Use of form: Use of this form is voluntary. Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.04(1)(m), Wisconsin Statutes].
Instructions: Complete this form to provide feedback on your experience utilizing the Wisconsin Adoption Records Search Program. Evaluations will remain anonymous unless follow-up is requested under Section IV of this form.
Demographic information is collected for data analysis purposes only; results will remain anonymous, and no attempt will be made to identify respondents based on their demographic information.
ONLY COMPLETE THIS SECTION IF YOU WOULD LIKE TO BE CONTACTED FOR EITHER OF THE REASONS LISTED BELOW. If you check one or both boxes in this section, provide your preferred contact information and then sign and date this evaluation form.
If you would like to be contacted but would still like your evaluation to remain anonymous, leave Section IV blank and contact the ARSP at DCFAdoptionSearch@wisconsin.gov or (608) 422-6928 to request follow-up.
DCF-F-5620-E (R. 05/2023)