Adoption And Surrogacy Benefit Form

This form must be submitted within 12 months of the date that you took custody of the child under an adoption or surrogacy arrangement. for more information, please read the policy below BUMG Adoption and Surrogacy Benefit Policy

 
 
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I am applying for the BUMG benefit for adoption or surrogacy. I certify that I have read the BUMG Adoption and Surrogacy Benefit Policy and am eligible for this benefit. I am confirming that I am in the custody, care and control of a child (or children) that was placed with me through adoption or surrogacy for the first time and that no more than 12 months have elapsed since this event, or if I am adopting a child previously placed with me through foster care or any other arrangement no more than 12 months have elapsed since the adoption was finalized. If this is an adoption, I certify that the child (or children) is unrelated to me and is not the child of a spouse, partner, or relative.