Adult Foster Care Inquiry – Alabama Department of Human Resources

Please use this form to make inquiries regarding adult foster care. For all other inquiries, please email us by clicking here.

Personal Information

First Name: Last Name: Date of Birth (mm/dd/yyyy):

Who Else Lives In Your Home?

First Name	Last Name	Relationship	Date of Birth (mm/dd/yyyy)
First Name 1	Last Name 1	Relationship 1	Date of Birth 1
First Name 2	Last Name 2	Relationship 2	Date of Birth 2
First Name 3	Last Name 3	Relationship 3	Date of Birth 3
First Name 4	Last Name 4	Relationship 4	Date of Birth 4
First Name 5	Last Name 5	Relationship 5	Date of Birth 5

Tell Us Where You Live

Street: Street (cont): City: State: Zip Code: County:

We Have A Few Questions

Have You Ever Fostered Before? If Yes: When and Where? Has A Home Study Ever Been Done On Your Home? If Yes: What Was The Agency/County DHR Name? What Was The Social Worker's Name?

Tell Us Your Contact Information

Home Phone Number Phone Format: (xxx) xxx-xxxx
Work Phone #1: Work Phone #2: Email Address: Best Time: Preferred Method: Preferred Language Spoken: If "Other", Please Specify: Preferred Language Written: If "Other", Please Specify:
How did you hear about adult foster care? Other, Specify: