About Adoption Jigsaw

Postcard Project

"Adoption Secrets"

What is the Project?

View Postcards.

Adoption Books
Adoption Jigsaw stock a range of quality books for your reading. Find out more about how to buy these books.

Join Adoption Jigsaw
Adoption Jigsaw is only partially government funded, and as a result, we're always after new members. Your Contribution can help worthwhile projects.

Reconnections
Adoption Jigsaw has conducted over 3550 reconnections. We're hoping for many more...

Contact Register

To be placed on Adoption Jigsaw's contact register and/or or have a WA DCD contact register form mailed to you, please fill in your details below and click the 'Send' button at the bottom.

When DCD receive your completed form, they will:

check whether there is a veto
check whether there is a contact register match
compile non-identifying information – ie information known about your birth parents at the time of your birth
arrange for court records to be sent to you
send you a letter of authority to enable you to apply for the relevant birth certificate.

Please note this can take a couple of months.

If you want your name on Adoption Jigsaw's contact register and/or to receive a DCD form, fill in the form below. Only fill in those details you know for sure, otherwise leave blank.

Your Contact Details

*How are you involved in adoption?
If other, please specify:
*First Name:
*Surname:
*DOB:	/ /
*Address:
*Suburb:
*State:	Post Code:
Ph(home):
Ph(work):
Mobile:
*Email:
*Can we leave a message identifying Jigsaw at these phone numbers?
Yes No
Comment if 'Yes' above:
*Where did the adoption take place?:
If other, please specify:
*Have you previously applied for information about your adoption?
Yes No
If yes, what do you have:
* Essential information
Adoption Jigsaw Contact Register Birth Details (name given at birth - not adoptive name):
Original Name of Adoptee - Surname:
Given Names:
Gender:
DOB:	/ /
Place of Birth
Birthmother
Name at time of birth
DOB:	/ /
Occupation at time of birth:
Age at time of birth:
Marital status at time of birth:
Nationality:
Current name:
Birthfather
Name at time of birth
DOB:	/ /
Occupation at time of birth:
Age at time of birth:
Marital status at time of birth:
Nationality:

Who do you want contact with?
The following questions are optional, your answers will enable us to understand your situation and better prepare for contact. Adoptees Have you had contact with any member of your birth family? Yes No
If yes, with whom:
Do your adoptive parents know of your interest? Yes No
Birthmother
If you have a husband/partner, does he know? Yes No N/A Have you had other children? Yes No If yes, do they know? Yes No If the birthfather registers can we tell him of your registration? Yes No
Birthfather
If you have a wife/partner, does she know? Yes No N/A Have you had other children? Yes No If yes, do they know? Yes No If the birthmother registers can we tell her of your registration? Yes No
Child of birth parent
Does your mother/father know you are registering? Yes No If yes, do you have their support? Yes No Does your mother/father want contact with the adoptee? Yes No
Others
How are you involved?
Can we tell anyone of your interest? Yes No
Is there anything else we need to know?
*What action do you want taken?