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Louisiana Contact Preference Form for Birth Parents of Adopted Children (PAC2)

Official state formAdoptionForm PAC2Free downloadLast verified November 12, 2026

Form for a birth parent to state whether they want contact with an adopted child. It is placed with the original birth certificate in the sealed adoption file and mailed to the Center for Vital Records and Statistics.

Who can use this form

  • A birth mother or parent, or a birth father or parent, of an adopted child.
  • The signer declares the information is true under penalty of perjury.

What to send with it

  • The completed form, signed and dated by the birth parent.
  • The name, city and parish and date of birth exactly as on the original birth certificate, and the birth parents' names before marriage.
  • Your contact choice: contact, contact only through an intermediary, or no contact at this time.

Where to send it

Mail to
Center for Vital Records and Statistics Attn: Pre-Adoption Certificate P.O. Box 60630 New Orleans, LA 70160
State fee
Not provided
Typical processing
Not provided
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Louisiana Contact Preference Form for Birth Parents of Adopted Children (PAC2)