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Get Ad904a Waiver Form

2. 3. Please complete entire form. This form must be witnessed by either a representative of the California Department of Social Services (CDSS) or a California (CA) licensed adoption agency, or notarized by a Notary Public.* If the signing of this form is witnessed by the CDSS or a California licensed adoption agency representative, photo identification of the person signing must be obtained and noted on this form. THIS FORM WILL BE RETURNED TO YOU IF IT IS NOT WITNESSED OR NOTARIZED. The w.

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