Ohio Application for Adoption File (Adopted Person or Lineal Descendant) (HEA 3011)
Official state formAdoptionForm HEA 3011Free downloadLast verified November 10, 2026
Notarized affidavit signed by an adopted person born in Ohio, or a lineal descendant of the adoptee, to ask the Ohio Department of Health for copies of the contents of the adoption file. It is mailed to the department's Special Registration unit.
Who can use this form
- An adopted person whose birth occurred in Ohio.
- A lineal descendant of the adoptee. The form lists child, grandchild and great-grandchild.
- The adopted person or lineal descendant signs in front of a notary public.
What to send with it
- The completed, notarized application.
- Copies of two items of identification, such as a driver's license, identification card, marriage record, social security card, military identification card or employee identification card.
- Lineal descendants: identification that links them to the adoptee, for example a birth certificate showing that the mother or father is the adoptee.
- A check or money order for the fee, payable to Treasurer, State of Ohio.
- The form warns that other items of identification may be required before the copies are mailed.
Where to send it
- Mail to
- Ohio Department of Health Attn: Special Registration P.O. Box 15098 Columbus, Ohio 43215
- State fee
- $20.00 for copies of the contents of an adoption file.
- Typical processing
- Not provided
- Form revision
- Rev. 03/2025
- Source
- Official government page