AAI Intercountry Tracing

Application Form

Section (36) of the Birth Information and Tracing Act (2022)

General Information

Who is this form for?

An adopted person who was born in a place outside the state and who has attained the age of 18 years may apply to the Authority for a tracing service, where he or she is seeking to locate a person in that place for the purpose of

facilitating contact or
requesting futher information in relation to his or her birth, early life, care or any other matter or medical information relating to the adopted person or his or her genetic relative.

Can the applicant nominate someone to act on their behalf?

Yes, an applicant can nominate a friend or family member (Authorised Person) to help them to complete this form and liaise with their allocated social worker. However, the applicant will still need to apply in their own name. Follow up correspondence will be addressed to the applicant. Here is what is required:

The applicant needs to sign or make their mark at the end of this application.
In a separate letter of consent, give the name of the friend or family member who is helping them. Tell us that they are happy to allow the nominated person to act or be contacted on their behalf.
Date and sign or make their mark at the end of the letter of consent.
Contact details for the Authorised Person are to be included in Section
Identification for the Applicant and Authorised Person will also be required.

Let us know if you are you applying on behalf of someone else or applying for yourself*

I am applying on behalf of someone elseI am the applicant

Name*

First NameLast Name

Any other names you may have been known by or may have used in the past.

Date of Birth

DayMonthYear

Address*

Address Line 1

Address Line 2

Address Line 3Address Line 4

Eirode/Zip code

How would you like us to communicate with you?*

EmailPostPhone

Phone (landline/Mobile)*

Area CodePhone Number

Email Address*

example@example.com

Authorised person*

First NameLast Name

Address of authorised person

Address Line 1

Address Line 2

Address Line 3Address Line 4

Eircode/Zip code

How would you like us to communicate with you?*

EmailPostTelephone

Phone Landline/Mobile

Area CodePhone Number

Email Address

example@example.com

*Note: By completing Section 2 you are confirming that the applicant has authorised you to act on their behalf.

Category of person being traced, you can choose one or more options.

Country of Birth*

If you have any details about the person you are tracing, or any other information you feel it would be helpful to share, please include this below

Please upload your Identification and proof of address

Applicants Signature

Date of Application

DayMonthYear

Please upload your identification along with your signed and dated letter of consent.

Authorised person signature

Date application made by authorised person.

DayMonthYear

AAI Intercountry Tracing

Application Form

General Information

Who is this form for?

Can the applicant nominate someone to act on their behalf?

Applicant Detail

Authorised Person Detail

Tracing Service

Applicant: Signature, Identification and Proof of Address

Authorised Person: Signature and Identification