Complete only if assistance is needed.

KS and MO allow for reasonable pregnancy related expenses for an expecting mom considering adoption, while she is pregnant and usually up to six (6) weeks following placement. Living expense are not meant to be total support, it is expected that a portion of expenses will be paid through employment and/or state assistance, etc.

I understand that all financial support being provided to me is for pregnancy related expenses. It is my intention at this time to place my child for the purpose of adoption with the adoptive family I select through Adoption & Beyond, Inc. In addition, I understand that any support that is provided to me via a Pre-paid Credit Card becomes my responsibility once it is provided to me and I need to budget the money to last. If the Pre-Paid Credit Card is lost or stolen, I understand it will take time to order and receive a replacement card. I also understand cash cannot be withdrawn from the card. I agree to provide my adoption coordinator upon request copies of any bills. I have been made aware that emergency financial support is unavailable, the support being provided will be identified and agreed upon ahead of time.