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Independent (Private) Adoptions
Department of Human Services

Independent adoptions fee waiver

 

Oregon licensed adoption agencies which are contracted by the Department to prepare independent adoption reports recognize some prospective adoptive parents with limited financial resources may not be capable of making full payment for preparation and development of required adoption reports. The agencies, on a case by case basis, agree to absorb some costs and accept a reduced fee or full waiver of the fee, considering household income of the prospective adoptive parents.

 

Potential adoptive parent(s) shall not be entitled to any consideration for a waiver unless a request for waiver or reduction of the fee is submitted in writing, along with documentation of household income*.

 

Please include copies of IRS income tax returns fro the last calendar year, copies of pay stubs received for the current year to day, and any other relevant documentation to verify income.

 

  • Household includes all persons who occupy the housing unit.
     
  • Household income includes before tax cash receipts from all sources, such as wages or salaries; allotment, compensations, child support, alimony, public assistance, annuities, grants, interest, winnings, public and private support/assistance payments, regular payments from investments, rents, pensions, entitlements, etc.

Income Waiver Table for the Period 2/1/12 to 1/31/2013

 

 

Size of Household Poverty Guideline Full Waiver (135% pg.) 75% Waiver
(145% pg)		 50% Waiver
(160% pg)		 25% Waiver
(175% pg)
1 $11,170.00 15,079.50 16,196.50 17,872.00 19,547.50
2 15,130.00 20,425.50 21,938.50 24,208.00 26,477.50
3 19,090.00 25,771.50 27,680.50 30,544.00 33,407.50
4 23,050.00 31,117.50 33,422.50 36,880.00 40,337.50
5 27,010.00 36,463.50 39,164.50 43,216.00 47,267.50
6 30,970.00 41,809.50 44,906.50 49,552.00 54,197.50
7 34,930.00 47,155.50 50,648.50 55,888.00 61,127.50
8 38,890.00 52,501.50 56,390.50 62,224.00 68,057.50

 

(Over 8 household, add $3,960 for each additional person.)

 

Please include the documentation of household income.

 

Page updated: January 31, 2012