
 
NOTE: Please note that all copies of the report are to be signed by the 
Superintendent/Director or designated person as shown above.