Central Registry Search Instructions

1. The CPS form can be found here with additional form instructions and our agency’s information provided to receive the results.

2. Type all requested information into the form (this is a fillable PDF).

3. Choose the purpose of the search (in most cases, “Adoptive Parent” if completing a home study for adoption).

4. Fill in the following information where it says MAIL SEARCH RESULTS TO:

Family Life Services, PO Box 4199, Lynchburg, VA 24502

Contact Name: Deanne Hamlette, 434-845-5334, deanne.hamlette@familylifeservices.org

5. Make sure to fill in the Agency Code box - U10429

6. Page two has additional space, if needed, for more children in the family.

7. Complete ALL fields. If the field does not apply, write N/A.

8. Dates of birth are REQUIRED for all persons listed on the form, it cannot be left blank.

9. Marital status is also REQUIRED.

10. The middle name should be the middle name given at birth. If you do not have one, type NMN in place of the middle name.

11. A maiden name is the last name given at birth, this should not be a previous married name.

12. The form should NOT contain WHITE OUT or WHITE OUT TAPE, or the appearance of any alterations.

13. All forms have a scan bar at the bottom. Do not write in the area near or within this scan bar.

14. Payments accepted: money order, cashier check or business check only; made out to VA Department of Social Services. NO OTHER FORMS OF PAYMENT ARE ACCEPTED. The fee is $10.00.for each request form. If multiple forms are mailed together the payment can be combined into one money order.

15. Make sure to sign the form and mail to the address listed on the form with the required payment. The Office of Background Investigations will send the results to FLS when the search has been completed.