Arizona Contact Preference Form for Birth Parents of Adopted Children
Official state formAdoptionFree downloadLast verified November 10, 2026
Lets a birth parent say whether they want contact with the adoptee (directly, through an intermediary, or not at this time) if the original birth certificate is released under A.R.S. 36-340(D). It is mailed to the Bureau of Vital Records in Phoenix.
Who can use this form
- The birth mother or birth father of an adopted child.
- The form asks birth parents to give their name as it appears on the child's original (pre-adoption) birth certificate.
What to send with it
- The completed form.
- It can be filed with the finalized adoption order. If it is not, it can be mailed to the Bureau of Vital Records later.
- To change the preference later, file an amended (new) contact preference form.
- A birth parent may also complete a medical history form along with this form.
Where to send it
- Mail to
- The Bureau of Vital Records P.O. Box 6018 Phoenix, Arizona 85005
- State fee
- Not provided
- Typical processing
- Not provided
- Form revision
- Revision Date: 09/24/2025
- Source
- Official government page