U.N. Form & Instructions for Reporting Adoption Abuses to the United Nations Return to Human Rights & Adoption

THE UNITED NATIONS IS LISTENING!! E-mail the U.N. about your own adoption horror story (or use U.S. Mail with enclosures), or about someone else's adoption problems (no matter how old or recent the adoption), or about Child Trafficking for adoption or other purpose, or about CPS unjustly taking children for adoption or if you suspect any "Severe Risk of a Child Becoming a Victim of CPS and/or the Adoption Industry" (you can ask that your name be kept confidential and CPS will not know of your complaint).

You can email informally to the email address below, OR follow the UN's suggested format per the form below for detailing your story.

1. Cut and paste the UN's form below, onto an e-mail;
2. Enter a very brief opening message summarizing the nature of what you are reporting, below "Dear Dr. Petit,";
3. Enter your information as requested on the form, as it pertains to your specific case;
4. Subject (in Subject box above message) as follows:
   Special Rapporteur, Sale of Children
5. At end of Form (where indicated) include info on how to contact you
6. Address your E-mail to Mara Steccazzini & send to: msteccazzini@ohchr.org (and cc to: webadmin.hcr@ohchr.org)

ATTN:  Dr. Juan Miguel Petit
Special Rapporteur on Sale of Children
Office of the High Commissioner for Human Rights
United Nations at Geneva
8-14 ave de la Paix
1211 Geneva 10
Switzerland

RE:  Sale of Children for Adoption in the United States,
     and/or Trafficking (and/or Severe Risk of Being
     Victim of Such Offenses)

Dear Dr. Petit,

                                 INFORMATION SHEET

1. GENERAL INFORMATION

- Does the incident involve an individual or a group?
 (Please mark with an X)

- If it involves a group please state the number of
  people involved and the characteristics of the group:
- Number of boys/adolescents:
- Number of girls/adolescents:

- Country in which the incident took place:

- Nationality of the victim(s):

2. IDENTITY OF THE PERSONS CONCERNED

Note: if more than one person is concerned, please attach
relevant information on each person separately.

- Family name:

- First name:

- Sex:

- Birth date or age:

- Nationality(ies):

- Ethnic background (if relevant):


3. INFORMATION REGARDING THE ALLEGED VIOLATION

- Date:

- Place (location/country):

- Time:

- The nature of the incident (please describe the
  circumstances of the incident)

- Number of offender(s):

- Are the offender(s) known to the victim?

- Nationality of offender(s)

- Agents believed to be responsible for the alleged violation:

- State agents (specify):

- Non-State agents (specify):

- If it is unclear whether they were state or non-state agents, please
  explain why.

- If the perpetrators are believed to be State-agents, please specify
  (military, police, agents of security services, unit to which they
  belong, rank and functions, etc.), and indicate why they are believed
  to be responsible; be as precise as possible.

- If an identification as State agents is not possible, do you believe
  that Government authorities or persons linked to them, are responsible
  for the incident, why?

- If there are witnesses to the incident, indicate their names, age,
  relationship and contact address. If they wish to remain anonymous,
  indicate if they are relatives, by-passers, etc.; if there is
  evidence, please specify.



4. STEPS TAKEN BY THE VICTIM, HIS/HER FAMILY OR ANY ONE ELSE ON HIS/HER
BEHALF?

- Indicate if complaints have been filed, when, by whom, and before
  which State organization

- Other steps taken

- Steps taken by the authorities:

- Indicate whether or not, to your knowledge, there have been investigations
  by the State authorities; if so, what kind of investigations? Progress
  and status of these investigations; which other measures have been taken?

- In case of complaints by the victim or its family, how have the organs
  dealt with them? What is the outcome of those proceedings?


5. IDENTITYOF THE PERSON OR INSTITUTION SUBMITTING THIS FORM

- Family name

- First name

- Status: individual, group, non-governmental organization,
  inter-governmental agency, Government. Please specify:

- Contact number or address (please indicate country and area code)
- Fax
- Telephone
- Email

- Please state whether you want your identity to be kept confidential

- Date you are submitting this form