Illinois Adoption Registry Surrendered Person Registration Identification
Official state formAdoptionFree downloadLast verified November 10, 2026
Registration identification form for an adult who was surrendered for adoption. It gives birth and agency details so the Illinois Adoption Registry can match records. It is filed with the IARMIE Application at the Division of Vital Records.
Who can use this form
- A person who was surrendered for adoption.
- You must be at least 21 years old.
What to send with it
- This form, filed with the IARMIE Application and the other registration forms.
- A certified copy of your birth certificate if you were not born in Illinois.
Where to send it
- Mail to
- Illinois Department of Public Health Division of Vital Records 110 West Lawrence Avenue Springfield, IL 62704-2610
- State fee
- $15 registration fee, waived when a completed Medical Questionnaire is filed. The fee is stated on the IARMIE Application, not on this form.
- Typical processing
- Not provided
- Source
- Official government page