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Public Act 096-0895 |
HB5428 Enrolled |
LRB096 17882 AJO 33250 b |
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AN ACT concerning civil law.
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Be it enacted by the People of the State of Illinois,
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represented in the General Assembly:
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Section 5. The Adoption Act is amended by changing Sections |
18.04, 18.05, 18.06, 18.07, 18.1, 18.1a, 18.1b, 18.2, 18.3, |
18.3a, 18.5, and 18.6 as follows:
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(750 ILCS 50/18.04)
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Sec. 18.04. Original Birth Certificate Access The Illinois |
Adoption Registry and Medical Information
Exchange ; |
legislative intent. The General Assembly recognizes that it is |
the basic right of all persons to access their birth records, |
and, to this end, supports public policy that allows an adult |
adoptee to access his or her original birth certificate. The |
General Assembly further recognizes that there are |
circumstances under which a birth parent may have compelling |
reasons for wishing to remain anonymous to a child he or she |
surrendered for adoption. In an effort to balance these |
interests, the General Assembly supports public policy that |
releases a non-certified copy of the original birth certificate |
to an adult adopted person upon request unless a specific |
request for anonymity has been filed with the Registry by a |
birth parent named on the original birth certificate the |
importance
of creating a procedure by which mutually consenting |
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adult members of birth
and adoptive
families, and adult adopted |
or
surrendered persons may voluntarily exchange vital medical |
information
throughout the life of the adopted or surrendered |
person. The General Assembly
supports public policy that |
requires explicit mutual consent prior to the
release of |
confidential information. The General Assembly
further |
recognizes that it is in the best interest of adopted and |
surrendered
persons that birth family medical histories and the |
preferences regarding
contact of all parties to an adoption be |
compiled, preserved and provided
to mutually consenting |
members of birth and adoptive families .
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(Source: P.A. 94-173, eff. 1-1-06.)
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(750 ILCS 50/18.05)
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Sec. 18.05. The Illinois Adoption Registry and Medical |
Information
Exchange. |
(a) General function. Subject to appropriation, the |
Department of Public
Health shall administer the Illinois |
Adoption Registry and
Medical Information Exchange in the |
manner outlined in subsections
(b) and (c) for the purpose of |
facilitating the voluntary exchange of identifying and
medical |
information between mutually consenting members of birth and |
adoptive families.
The Department shall establish rules for the |
confidential operation of the
Illinois Adoption
Registry. The |
Department shall appoint an OBC-Access Public Information |
Campaign Oversight Committee comprised of, but not limited to, |
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representatives of the Department of Public Health and the |
Department of Children and Family Services, as well as |
representatives of the organizations that serve, as of the |
effective date of this amendatory Act of the 96th General |
Assembly, on the Illinois Adoption Registry Advisory Council or |
the Confidential Intermediary Advisory Council. On and after |
the effective date of this amendatory Act of the 96th General |
Assembly, the OBC-Access Public Information Campaign Oversight |
Committee shall develop and ensure the timely implementation of |
a year-long, nationwide campaign to be conducted from November |
1, 2010, through October 31, 2011, for the express purpose of |
informing the public in earnest about the conditions under |
which an adult adopted or surrendered person may receive a |
non-certified copy of his or her original birth certificate, |
and the procedures pursuant to which a birth parent may file a |
Birth Parent Preference Form to express his or her wishes with |
respect to contact with a surrendered son or daughter and the |
release of identifying information that appears on the original |
birth certificate. This year-long informational campaign shall |
include, but not be limited to: |
(1) Public service announcements to be distributed to local |
and national radio and television stations. |
(2) Notices to be distributed throughout Illinois to |
physicians' offices, religious institutions, social welfare |
organizations, retirement homes, and other entities capable of |
reaching individuals who may be impacted by this change in the |
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law. |
(3) An informational website exclusively devoted to |
providing the general public with information about the new law |
as well as other forms of free electronic media. |
(4) Press releases to be distributed to local and national |
radio and television stations, as well as to relevant websites. |
(5) Announcements about the new law to be posted on the |
websites of all adoption agencies licensed in the State. |
(6) Notices accompanying every vehicle registration |
renewal application issued by the Secretary of State's office |
between October 31, 2010, and November 1, 2011. |
(7) Notices enclosed with driver's license renewal |
applications issued by the Secretary of State's office |
beginning 30 days after the effective date of this amendatory |
Act of the 96th General Assembly and through November 30, 2014. |
conduct a public
information campaign through public service |
announcements
and other forms of media coverage and, until |
December 31, 2010, through
notices enclosed with driver's
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license renewal applications, shall inform
the public of
the |
Illinois Adoption Registry and Medical Information Exchange. |
The Illinois
Adoption
Registry shall also
maintain an |
informational Internet site where interested parties may |
access
information about the Illinois Adoption Registry and |
Medical Information
Exchange and download all necessary |
application forms. The Illinois Adoption
Registry
shall |
maintain statistical records regarding Registry participation |
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and publish
and circulate to the public
informational material
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about the function and operation of the Registry.
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(b) Establishment of the Adoption/Surrender Records File. |
When a person has
voluntarily registered with
the Illinois |
Adoption Registry and completed an Illinois Adoption Registry
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Application or a Registration Identification Form, the |
Registry shall establish
a
new Adoption/Surrender Records |
File. Such file may concern
an adoption that was finalized by a |
court action in the State of Illinois, an
adoption of a person |
born in Illinois finalized
by a court action in a state other |
than Illinois or in a foreign country, a
surrender taken in the |
State of Illinois, or an adoption filed according to Section |
16.1 of the Vital Records Act under a Record of Foreign Birth |
that was not finalized by a court action in the State of |
Illinois. Such file may be established for
adoptions or |
surrenders finalized prior to as well as after the effective |
date
of this amendatory Act. A file may be created in
any |
manner to preserve documents including but not limited to |
microfilm,
optical imaging, or electronic documents.
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(c) Contents of the Adoption/Surrender Records File. An |
established
Adoption/Surrender
Records File shall be limited |
to the following items, to the extent that they
are
available:
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(1) The General Information Section and Medical |
Information Exchange
Questionnaire of any Illinois |
Adoption Registry Application or a Registration
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Identification
Form which
has been voluntarily completed |
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by any registered party.
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(2) Any photographs
voluntarily provided
by any |
registrant for any other registered party at the
time of |
registration or any time thereafter.
All such photographs |
shall be submitted in an unsealed
envelope no larger than 8 |
1/2" x 11", and shall not include identifying
information |
pertaining to any person other than the registrant
who |
submitted them.
Any such identifying information shall be |
redacted by the Department or the
information shall be |
returned for removal of identifying information.
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(3) Any Information Exchange Authorization , or Denial |
of Information
Exchange , or Birth Parent Preference Form
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which has been filed by a registrant.
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(4) For all adoptions finalized after January 1, 2000, |
copies of the
original certificate of live birth and the |
certificate
of adoption.
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(5) Any updated address submitted by any registered |
party about himself or
herself.
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(6) Any proof of death that which has been submitted by |
a registrant.
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(7) Any birth certificate that has been submitted by a |
registrant.
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(8) Any marriage certificate that has been submitted by |
a registrant.
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(9) Any proof of guardianship that has been submitted |
by a registrant.
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(10) Any Request for a Non-Certified Copy of an |
Original Birth Certificate that has been filed with the |
Registry by an adult adopted or surrendered person or by a |
surviving adult child or surviving spouse of a deceased |
adopted or surrendered person who has registered with the |
Registry. |
(d) An established Adoption/Surrender Records File for an |
adoption filed in Illinois under a Record of Foreign Birth that |
was not finalized in a court action in the State of Illinois |
shall be limited to the following items submitted to the State |
Registrar of Vital Records under Section 16.1 of the Vital |
Records Act, to the extent that they are available: |
(1) Evidence as to the child's birth date and |
birthplace (including the country of birth and, if |
available, the city and province of birth) provided by the |
original birth certificate, or by a certified copy, |
extract, or translation thereof or by other document |
essentially equivalent thereto (the records of the U.S. |
Citizenship and Immigration Services Immigration and |
Naturalization Service or of the U.S. Department of State |
to be considered essentially equivalent thereto). |
(2) A certified copy, extract, or translation of the |
adoption decree or other document essentially equivalent |
thereto (the records of the U.S. Citizenship and |
Immigration Services Immigration and Naturalization |
Service or of the U.S. Department of State to be considered |
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essentially equivalent thereto). |
(3) A copy of the IR-3 visa. |
(4) The name and address of the adoption agency that |
handled the adoption.
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(Source: P.A. 94-173, eff. 1-1-06; 94-430, eff. 8-2-05; 95-331, |
eff. 8-21-07.)
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(750 ILCS 50/18.06)
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Sec. 18.06. Definitions. When used in Sections
18.05 |
through Section 18.6, for the purposes of the Registry:
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"Adopted person" means a person who was adopted
pursuant to |
the laws in effect at the time of the adoption.
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"Adoptive parent" means a person who has become a parent |
through the legal
process of adoption.
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"Adult child" means the biological child 21 years of age or |
over of a deceased adopted or surrendered person.
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"Adult Adopted or Surrendered Person" means an adopted or |
surrendered person 21 years of age or over. |
"Agency" means a public child welfare agency or a licensed |
child welfare
agency.
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"Birth aunt" means the adult full or half sister of a |
deceased birth parent.
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"Birth father" means the biological father of an adopted or |
surrendered
person who is named on the original certificate of |
live birth or on a consent
or surrender document, or a |
biological father whose paternity has been
established by a |
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judgment or order of the court, pursuant to the Illinois
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Parentage Act of 1984.
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"Birth mother" means the biological mother of an adopted or |
surrendered
person.
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"Birth parent" means a birth mother or birth father of an |
adopted or
surrendered person.
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"Birth Parent Preference Form" means the form prepared by |
the Department of Public Health pursuant to Section 18.2 |
completed by a birth parent registrant and filed with the |
Registry that indicates the birth parent's preferences |
regarding contact and the release of his or her identifying |
information on the non-certified copy of the original birth |
certificate released to an adult adopted or surrendered person |
or to the surviving adult child or surviving spouse of a |
deceased adopted or surrendered person who has filed a Request |
for a Non-Certified Copy of an Original Birth Certificate. |
"Birth relative" means a birth mother, birth father, birth |
sibling, birth aunt, or birth uncle.
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"Birth sibling" means the adult full or half sibling
of an |
adopted or
surrendered person.
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"Birth uncle" means the adult full or half brother of a |
deceased birth parent.
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"Confidential intermediary" means an individual certified |
by the Department of Children and Family Services pursuant to |
Section 18.3a(e). |
"Denial of Information Exchange" means an affidavit |
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completed by a
registrant with the Illinois Adoption Registry |
and Medical Information Exchange
denying the release of |
identifying information which has been filed with the Registry .
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"Information Exchange Authorization" means
an affidavit |
completed by a registrant with the Illinois Adoption Registry |
and
Medical Information Exchange authorizing the release of |
identifying
information which has been filed with the Registry .
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"Medical Information Exchange Questionnaire" means the |
medical
history
questionnaire completed by a registrant of the |
Illinois Adoption Registry and
Medical Information Exchange.
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"Non-certified Copy of the Original Birth Certificate" |
means a non-certified copy of the original certificate of live |
birth of an adult adopted or surrendered person who was born in |
Illinois. |
"Proof of death" means a death certificate.
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"Registrant" or "Registered Party" means a birth parent, |
birth sibling,
birth aunt, birth uncle, adopted or surrendered |
person 21 years of age or over, adoptive parent or legal
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guardian of an adopted or surrendered person under the age of |
21, or adoptive parent, surviving spouse, or adult child of a |
deceased adopted or surrendered person who has filed
an |
Illinois Adoption Registry Application or Registration |
Identification Form
with the Registry.
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"Registry" means the Illinois Adoption Registry and |
Medical Information Exchange. |
"Request for a Non-Certified Copy of an Original Birth |
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Certificate" means an affidavit completed by an adult adopted |
or surrendered person or by the surviving adult child or |
surviving spouse of a deceased adopted or surrendered person |
and filed with the Registry requesting a non-certified copy of |
an adult adopted or surrendered person's original certificate |
of live birth in Illinois. |
"Surrendered person" means a person whose parents' rights |
have been
surrendered or terminated but who has not been |
adopted.
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"Surviving spouse" means the wife or husband of a deceased |
adopted or surrendered person who has one or more biological |
children under the age of 21.
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"18.3 Statement" means a statement regarding the |
disclosure of identifying information signed by a birth parent |
under Section 18.3 of this Act as it existed immediately prior |
to the effective date of this amendatory Act of the 96th |
General Assembly. |
(Source: P.A. 94-173, eff. 1-1-06.)
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(750 ILCS 50/18.07)
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Sec. 18.07. Adoption Registry Advisory Council. There is |
established an
Adoption Registry Advisory Council. The Council |
shall meet twice yearly, and at least once yearly jointly with |
the Confidential Intermediary Advisory Council. The Council |
shall be chaired by the
Director of the Department of Public |
Health or his designee. The Council shall
include the Director |
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of the Department of Children and Family Services or his
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designee. The Council shall also include one representative |
from each of the
following organizations:
Adoption Advocates of |
Illinois, Adoptive Families Today, American Adoption
Congress, |
Catholic Conference of Illinois, Chicago Area Families for |
Adoption,
Chicago Bar Association, Child Care Association of |
Illinois, Children
Remembered, Inc., Children's Home and Aid |
Society of Illinois, Child Welfare
Advisory Council, The |
Cradle, Healing Hearts, Illinois Foster Parents
Association, |
Illinois State Bar Association, Illinois State Medical |
Society,
Jewish Children's Bureau, Kids Help Foundation, LDS |
Social Services, Lutheran
Social Services of Illinois, |
Maryville Academy, Midwest Adoption Center, St.
Mary's |
Services, Stars of David, and Truthseekers in Adoption.
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If any one of the above named organizations notifies the |
Director of the
Department of Public Health in writing that the |
organization does not wish to
participate on the Advisory |
Council or that the organization is no longer
functioning, the |
Director shall appoint another organization that represents
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the same constituency as the named organization to replace the |
named
organization on the Council.
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The Council's responsibilities shall include the
following:
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1) Advising the Department on the development of rules, |
procedures, and
forms
utilized by the
Illinois Adoption |
Registry and Medical Information Exchange;
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2) Making recommendations regarding the procedures, |
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tools and technology
that
will ensure efficient and |
effective operation of the Registry;
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3) Submitting a report to the Governor and the General |
Assembly no later
than
January 1, 2001, on the status of |
the Registry, an evaluation of the
effectiveness of the |
Registry, and pertinent statistics regarding the Registry;
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3) 4) Assisting the Department with the development, |
publication, and
circulation
of an informational pamphlet |
that describes the purpose, function, and
mechanics of the |
Illinois Adoption Registry and Medical Information |
Exchange,
including information about who is eligible to |
register and how to register;
information about the |
questions and concerns that registrants may
develop when |
they register or when they receive information from the |
Registry;
and a list of services, programs, groups, and |
informational websites
that are available to assist |
registrants with their questions and concerns ; .
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4) Collecting, compiling, and reviewing statistical |
data and empirical information concerning the procedures |
in the Registry including, but not limited to, data |
concerning the filing of Denials of Information Exchange, |
Information Exchange Authorizations, Requests for a |
Non-Certified Copy of an Original Birth Certificate, and |
Birth Parent Preference Forms. |
(Source: P.A. 91-417, eff. 1-1-00.)
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(750 ILCS 50/18.1) (from Ch. 40, par. 1522.1)
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Sec. 18.1. Disclosure of identifying information.
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(a) The Department of Public Health shall establish and |
maintain a
Registry for the purpose of allowing providing |
identifying information to mutually
consenting members of |
birth and adoptive families to exchange identifying and medical |
information . Identifying information for
the purpose of this |
Act shall mean any one or more of the following:
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(1) The name and last known address of the consenting |
person or persons.
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(2) A copy of the Illinois Adoption Registry |
Application of the
consenting person or persons.
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(3) A non-certified copy of the original birth |
certificate of live birth of an adult the adopted
or |
surrendered person.
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(b) Written authorization from all parties identified must |
be received prior
to disclosure of any identifying information , |
with the exception of non-certified copies of original birth |
certificates released to adult adopted or surrendered persons |
or to surviving adult children and surviving spouses of |
deceased adopted or surrendered persons pursuant to the |
procedures outlined in Section 18.1b(e) .
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(c) (b) At any time after a child is surrendered for |
adoption, or at any
time during the adoption proceedings or at |
any time thereafter, either
birth parent or both of them may |
file with the Registry a Birth
Parent Registration |
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Identification Form and an Information Exchange
Authorization |
or a Denial of Information Exchange.
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(d) (b-5) A birth sibling 21 years of age or over who was |
not surrendered for
adoption and who has submitted a copy of |
his or her birth certificate as well as proof of death for a |
deceased birth parent
and such birth parent did not file a |
Denial of Information Exchange with the
Registry prior to his |
or her death may file a Registration Identification Form
and an |
Information Exchange Authorization or a Denial of Information |
Exchange.
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(e) (b-7) A birth aunt or birth uncle who has submitted |
birth certificates for himself or herself and for a deceased |
birth parent naming at least one common biological parent as |
well as proof of death for the deceased birth parent and such |
birth parent did not file a Denial of Information Exchange with |
the Registry prior to his or her death may file a Registration |
Identification Form and an Information Exchange Authorization |
or a Denial of Information Exchange.
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(f) (c) Any adopted person 21 years of age or over, any |
surrendered person
21 years of age or over, or any adoptive |
parent or legal guardian of an
adopted or surrendered person |
under the age of 21 may file with the Registry
a Registration |
Identification Form and an Information Exchange Authorization
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or a Denial of Information Exchange.
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(g) (c-3) Any adult child 21 years of age or over of a |
deceased adopted or surrendered person who has submitted a copy |
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of his or her birth certificate naming an adopted or |
surrendered person as his or her biological parent as well as |
proof of death for the deceased adopted or surrendered person |
and such adopted or surrendered person did not file a Denial of |
Information Exchange with the Registry prior to his or her |
death may file a Registration Identification Form and an |
Information Exchange Authorization or a Denial of Information |
Exchange.
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(h) (c-5) Any surviving spouse of a deceased adopted or |
surrendered person 21 years of age or over who has submitted |
proof of death for the deceased adopted or surrendered person |
and such adopted or surrendered person did not file a Denial of |
Information Exchange with the Registry prior to his or her |
death as well as a birth certificate naming themselves and the |
adopted or surrendered person as the parents of a minor child |
under the age of 21 may file a Registration Identification Form |
and an Information Exchange Authorization or a Denial of |
Information Exchange.
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(i) (c-7) Any adoptive parent or legal guardian of a |
deceased adopted or surrendered person 21 years of age or over |
who has submitted proof of death as well as proof of parentage |
or guardianship for the deceased adopted or surrendered person |
and such adopted or surrendered person did not file a Denial of |
Information Exchange with the Registry prior to his or her |
death may file a Registration Identification Form and an |
Information Exchange Authorization or a Denial of Information |
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Exchange.
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(j) (d) The Department of Public Health shall supply to the |
adopted or
surrendered person or his or her adoptive parents, |
legal guardians, adult children or surviving spouse, and
to the |
birth parents identifying information only if both the adopted |
or
surrendered person, or one of his or her adoptive parents, |
legal guardians, adult children or his or her surviving spouse, |
and
the birth parents have filed with the Registry an |
Information Exchange
Authorization and the information at the |
Registry indicates that the
consenting adopted or surrendered |
person, the child of the consenting
adoptive parents or legal |
guardians, the parent of the consenting adult child of the |
adopted or surrendered person, or the deceased wife or husband |
of the consenting surviving spouse
is the child of the |
consenting birth
parents , except identifying information that |
appears on a non-certified copy of an original birth |
certificate may be provided to an adult adopted or surrendered |
person or to the surviving adult child or surviving spouse of a |
deceased adopted or surrendered person pursuant to the |
procedures outlined in Section 18.1b(e) of this Act .
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The Department of Public Health shall supply to adopted or |
surrendered
persons who are birth siblings identifying |
information only if both siblings
have filed with the Registry |
an Information Exchange Authorization and the
information at |
the Registry indicates that the consenting siblings have one
or |
both birth parents in common. Identifying information shall be |
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supplied to
consenting birth siblings who were adopted or |
surrendered if any such sibling
is 21 years of age or over. |
Identifying information shall be supplied to
consenting birth |
siblings who were not adopted or surrendered if any such
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sibling is 21 years of age or over and has proof of death of the |
common birth
parent and such birth parent did not file a Denial |
of Information Exchange
with the Registry prior to his or her |
death.
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(k) (d-3) The Department of Public Health shall supply to |
the adopted or surrendered person or his or her adoptive |
parents, legal guardians, adult children or surviving spouse, |
and to a birth aunt identifying information only if both the |
adopted or surrendered person or one of his or her adoptive |
parents, legal guardians, adult children or his or her |
surviving spouse, and the birth aunt have filed with the |
Registry an Information Exchange Authorization and the |
information at the Registry indicates that the consenting |
adopted or surrendered person, or the child of the consenting |
adoptive parents or legal guardians, or the parent of the |
consenting adult child, or the deceased wife or husband of the |
consenting surviving spouse of the adopted or surrendered |
person is or was the child of the brother or sister of the |
consenting birth aunt.
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(l) (d-5) The Department of Public Health shall supply to |
the adopted or surrendered person or his or her adoptive |
parents, legal guardians, adult children or surviving spouse, |
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and to a birth uncle identifying information only if both the |
adopted or surrendered person or one of his or her adoptive |
parents, legal guardians, adult children or his or her |
surviving spouse, and the birth uncle have filed with the |
Registry an Information Exchange Authorization and the |
information at the Registry indicates that the consenting |
adopted or surrendered person, or the child of the consenting |
adoptive parents or legal guardians, or the parent of the |
consenting adult child, or the deceased wife or husband of the |
consenting surviving spouse of the adopted or surrendered |
person is or was the child of the brother or sister of the |
consenting birth uncle.
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(m) (e) A registrant
may notify the Registry of his or her
|
desire not to have identifying information his or her identity |
revealed or may revoke any previously
filed Information |
Exchange Authorization by completing and filing with the
|
Registry a Registry Identification Form along with a Denial of |
Information
Exchange. The Illinois Adoption Registry |
Application does not need to be
completed in order to file a |
Denial of Information Exchange. Any registrant , except a birth |
parent, may revoke his or her Denial of Information Exchange by |
filing
an Information Exchange Authorization. A birth parent |
may revoke a Denial of Information Exchange by filing a Birth |
Parent Preference Form. Any birth parent who has previously |
filed a Birth Parent Preference Form where Option E was |
selected may revoke such preference by filing a subsequent |
|
Birth Parent Preference Form and selecting Option A, B, C, or |
D. The Department of Public Health shall
act in accordance with |
the most recently filed affidavit Authorization .
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(n) (f) Identifying information ascertained from the |
Registry shall be
confidential and may be disclosed only (1) |
upon a Court Order, which order
shall name the person or |
persons entitled to the information, or (2) to a registrant who |
is the subject of an Information Exchange
Authorization that |
was completed by another registrant and filed with the Illinois |
Adoption Registry and Medical Information Exchange, or (3) as |
authorized under subsection (h) of Section 18.3 of
this Act , or |
(4) pursuant to the procedures outlined in Section 18.1b(e) of |
this Act . A copy of the certificate of live birth shall only be |
released
to an adopted or surrendered
person who was born in |
Illinois and who is the subject of an
Information Exchange |
Authorization filed by one of his or her birth relatives. Any |
person who willfully provides unauthorized
disclosure of any |
information filed with the Registry or who knowingly or
|
intentionally files false information with the Registry shall |
be guilty of
a Class A misdemeanor and shall be liable for |
damages.
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(o) (g) If information is disclosed pursuant to this Act, |
the Department shall
redact it to remove any identifying |
information about any party who has not
consented to the |
disclosure of such identifying information , or, in the case of |
identifying information on the original birth certificate, |
|
pursuant to Section 18.1b(e) of this Act .
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(Source: P.A. 94-173, eff. 1-1-06.)
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(750 ILCS 50/18.1a)
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Sec. 18.1a. Registry matches.
|
(a) The Registry shall release identifying information, as |
specified on
the applicant's Information Exchange |
Authorization, to the following
mutually consenting registered |
parties
and provide them with any photographs or correspondence |
which have been placed in the
Adoption/Surrender Records File |
and
are specifically intended for the registered parties:
|
(i) an adult adopted or surrendered person and one of |
his or her birth
relatives who have both filed an |
applicable Information
Exchange Authorization specifying |
the other consenting party with the Registry,
if
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information available to the Registry
confirms that the |
consenting adopted or surrendered person is biologically |
related to the consenting birth relative;
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(ii) the adoptive parent or legal guardian of an |
adopted or surrendered
person under the age of 21
and one |
of the adopted or surrendered person's birth relatives who
|
have both filed an Information Exchange Authorization |
specifying the other
consenting party with the Registry, if
|
information available to the Registry confirms that the |
child of the consenting
adoptive parent or legal guardian |
is biologically related to the
consenting
birth relative; |
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and
|
(iii) the adoptive parent, adult child or surviving |
spouse of a deceased adopted or surrendered person, and one |
of the adopted or surrendered person's birth relatives who |
have both filed an applicable Information Exchange |
Authorization specifying the other consenting party with |
the Registry, if information available to the Registry |
confirms that child of the consenting adoptive parent, the |
parent of the consenting adult child or the deceased wife |
or husband of the consenting surviving spouse of the |
adopted or surrendered person was biologically related to |
the consenting birth relative.
|
(b) If a registrant is the subject of a Denial of
|
Information Exchange filed by another registered party, the |
Registry shall
not release identifying information to either |
registrant with the exception of non-certified copies of the |
original birth certificate released under Section 18.1b(e), |
and as to a birth parent who has prohibited release of |
identifying information on the original birth certificate to |
the adult adopted or surrendered person, upon the death of said |
birth parent .
|
(c) If a registrant has completed a Medical Information |
Exchange
Questionnaire and has consented to its disclosure, |
that Questionnaire shall be
released to any registered party |
who has indicated their desire to receive such
information on |
his or her Illinois Adoption Registry Application, if
|
|
information available to the Registry
confirms that the |
consenting parties are biologically related, that the |
consenting
birth relative and the child of the consenting |
adoptive parents or legal
guardians are birth relatives, or |
that the consenting birth relative and the deceased wife or |
husband of the consenting surviving spouse are birth relatives.
|
(Source: P.A. 94-173, eff. 1-1-06.)
|
(750 ILCS 50/18.1b)
|
Sec. 18.1b. The Illinois Adoption Registry Application. |
The Illinois
Adoption Registry Application shall substantially |
include the following:
|
(a) General Information. The Illinois Adoption Registry
|
Application shall include the space to provide Information |
about the registrant
including his or her
surname, given name |
or names, social security number (optional), mailing
address, |
home telephone number, gender, date and place of birth, and the |
date
of registration. If applicable and known
to the |
registrant, he or she may include the maiden surname of the
|
birth mother, any subsequent surnames of the birth mother, the |
surname of the
birth father, the given name or names of the |
birth parents, the dates and
places of birth of the birth |
parents, the surname and given name or names of
the adopted |
person prior to adoption, the gender and date and place of |
birth of
the adopted or surrendered person, the name of the |
adopted person following
his or her adoption and the state and |
|
county where the judgment of adoption was
finalized.
|
(b) Medical Information Exchange Questionnaire. In |
recognition of
the importance of medical information and of |
recent discoveries regarding the
genetic origin of many medical |
conditions and diseases all registrants shall be
asked to |
voluntarily complete a Medical
Information Exchange |
Questionnaire.
|
(1) For birth relatives, the Medical Information |
Exchange
Questionnaire
shall
include a comprehensive |
check-list of medical
conditions and diseases including |
those of genetic origin. Birth relatives shall be asked to |
indicate all genetically-inherited diseases
and
conditions |
on this
list which are known to exist in the adopted or |
surrendered person's birth
family at the time of |
registration.
In addition, all birth relatives
shall be |
apprised of the Registry's provisions for voluntarily |
submitting
information about their and their family's |
medical
histories on a confidential, ongoing basis.
|
(2) Adopted and surrendered persons and their adoptive |
parents, legal
guardians, adult children, and surviving |
spouses shall be asked to indicate all
|
genetically-inherited diseases and medical conditions with |
which the adopted or
surrendered person or, if applicable, |
his or her children have been diagnosed
since birth.
|
(3) The Medical Information Exchange Questionnaire
|
shall include a space where the registrant may authorize |
|
the release of the
Medical Information Exchange |
Questionnaire to specified registered parties and a
|
disclaimer
informing registrants that the Department of |
Public Health cannot guarantee the
accuracy of medical |
information exchanged through the Registry.
|
(c) Written statement. All registrants shall be given the
|
opportunity to voluntarily file a written statement with the |
Registry. This
statement
shall be submitted in the space |
provided.
No written statement submitted to the Registry
shall |
include identifying information pertaining to any person other |
than the
registrant who submitted it.
Any such identifying |
information shall be redacted by the Department or
returned for |
removal of identifying information.
|
(d) Exchange of Contact information. All registrants may |
indicate their
wishes regarding contact and the exchange of |
identifying and/or medical information with any other |
registrant by completing an
Information Exchange Authorization |
or a Denial of Information Exchange.
|
(1) Information Exchange Authorization. Adopted or |
surrendered persons 21
years of age or over who are |
interested in exchanging identifying and/or medical |
information or would welcome contact with one or more of |
their
birth relatives; birth parents
who are interested in |
exchanging identifying and/or medical information or would |
welcome contact with an adopted or surrendered
person 21 |
years of age or over, or one or more of his or her adoptive |
|
parents, legal guardians, adult children, or a surviving |
spouse;
birth siblings 21 years of age or over who were |
adopted or surrendered and who
are interested in exchanging |
identifying and/or medical information or would welcome |
contact with an adopted or surrendered person, or one or |
more of
his or her adoptive parents, legal guardians, adult |
children, or a surviving spouse; birth siblings 21 years of |
age
or
over who were not surrendered and who have submitted |
proof of death for any
common
birth parent
who did not file |
a Denial of Information Exchange prior to his or her death,
|
and who are interested in exchanging identifying and/or |
medical information or would welcome contact with an |
adopted or surrendered person, or one or
more of his or her |
adoptive parents,
legal guardians, adult children, or a |
surviving spouse; birth aunts and birth uncles 21 years of |
age or over who have submitted birth certificates for |
themselves and a deceased birth parent naming at least one |
common biological parent as well as proof of death for a |
deceased birth parent who did not file a Denial of |
Information Exchange prior to his or her death and who are |
interested in exchanging identifying and/or medical |
information or would welcome contact with an adopted or |
surrendered person 21 years of age or over, or one or more |
of his or her adoptive parents, legal guardians, adult |
children or a surviving spouse;
adoptive parents or
legal |
guardians of
adopted or surrendered persons under the age |
|
of 21 who are interested in exchanging identifying and/or |
medical information or would welcome
contact with one or |
more of the adopted or surrendered person's birth |
relatives; adoptive parents and legal guardians of |
deceased adopted or surrendered persons 21 years of age or |
over who have submitted proof of death for a deceased |
adopted or surrendered person who did not file a Denial of |
Information Exchange prior to his or her death and who are |
interested in exchanging identifying and/or medical |
information or would welcome contact with one or more of |
the adopted or surrendered person's birth relatives; adult |
children of deceased adopted or surrendered persons who |
have submitted a birth certificate naming the adopted or |
surrendered person as their biological parent and proof of |
death for an adopted or surrendered person who did not file |
a Denial of Information Exchange prior to his or her death; |
and surviving spouses of deceased adopted or surrendered |
persons who have submitted a marriage certificate naming an |
adopted or surrendered person as their deceased wife or |
husband and proof of death for an adopted or surrendered |
person who did not file a Denial of Information Exchange |
prior to his or her death and who are interested in |
exchanging identifying and/or medical information or would |
welcome contact with one or more of the adopted or |
surrendered person's birth relatives may specify with whom |
they
wish to exchange identifying information by
filing an |
|
Information Exchange Authorization.
|
(2) Denial of Information Exchange. Adopted or |
surrendered persons 21
years of age or over who do not wish |
to exchange identifying information or establish contact |
with one or
more of their birth relatives may specify
with |
whom they do not wish to exchange
identifying information |
or do not wish to establish contact by filing a Denial of
|
Information Exchange. Birth relatives who do not wish to
|
establish contact with an
adopted or surrendered person or |
one or more of his or her adoptive parents,
legal |
guardians, or adult children may specify with whom they do |
not wish to exchange identifying
information or do not wish |
to establish contact by filing a Denial of Information |
Exchange. Birth parents who wish to prohibit the release of |
their identifying information on the original birth |
certificate released to an adult adopted or surrendered |
person who was born after January 1, 1946, or to the |
surviving adult child or surviving spouse of a deceased |
adopted or surrendered person who was born after January 1, |
1946, may do so by filing a Denial with the Registry on or |
before December 31, 2010. As of January 1, 2011, birth |
parents who wish to prohibit the release of identifying |
information on the non-certified copy of the original birth |
certificate released to an adult adopted surrendered |
person or to the surviving adult child or surviving spouse |
of a deceased adopted or surrendered person may do so by |
|
selecting Option E on a Birth Parent Preference Form and |
filing the Form with the Registry. Adoptive parents or
|
legal guardians of adopted or surrendered persons under the |
age of 21 who do
not wish to establish contact with one or |
more of the adopted or
surrendered person's birth relatives |
may specify with whom they
do not wish to exchange |
identifying
information by filing a Denial of Information |
Exchange. Adoptive parents, adult children, and surviving |
spouses of deceased adoptees who do not wish to exchange |
identifying information or establish contact with one or |
more of the adopted or surrendered person's birth relatives |
may specify with whom they do not wish to exchange |
identifying information or do not wish to establish contact |
by filing a Denial of Information Exchange. The Illinois |
Adoption
Registry Application does not need to be completed |
in order to file a Denial
of Information Exchange.
|
(3) Birth Parent Preference Form. Beginning January 1, |
2011, birth parents who are eligible to register with the |
Illinois Adoption Registry and Medical Information |
Exchange and who wish to communicate their wishes regarding |
contact and/or the release of their identifying |
information on the non-certified copy of the original birth |
certificate released to an adult adopted or surrendered |
person or the surviving adult child or surviving spouse of |
a deceased adopted or surrendered person who has requested |
a copy of the adopted or surrendered person's original |
|
birth certificate by filing a Request for a Non-Certified |
Copy of an Original Birth Certificate pursuant to |
subsection (e) of this Section, may file a Birth Parent |
Preference Form with the Registry. All Birth Parent |
Preference Forms on file with the Registry at the time of |
receipt of a Request for a Non-Certified Copy of an |
Original Birth Certificate from an adult adopted or |
surrendered person or the surviving adult child or |
surviving spouse of a deceased adopted or surrendered |
person shall be forwarded to the relevant adopted or |
surrendered person or surviving adult child or surviving |
spouse of a deceased adopted or surrendered person along |
with a non-certified copy of the adopted or surrendered |
person's original birth certificate as outlined in |
subsection (e) of this Section. |
(e) Procedures for requesting a non-certified copy of an |
original birth certificate by an adult adopted or surrendered |
person or by a surviving adult child or surviving spouse of a |
deceased adopted or surrendered person: |
(1) On or after the effective date of this amendatory |
Act of the 96th General Assembly, any adult adopted or |
surrendered person who was born in Illinois prior to |
January 1, 1946, may complete and file with the Registry a |
Request for a Non-Certified Copy of an Original Birth |
Certificate. The Registry shall provide such adult adopted |
or surrendered person with an unaltered, non-certified |
|
copy of his or her original birth certificate upon receipt |
of the Request for a Non-Certified Copy of an Original |
Birth Certificate. Additionally, in cases where an adopted |
or surrendered person born in Illinois prior to January 1, |
1946, is deceased, and one of his or her surviving adult |
children or his or her surviving spouse has registered with |
the Registry, he or she may complete and file with the |
Registry a Request for a Non-Certified Copy of an Original |
Birth Certificate. The Registry shall provide such |
surviving adult child or surviving spouse with an |
unaltered, non-certified copy of the adopted or |
surrendered person's original birth certificate upon |
receipt of the Request for a Non-Certified Copy of an |
Original Birth Certificate. |
(2) Beginning November 15, 2011, any adult adopted or |
surrendered person who was born in Illinois on or after |
January 1, 1946, may complete and file with the Registry a |
Request for a Non-certified Copy of an Original Birth |
Certificate. Additionally, in cases where the adopted or |
surrendered person is deceased and one of his or her |
surviving adult children or his or her surviving spouse has |
registered with the Registry, he or she may complete and |
file with the Registry a Request for a Non-Certified Copy |
of an Original Birth Certificate.
Upon receipt of such |
request from an adult adopted or surrendered person or from |
one of his or her surviving adult children or his or her |
|
surviving spouse, the Registry shall: |
(i) Determine if there is a Denial of Information |
Exchange which was filed by a birth parent named on the |
original birth certificate prior to January 1, 2011. If |
a Denial was filed by a birth parent named on the |
original birth certificate prior to January 1, 2011, |
and there is no proof of death in the Registry file for |
the birth parent who filed said Denial, the Registry |
shall inform the requesting adult adopted or |
surrendered person or the requesting surviving adult |
child or surviving spouse of a deceased adopted or |
surrendered person that they may receive a |
non-certified copy of the original birth certificate |
from which all identifying information pertaining to |
the birth parent who filed the Denial has been |
redacted. A requesting adult adopted or surrendered |
person shall also be informed in writing of his or her |
right to petition the court for the appointment of a |
confidential intermediary pursuant to Section 18.3a of |
this Act and, if applicable, to conduct a search |
through an agency post-adoption search program once 5 |
years have elapsed since the birth parent filed the |
Denial of Information Exchange with the Registry. |
(ii) Determine if a birth parent named on the |
original birth certificate has filed a Birth Parent |
Preference Form. If one of the birth parents named on |
|
the original birth certificate filed a Birth Parent |
Preference Form and selected Option A, B, C, or D, the |
Registry shall forward to the adult adopted or |
surrendered person or to the surviving adult child or |
surviving spouse of a deceased adopted or surrendered |
person a copy of the Birth Parent Preference Form.
If |
one of the birth parents named on the original birth |
certificate filed a Birth Parent Preference Form and |
selected Option E, and there is no proof of death in |
the Registry file for the birth parent who filed said |
Birth Parent Preference Form, the Registry shall |
inform the requesting adult adopted or surrendered |
person or the requesting surviving adult child or |
surviving spouse of a deceased adopted or surrendered |
person that he or she may receive a non-certified copy |
of the original birth certificate from which |
identifying information pertaining to the birth parent |
who completed the Birth Parent Preference Form has been |
redacted per the birth parent's specifications on the |
Form. The Registry shall forward to the adult adopted |
or surrendered person or to the surviving adult child |
or surviving spouse of a deceased adopted or |
surrendered person a copy of the Birth Parent |
Preference Form filed by the birth parent from which |
identifying information has been redacted per the |
birth parent's specifications on the Form. The |
|
requesting adult adopted or surrendered person shall |
also be informed in writing of his or her right to |
petition the court for the appointment of a |
confidential intermediary pursuant to Section 18.3a of |
this Act, and, if applicable, to conduct a search |
through an agency post-adoption search program once 5 |
years have elapsed since the birth parent filed the |
Birth Parent Preference Form, on which Option E was |
selected, with the Registry. |
(iii) Determine if a birth parent named on the |
original birth certificate has filed an Information |
Exchange Authorization. |
(iv) If the Registry has confirmed that a |
requesting adult adopted or surrendered person or the |
parent of a requesting adult child of a deceased |
adopted or surrendered person or the husband or wife of |
a requesting surviving spouse was not the object of a |
Denial of Information Exchange filed by a birth parent |
on or before December 31, 2010, and that no birth |
parent named on the original birth certificate has |
filed a Birth Parent Preference Form where Option E was |
selected prior to the receipt of a Request for a |
Non-Certified Copy of an Original Birth Certificate, |
the Registry shall provide the adult adopted or |
surrendered person or his or her surviving adult child |
or surviving spouse with an unaltered non-certified |
|
copy of the adopted or surrendered person's original |
birth certificate. |
(3) In cases where the Registry receives a Birth Parent |
Preference Form from a birth parent subsequent to the |
release of the non-certified copy of the original birth |
certificate to an adult adopted or surrendered person or to |
the surviving adult child or surviving spouse of a deceased |
adopted or surrendered person, the Birth Parent Preference |
Form shall be immediately forwarded to the adult adopted or |
surrendered person or to the surviving adult child or |
surviving spouse of the deceased adopted or surrendered |
person and the birth parent who filed the form shall be |
informed that the relevant original birth certificate has |
already been released. |
(4) A copy of the original birth certificate shall only |
be released to adopted or surrendered persons who were born |
in Illinois; to surviving adult children or surviving |
spouses of deceased adopted or surrendered persons who were |
born in Illinois; or to 2 registered parties who have both |
consented to the release of a non-certified copy of the |
original birth certificate to one another through the |
Registry when the birth of the relevant adopted or |
surrendered person took place in Illinois. |
(5) In cases where the Registry receives a Request for |
a Non-Certified Copy of an Original Birth Certificate from |
an adult adopted or surrendered person who has not |
|
completed a Registry application and the file of that |
adopted or surrendered person includes an Information |
Exchange Authorization or Medical Information Exchange |
Questionnaire from one or more of his or her birth |
relatives, the Registry shall so inform the adult adopted |
or surrendered person and forward Registry application |
forms to him or her along with a non-certified copy of the |
original birth certificate consistent with the procedures |
outlined in this subsection (e). |
(6) In cases where a birth parent registered with the |
Registry and filed a Medical Information Exchange |
Questionnaire prior to the effective date of this |
amendatory Act of the 96th General Assembly but gave no |
indication as to his or her wishes regarding contact or the |
sharing of identifying information, the Registry shall |
contact the birth parent by written letter prior to January |
1, 2011, and provide him or her with the opportunity to |
indicate his or her preference regarding contact and the |
sharing of identifying information by submitting a Birth |
Parent Preference Form to the Registry prior to November 1, |
2011. |
(7) In cases where the Registry cannot locate a copy of |
the original birth certificate in the Registry file, they |
shall be authorized to request a copy of the original birth |
certificate from the Illinois county where the birth took |
place for placement in the Registry file. |
|
(8) Adopted and surrendered persons who wish to have |
their names placed with the Illinois Adoption Registry and |
Medical Information Exchange may do so by completing a |
Registry application at any time, but completing a Registry |
application shall not be required for adopted and |
surrendered persons who seek only to obtain a copy of their |
original birth certificate or any relevant Birth Parent |
Preference Forms through the Registry. |
(9) In cases where a birth parent filed a Denial of |
Information Exchange with the Registry prior to January 1, |
2011, or filed a Birth Parent Preference Form with the |
Registry and selected Option E after January 1, 2011, and a |
proof of death for the birth parent who filed the Denial or |
the Birth Parent Preference Form has been filed with the |
Registry by either a confidential intermediary or a |
surviving relative of the deceased birth parent, the |
Registry shall be authorized to release an unaltered |
non-certified copy of the original birth certificate to an |
adult adopted or surrendered person or to the surviving |
adult child or surviving spouse of a deceased adopted or |
surrendered person who has filed a Request for a |
Non-Certified Copy of the Original Birth Certificate with |
the Registry. |
(10) On and after the effective date of this amendatory |
Act of the 96th General Assembly, in cases where all birth |
parents named on the original birth certificate of an |
|
adopted or surrendered person born after January 1, 1946, |
are deceased and copies of death certificates for all birth |
parents named on the original birth certificate have been |
filed with the Registry by either a confidential |
intermediary or a surviving relative of the deceased birth |
parent, the Registry shall be authorized to release a |
non-certified copy of the original birth certificate to the |
adopted or surrendered person upon receipt of his or her |
Request for a Non-Certified Copy of an Original Birth |
Certificate. |
(f) (e) A registrant may complete all or any part of the |
Illinois Adoption
Registry Application. All Illinois Adoption |
Registry Applications, Information
Exchange
Authorizations, |
Denials of Information Exchange, requests to revoke an
|
Information
Exchange Authorization or Denial of Information |
Exchange, and affidavits
submitted
to the Registry shall be
|
accompanied by proof of identification.
|
(f) The Department shall establish the Illinois Adoption |
Registry
Application
form including the Medical Information |
Exchange Questionnaire by rule .
|
(Source: P.A. 94-173, eff. 1-1-06.)
|
(750 ILCS 50/18.2) (from Ch. 40, par. 1522.2)
|
Sec. 18.2. Forms.
|
(a) The Department shall develop the Illinois Adoption |
Registry forms as provided in this Section. The General |
|
Assembly shall reexamine the content of the form as requested |
by the Department, in consultation with the Registry Advisory |
Council. The form of the Birth Parent Registration
|
Identification Form shall be substantially as follows:
|
BIRTH PARENT REGISTRATION IDENTIFICATION
|
(Insert all known information)
|
I, ....., state that I am the ...... (mother or father) of the
|
following child:
|
Child's original name: ..... (first) ..... (middle) ..... |
(last),
..... (hour of birth), ..... (date of birth), |
..... (city and state of
birth), ..... (name of |
hospital).
|
Father's full name: ...... (first) ...... (middle) ..... |
(last),
..... (date of birth), ..... (city and state of |
birth).
|
Name of mother inserted on birth certificate: ..... (first) |
.....
(middle) ..... (last), ..... (race), ..... (date |
of birth), ......
(city and state of birth).
|
That I surrendered my child to: ............. (name of agency), |
.....
(city and state of agency), ..... (approximate date |
child surrendered).
|
That I placed my child by private adoption: ..... (date),
|
...... (city
and state).
|
Name of adoptive parents, if known: ......
|
Other identifying information: .....
|
........................
|
|
(Signature of parent)
|
............ ........................
|
(date) (printed name of parent)
|
(b) The form of the Adopted Person
Registration |
Identification shall be substantially
as follows:
|
ADOPTED PERSON
|
REGISTRATION IDENTIFICATION
|
(Insert all known information)
|
I, ....., state the following:
|
Adopted Person's present name: ..... (first) ..... |
(middle)
..... (last).
|
Adopted Person's name at birth (if known): ..... (first)
|
..... (middle) .....
(last), ..... (birth date), ..... |
(city and state of birth), ......
(sex), ..... (race).
|
Name of adoptive father: ..... (first) ..... (middle) ..... |
(last), .....
(race).
|
Maiden name of adoptive mother: ..... (first) ..... |
(middle) .....
(last), ..... (race).
|
Name of birth mother (if known): ..... (first) .....
|
(middle)
..... (last), ..... (race).
|
Name of birth father (if known): ..... (first) .....
|
(middle)
..... (last), ..... (race).
|
Name(s) at birth of sibling(s) having a common birth
parent |
with adoptee
(if known): ..... (first) ..... (middle) |
..... (last), ..... (race), and name
of common birth |
|
parent: ..... (first) ..... (middle) .....
(last),
|
..... (race).
|
I was adopted through: ..... (name of agency).
|
I was adopted privately: ..... (state "yes" if known).
|
I was adopted in ..... (city and state), ..... (approximate |
date).
|
Other identifying information: .............
|
......................
|
(signature of adoptee)
|
........... .........................
|
(date) (printed name of adoptee)
|
(c) The form of the Surrendered Person Registration |
Identification shall be
substantially as follows:
|
SURRENDERED PERSON REGISTRATION
|
IDENTIFICATION
|
(Insert all known information)
|
I, ....., state the following:
|
Surrendered Person's present name: ..... (first) .....
|
(middle) ..... (last).
|
Surrendered Person's name at birth (if known): ..... |
(first)
.....
(middle) ..... (last), .....(birth |
date), ..... (city and state of
birth), ...... (sex), |
..... (race).
|
Name of guardian father: ..... (first) ..... (middle) ..... |
(last), .....
(race).
|
|
Maiden name of guardian mother: ..... (first) ..... |
(middle) .....
(last), ..... (race).
|
Name of birth mother (if known): ..... (first) .....
|
(middle) .....
(last) ..... (race).
|
Name of birth father (if known): ..... (first) .....
|
(middle) .....
(last), .....(race).
|
Name(s) at birth of sibling(s) having a common birth
parent |
with surrendered person
(if known): ..... (first) |
..... (middle) ..... (last), ..... (race), and name
of |
common birth parent: ..... (first) ..... (middle) |
.....
(last),
..... (race).
|
I was surrendered for adoption to: ..... (name of agency).
|
I was surrendered for adoption in ..... (city and state), ..... |
(approximate
date).
|
Other identifying information: ............
|
................................
|
(signature of surrendered person)
|
............ ......................
|
(date) (printed name of person
|
surrendered for adoption)
|
(c-3) The form of the Registration Identification Form for |
Surviving Relatives of Deceased Birth Parents shall be |
substantially as follows:
|
REGISTRATION IDENTIFICATION FORM
|
FOR SURVIVING RELATIVES OF DECEASED BIRTH PARENTS
|
|
(Insert all known information)
|
I, ....., state the following:
|
Name of deceased birth parent at time of surrender:
|
Deceased birth parent's date of birth:
|
Deceased birth parent's date of death:
|
Adopted or surrendered person's name at birth (if known): |
.....(first) ..... (middle) ..... (last), .....(birth |
date), ..... (city and state of birth), ...... (sex), |
..... (race).
|
My relationship to the adopted or surrendered person (check |
one): (birth parent's non-surrendered child) (birth parent's |
sister) (birth parent's brother).
|
If you are a non-surrendered child of the birth parent, provide |
name(s) at birth and age(s) of non-surrendered siblings having |
a common parent with the birth parent. If more than one |
sibling, please give information requested below on reverse |
side of this form. If you are a sibling or parent of the birth |
parent, provide name(s) at birth and age(s) of the sibling(s) |
of the birth parent. If more than one sibling, please give |
information requested below on reverse side of this form.
|
Name (First) ..... (middle) ..... (last), .....(birth |
date), ..... (city and state of birth), ...... (sex), |
..... (race).
|
Name(s) of common parent(s) (first) ..... (middle) ..... |
(last), .....(race), (first) ..... (middle) ..... |
|
(last), .....(race).
|
My birth sibling/child of my brother/child of my sister/ was |
surrendered for adoption to ..... (name of agency) City and |
state of agency ..... Date .....(approximate) Other |
identifying information ..... (Please note that you must: (i) |
be at least 21 years of age to register; (ii) submit with your |
registration a certified copy of the birth parent's birth |
certificate; (iii) submit a certified copy of the birth |
parent's death certificate; and (iv) if you are a |
non-surrendered birth sibling or a sibling of the deceased |
birth parent, also submit a certified copy of your birth |
certificate with this registration. No application from a |
surviving relative of a deceased birth parent can be accepted |
if the birth parent filed a Denial of Information Exchange |
prior to his or her death.)
|
................................
|
(signature of birth parent's surviving relative)
|
............ ............ |
(date) (printed name of birth |
parent's surviving relative) |
(c-5) The form of the Registration Identification Form for |
Surviving Relatives of Deceased Adopted or Surrendered Persons |
shall be substantially as follows:
|
REGISTRATION IDENTIFICATION FORM FOR
|
|
SURVIVING RELATIVES OF DECEASED ADOPTED OR SURRENDERED PERSONS
|
(Insert all known information)
|
I, ....., state the following:
|
Adopted or surrendered person's name at birth (if known): |
(first) ..... (middle) ..... (last), .....(birth |
date), ..... (city and state of birth), ...... (sex), |
..... (race). |
Adopted or surrendered person's date of death:
|
My relationship to the deceased adopted or surrendered |
person(check one): (adoptive mother) (adoptive father) (adult |
child) (surviving spouse).
|
If you are an adult child or surviving spouse of the adopted or |
surrendered person, provide name(s) at birth and age(s) of the |
children of the adopted or surrendered person. If the adopted |
or surrendered person had more than one child, please give |
information requested below on reverse side of this form. |
Name (first) ..... (middle) ..... (last), .....(birth |
date), ..... (city and state of birth), ...... (sex), |
..... (race). |
Name(s) of common parent(s) (first) ..... (middle) ..... |
(last), .....(race), (first) ..... (middle) ..... |
(last), .....(race).
|
My child/parent/deceased spouse was surrendered for |
adoption to .....(name of agency) City and state of agency |
..... Date ..... (approximate) Other identifying |
information ..... (Please note that you must: (i) be at |
|
least 21 years of age to register; (ii) submit with your |
registration a certified copy of the adopted or surrendered |
person's death certificate; (iii) if you are the child of a |
deceased adopted or surrendered person, also submit a |
certified copy of your birth certificate with this |
registration; and (iv) if you are the surviving wife or |
husband of a deceased adopted or surrendered person, also |
submit a copy of your marriage certificate with this |
registration. No application from a surviving relative of a |
deceased adopted or surrendered person can be accepted if |
the adopted or surrendered person filed a Denial of |
Information Exchange prior to his or her death.)
|
................................
|
(signature of adopted or surrendered person's surviving
|
relative)
|
|
............ ............ |
(date) (printed name of adopted
|
person's surviving relative)
|
(d) The form of the Information Exchange Authorization |
shall be
substantially
as follows:
|
INFORMATION EXCHANGE AUTHORIZATION
|
I, ....., state that I am the person who completed the |
Registration
Identification; that I am of the age of ..... |
|
years; that I hereby
authorize the Department of Public Health |
to give to the following person(s)
(birth mother
)
(birth |
father) (birth sibling) (adopted or surrendered person
) |
(adoptive mother) (adoptive father) (legal guardian of an |
adopted or surrendered person) (birth aunt) (birth uncle) |
(adult child of a deceased adopted or surrendered person) |
(surviving spouse of a deceased adopted or surrendered person) |
(all eligible relatives) the following
(please check the
|
information
authorized for exchange):
|
[ ] 1. Only my name and last known address.
|
[ ] 2. A copy of my Illinois Adoption Registry |
Application.
|
[ ] 3. A copy of the adopted or surrendered person's |
original certificate of live birth (check only if you are |
an adopted or surrendered person or the surviving adult |
child or surviving spouse of a deceased adopted or |
surrendered person) .
|
[ ] 4. A copy of my completed medical questionnaire.
|
I am fully aware that I can only be supplied with
|
information about an individual or individuals who have
duly
|
executed an Information Exchange Authorization that
has
not |
been revoked or, if I am an adopted or surrendered person, from |
a birth parent who completed a Birth Parent Preference Form and |
did not prohibit the release of his or her identity to me ; that |
I can be contacted by writing to: ..... (own name or
name of |
person to contact) (address) (phone number).
|
|
NOTE: New IARMIE registrants who do not complete a Medical |
Information Exchange Questionnaire and release a copy of their |
questionnaire to at least one Registry applicant must pay a $15 |
registration fee. |
Dated (insert date).
|
.............. |
(signature)
|
(e) The form of the Denial of Information Exchange shall be
|
substantially as follows:
|
DENIAL OF INFORMATION EXCHANGE
|
I, ....., state that I am the person who completed the |
Registration
Identification; that I am of the age of ..... |
years; that I hereby
instruct the Department of Public Health |
not to give any identifying
information about me to the |
following person(s)
(birth mother) (birth father) (birth |
sibling)(adopted or surrendered person)(adoptive mother) |
(adoptive father)(legal guardian of an adopted or surrendered |
person)(birth aunt)(birth uncle)(adult child of a deceased |
adopted or surrendered person) (surviving spouse of a deceased |
adopted or surrendered person) (all eligible relatives) . |
IMPORTANT NOTE: A DENIAL FILED BY A BIRTH PARENT ON OR AFTER |
JANUARY 1, 2011, SHALL NOT PROHIBIT THE RELEASE OF THE BIRTH |
PARENT'S IDENTIFYING INFORMATION ON THE ORIGINAL BIRTH |
CERTIFICATE OF AN ADULT ADOPTED OR SURRENDERED PERSON. BIRTH |
PARENTS WHO WISH TO PROHIBIT THE RELEASE OF THEIR IDENTIFYING |
|
INFORMATION ON THE ORIGINAL BIRTH CERTIFICATE OF AN ADULT |
ADOPTED OR SURRENDERED PERSON SHALL FILE A BIRTH PARENT |
PREFERENCE FORM ON OR AFTER JANUARY 1, 2011. DENIALS FILED BY A |
BIRTH PARENT BEFORE JANUARY 1, 2011, WILL EXPIRE UPON THE DEATH |
OF THE BIRTH PARENT WITH RESPECT TO ACCESS TO IDENTIFYING |
INFORMATION ON THE ORIGINAL BIRTH CERTIFICATE RELEASED TO AN |
ADULT ADOPTED OR SURRENDERED PERSON OR TO A SURVIVING ADULT |
CHILD OR SURVIVING SPOUSE OF A DECEASED ADOPTED OR SURRENDERED |
PERSON.
|
I do/do not (circle appropriate response) authorize the |
Registry to release a copy of my completed Medical Information |
Exchange Questionnaire to qualified Registry applicants.
NOTE: |
New IARMIE registrants who do not complete a Medical |
Information Exchange Questionnaire and release a copy of their |
questionnaire to at least one Registry applicant must pay a $15 |
registration fee.
Birth parents filing a Denial of Information |
Exchange are advised that, under Illinois law, an adult adopted |
person may initiate a search for a birth parent who has filed a |
Denial of Information Exchange through the State confidential |
intermediary program once 5 years have elapsed since the filing |
of the Denial of Information Exchange ;
that I do not wish to be |
contacted .
|
Dated (insert date).
|
............... |
(signature)
|
|
(f) The form of the Birth Parent Preference Form shall be |
substantially as follows: |
In recognition of the basic right of all persons to access |
their birth records, Illinois law now provides for the release |
of original birth certificates to adopted and surrendered |
persons 21 years of age or older upon request. While many birth |
parents are comfortable sharing their identities or initiating |
contact with their birth sons and daughters once they have |
reached adulthood, Illinois law also recognizes that there may |
be unique situations where a birth parent might have a |
compelling reason for not wishing to establish contact with a |
birth son or daughter or for not wishing to release identifying |
information that appears on the original birth certificate of a |
birth son or daughter who has reached adulthood. The Illinois |
Adoption Registry and Medical Information Exchange (IARMIE) |
has therefore established this form to allow birth parents |
whose birth son or daughter was born on or after January 1, |
1946, to express their wishes regarding contact and the sharing |
of identifying information listed on the original birth |
certificate with an adult adopted or surrendered person who has |
reached the age of 21. |
In selecting one of the 5 options below, birth parents |
should keep in mind that the decision to deny an adult adopted |
or surrendered person access to identifying information on his |
or her original birth record and/or information about |
genetically-transmitted diseases is an important one that can |
|
impact the adopted or surrendered person's life in many ways. A |
request for anonymity on this form only pertains to information |
that is provided to an adult adopted or surrendered person or |
his or her surviving relatives through the Registry and does |
not prevent the disclosure of identifying information that may |
be available to the adoptee through his or her adoptive parents |
and/or other means available to him or her. Birth parents who |
would prefer not to be contacted by their surrendered son or |
daughter are strongly urged to complete both the |
Non-Identifying Information Section included on the final page |
of this document and the Medical Questionnaire in order to |
provide their surrendered son or daughter with the background |
information their surrendered son or daughter may need to |
better understand himself or herself and his or her origins. |
Furthermore, birth parents whose surrendered son or daughter is |
under 21 years of age at the time of completion of this form |
are reminded that, since no original birth certificates are |
released by the IARMIE before an adoptee has reached the age of |
21, and birth parents are encouraged to take as much time as |
they need to weigh the options available to them before |
completing this form. Should you need additional assistance in |
completing this form, please contact the agency that handled |
the adoption, if applicable, or the Illinois Adoption Registry |
and Medical Information Exchange at 217-557-5159. |
After careful consideration, I, (insert your name) ......, |
have made the following decision regarding contact with my |
|
birth son/birth daughter, (insert birth son's/birth daughter's |
name at birth, if applicable) ......, who was born in (insert |
city/town of birth) ...... on (insert date of birth)...... and |
the release of my identifying information as it appears on |
his/her original birth certificate when he/she reaches the age |
of 21, and I have chosen Option ...... (insert A, B, C, D, or E, |
as applicable). I realize that this form must be accompanied by |
a completed IARMIE application form as well as a Medical |
Information Exchange Questionnaire or the $15 registration |
fee. I am also aware that I may revoke this decision at any |
time by completing a new Birth Parent Preference Form and |
filing it with the IARMIE. I understand that it is my |
responsibility to update the IARMIE with any changes to contact |
information provided below. I also understand that, while |
preferences regarding the release of identifying information |
through the Registry are binding unless the law should change |
in the future, any selection I have made regarding my preferred |
method of contact is not. |
............................................................. |
(Signature/Date) |
(Please insert your signature and today's date above, as well |
as under your chosen option, A, B, C, D, or E below.) |
Option A. I agree to the release of my identifying information |
as it appears on my birth son's/birth daughter's original birth |
|
certificate, would welcome direct contact with my birth |
son/birth daughter when he or she has reached the age of 21 and |
I wish to be contacted at the following mailing address, email |
address or phone number: |
............................................................. |
............................................................. |
............................................................. |
............................................................. |
(Signature/Date) |
Option B. I agree to the release of my identifying information |
as it appears on my birth son's/birth daughter's original birth |
certificate, would welcome contact with my birth son/birth |
daughter when he or she has reached the age of 21, but I would |
prefer to be contacted through the following person. (Insert |
name and mailing address, email address or phone number of |
chosen contact person.) |
............................................................. |
............................................................. |
(Signature/Date) |
Option C. I agree to the release of my name as it appears on my |
birth son's/birth daughter's original birth certificate, would |
welcome contact with my birth son/birth daughter when he or she |
has reached the age of 21, but I would prefer to be contacted |
through the Illinois confidential intermediary program (please |
|
call 800-526-9022 for additional information) or through the |
agency that handled the adoption. (Insert agency name, address |
and phone number, if applicable.) |
............................................................. |
............................................................. |
(Signature/Date) |
Option D. I agree to the release of my name as it appears on my |
birth son's/birth daughter's original birth certificate, but I |
would prefer not to be contacted by my birth son/birth daughter |
when he or she has reached the age of 21. |
............................................................. |
(Signature/Date) |
Option E. I wish to prohibit the release of my (circle ALL |
applicable options) first name, last name, last known address, |
birth son/birth daughter's last name (if last name listed is |
same as mine), as they appear on my birth son's/birth |
daughter's original birth certificate and do not wish to be |
contacted by my birth son/birth daughter when he or she has |
reached the age of 21. If there were any special circumstances |
that played a role in your decision to remain anonymous which |
you would like to share with your birth son/birth daughter, |
please list them in the space provided below (optional). |
............................................................. |
............................................................. |
|
I understand that, although I have chosen to prohibit the |
release of my identity on the copy of the original birth |
certificate released to my birth son/birth daughter, he or she |
may request that a court-appointed confidential intermediary |
contact me to request updated medical information and/or |
confirm my desire to remain anonymous once 5 years have elapsed |
since the signing of this form; at the time of this subsequent |
search, I wish to be contacted through the person named below. |
(Insert in blank area below the name and phone number of the |
contact person, or leave it blank if you wish to be contacted |
directly.) I also understand that this request for anonymity |
shall expire upon my death. |
............................................................. |
............................................................. |
(Signature/Date) |
NOTE: A copy of this form will be forwarded to your birth son |
or daughter should he or she file a request for his or her |
original birth certificate with the IARMIE. However, if you |
have selected Option E, identifying information, per your |
specifications above, will be deleted from the copy of this |
form forwarded to your birth son or daughter during your |
lifetime. In the event that an adopted or surrendered person is |
deceased, his or her surviving adult children may request a |
copy of the adopted or surrendered person's original birth |
certificate providing they have registered with the IARMIE; the |
|
copy of this form and the non-certified copy of the original |
birth certificate forwarded to the surviving child of the |
adopted or surrendered person shall be redacted per your |
specifications on this form during your lifetime. |
Non-Identifying Information Section
|
I wish to voluntarily provide the following non-identifying |
information to my surrendered son or daughter:
|
My age at the time of my child's birth was .........
|
My race is best described as: .......................... |
My height is: ......... |
My body type is best described as (circle one): slim, average, |
muscular, a few extra pounds, or more than a few extra pounds.
|
My natural hair color is/was: .................. |
My eye color is: .................. |
My religion is best described as: ..................
|
My ethnic background is best described as: ..................
|
My educational level is closest to (circle applicable |
response): completed elementary school, graduated from |
high school, attended college, earned bachelor's degree, |
earned master's degree, earned doctoral degree.
|
My occupation is best described as .................. |
My hobbies include .................. |
My interests include .................. |
My talents include .................. |
In addition to my surrendered son or daughter, I also |
am the biological parent of (insert number) ....... boys and |
|
(insert number) ....... girls, of whom (insert number) ....... |
are still living.
|
The relationship between me and my child's birth mother/birth |
father would best be described as (circle appropriate |
response): husband and wife, ex-spouses, boyfriend and |
girlfriend, casual acquaintances, other (please specify) |
.............. |
(g) The form of the Request for a Non-Certified Copy of an |
Original Birth Certificate shall be substantially as follows: |
REQUEST FOR A NON-CERTIFIED COPY OF AN ORIGINAL BIRTH |
CERTIFICATE |
I, (requesting party's full name) ....., hereby request a |
non-certified copy of (check appropriate option) ..... my |
original birth certificate ..... the original birth |
certificate of my deceased adopted or surrendered parent ..... |
the original birth certificate of my deceased adopted or |
surrendered spouse (insert deceased parent's/deceased spouse's |
name at adoption) ...... I/my deceased parent/my deceased |
spouse was born in (insert city and county of adopted or |
surrendered person's birth) ..... on ..... (insert adopted or |
surrendered person's date of birth). In the event that one or |
both of my/my deceased parent's/my deceased spouse's birth |
parents has requested that their identity not be released to |
me/to my deceased parent/to my deceased spouse, I wish to |
(check appropriate option) ..... a. receive a non-certified |
copy of the original birth certificate from which identifying |
|
information pertaining to the birth parent who requested |
anonymity has been deleted; or ..... b. I do not wish to |
received an altered copy of the original birth certificate. |
Dated (insert date). |
................... |
(signature)
|
(h) Any (f) The Information Exchange Authorization , and the |
Denial of Information
Exchange , or Birth Parent Preference Form |
filed with the Registry, or Request for a Non-Certified Copy of |
an Original Birth Certificate filed with the Registry by a |
surviving adult child or surviving spouse of a deceased adopted |
or surrendered person, shall be acknowledged by the person who |
filed it birth parent,
birth sibling, adopted or surrendered
|
person, adoptive parent, or legal guardian before a notary
|
public, in form
substantially as follows:
|
State of ..............
|
County of .............
|
I, a Notary Public, in and for the said County, in the |
State aforesaid,
do hereby certify that ............... |
personally known to me to be the
same person whose name is |
subscribed to the foregoing certificate of
acknowledgement, |
appeared before me in person and acknowledged that (he or
she) |
signed such certificate as (his or her) free and voluntary act |
and
that the statements in such certificate are true.
|
Given under my hand and notarial seal on (insert date).
|
|
.........................
|
(signature)
|
(i) (g) When the execution of an Information Exchange
|
Authorization , or a Denial of Information Exchange , or Birth |
Parent Preference Form or Request for a Non-Certified Copy of |
an Original Birth Certificate completed by a surviving adult |
child or surviving spouse of a deceased adopted or surrendered |
person is acknowledged before a
representative of an agency, |
such representative shall have his signature
on said |
Certificate acknowledged before a notary public, in form |
substantially
as follows:
|
State of..........
|
County of.........
|
I, a Notary Public, in and for the said County, in the |
State aforesaid,
do hereby certify that ..... personally known |
to me to be the same person
whose name is subscribed to the |
foregoing certificate of acknowledgement,
appeared before me |
in person and acknowledged that (he or she) signed such
|
certificate as (his or her) free and voluntary act and that the |
statements
in such certificate are true.
|
Given under my hand and notarial seal on (insert date).
|
.......................
|
(signature)
|
(j) (h) When an Illinois Adoption Registry Application,
|
|
Information
Exchange Authorization , or a Denial of
Information |
Exchange , Birth Parent Preference Form, or Request for a |
Non-Certified Copy of an Original Birth Certificate completed |
by a surviving adult child or surviving spouse of a deceased |
adopted or surrendered person is executed in a foreign country, |
the
execution of such
document shall be acknowledged or |
affirmed before an officer of the United
States consular |
services.
|
(k) (i) If the person signing an Information Exchange
|
Authorization , or a Denial of Information , Birth Parent |
Preference Form, or Request for a Non-Certified Copy of an |
Original Birth Certificate completed by a surviving adult child |
or surviving spouse of a deceased adopted or surrendered person |
is in the military service of the
United States, the execution |
of such document may be acknowledged before a
commissioned |
officer and the signature of such officer on such certificate
|
shall be verified or acknowledged before a notary public or by |
such other
procedure as is then in effect for such division or |
branch of the armed forces.
|
(l) An adopted or surrendered person who completes a |
Request For a Non-Certified Copy of the Original Birth |
Certificate shall meet the same filing requirements and pay the |
same filing fees as a non-adopted person seeking to obtain a |
copy of his or her original birth certificate. |
(j) The Department shall modify these forms as necessary to |
implement the
provisions of this amendatory Act of 1999 |
|
including creating Registration
Identification Forms for |
non-surrendered birth siblings, adoptive parents and
legal |
guardians.
|
(Source: P.A. 93-189, eff. 1-1-04; 94-173, eff. 1-1-06.)
|
(750 ILCS 50/18.3) (from Ch. 40, par. 1522.3)
|
Sec. 18.3. (a) The agency, Department of Children and |
Family Services,
Court Supportive Services, Juvenile Division |
of the Circuit Court, and any
other party to the
surrender of a |
child for adoption or in an adoption proceeding shall inform |
obtain
from any birth parent or parents relinquishing giving up |
a child for
purposes of
adoption after the effective date of |
this Act of the opportunity to register with the Illinois |
Adoption Registry and Medical Information Exchange and to |
utilize the Illinois confidential intermediary program and |
shall obtain a written confirmation that acknowledges the birth |
parent's receipt of such information. a written statement which
|
indicates: (1) a desire to have identifying information shared |
with the
adopted or surrendered person at a later date; (2) a |
desire not
to have
identifying information revealed; or (3) |
that no decision is made at
that time. In addition, the agency, |
Department of Children and Family
Services, Court
Supportive |
Services, Juvenile Division of the Circuit Court, and any other
|
organization involved in the surrender of a child for adoption |
in an adoption
proceeding shall inform the birth parent or |
parents of a child born, adopted or
surrendered in Illinois of |
|
the existence of the Illinois Adoption Registry and
Medical |
Information Exchange and provide them with the necessary |
application
forms and if requested, assistance with completing |
the forms.
|
(b) When the written statement is signed, the birth
parent |
or
parents shall be informed in writing that their decision |
regarding the
sharing of identifying information can be made or |
changed by such
birth parent or parents at any future date.
|
(c) The birth parent shall be informed in writing that if |
contact or exchange of identifying
sharing
of identifying |
information with the adult adopted or surrendered person
is to |
occur, that adult adopted or surrendered person he or she must |
be 21 years of age or
over.
|
(d) If the birth parent or parents indicate a desire to
|
share
identifying information with the adopted or surrendered |
person,
the birth parent shall complete an
Information Exchange |
Authorization.
|
(e) Any birth parent or parents requesting that no
|
identifying
information be revealed to the adopted or |
surrendered
person shall be
informed that such request will be |
conveyed to the adopted or
surrendered person if he or she |
requests such information; and
such identifying information |
shall not be revealed.
|
(f) Any adopted or surrendered person 21 years
of age or |
over may also indicate in writing his or her desire or
lack of
|
desire to share identifying information with the birth
parent |
|
or
parents or with one or more of his or her birth relatives. |
Any adopted or
surrendered person requesting that no |
identifying information be
revealed to the
birth parent or to |
one or more of his or her birth relatives shall be
informed |
that such request
shall be conveyed to the birth parent or
|
birth
relative if he or she requests such information; and such |
identifying information shall
not be revealed.
|
(b) (g) Any birth parent, birth sibling,
adopted or |
surrendered person, adoptive parent, or legal
guardian |
indicating their desire to receive
identifying or medical |
information shall be informed
of the existence of the Registry |
and assistance shall be given to such
person to
legally
record |
his or her
name with the Registry.
|
(c) (h) The agency, Department of Children and Family |
Services, Court
Supportive Services, Juvenile Division of the |
Circuit Court, and any other organization involved in the
|
surrender of a child for adoption in an adoption proceeding |
which has
written statements from an adopted or surrendered |
person and the birth
parent or a birth sibling indicating a |
desire to share receive
identifying information or establish |
contact shall supply such information to the mutually
|
consenting parties, except that no identifying information |
shall be
supplied to consenting birth siblings if any such |
sibling is
under 21
years of age. However, both the Registry |
having an Information Exchange
Authorization and the |
organization having a written statement requesting the sharing |
|
of
identifying information or contact shall communicate with |
each other to determine if
the adopted or surrendered person or |
the
birth parent or
birth
sibling has signed a form at a later |
date indicating a change in his or
her desires regarding the |
sharing of information or contact . The agreement of the
birth |
parent shall be binding.
|
(d) (i) On and after January 1, 2000, any licensed child |
welfare agency which
provides post-adoption search assistance |
to adoptive parents, adopted persons,
surrendered persons,
|
birth parents, or other birth relatives shall require that any |
person requesting
post-adoption search assistance complete an |
Illinois Adoption Registry
Application prior to the |
commencement of the search.
|
(Source: P.A. 94-173, eff. 1-1-06.)
|
(750 ILCS 50/18.3a) (from Ch. 40, par. 1522.3a)
|
Sec. 18.3a. Confidential intermediary.
|
(a) General purposes.
Notwithstanding any other provision |
of
this Act, any
adopted or surrendered person 21 years of age |
or over, any adoptive parent or legal guardian
of
an adopted or |
surrendered person under the age of 21, or any birth parent of |
an adopted
or surrendered person who is 21 years of age or over |
may petition the court in any county in
the
State of Illinois |
for appointment of a confidential intermediary as provided in
|
this Section for the purpose of exchanging medical information |
with one or
more mutually consenting biological relatives, |
|
obtaining identifying
information about one or more mutually |
consenting biological relatives, or
arranging contact with one |
or more mutually consenting biological relatives.
|
Additionally, in cases where an adopted or surrendered person |
is deceased,
an adult child of the adopted
or surrendered |
person or his or her adoptive parents or surviving spouse may |
file a petition under this Section and in cases
where the birth |
parent is deceased,
an adult birth sibling of the adopted or |
surrendered person or of the deceased birth parent
may
file a |
petition under this Section for the purpose of exchanging |
medical
information with one or more mutually consenting |
biological relatives of the adopted or surrendered person,
|
obtaining identifying information about one or more mutually |
consenting
biological relatives of the adopted or surrendered |
person, or arranging contact with one or more mutually
|
consenting biological relatives of the adopted or surrendered |
person. Beginning January 1, 2006, any adopted or surrendered |
person 21 years of age or over; any adoptive parent or legal |
guardian of an adopted or surrendered person under the age of |
21; any birth parent, birth sibling, birth aunt, or birth uncle |
of an adopted or surrendered person over the age of 21; any |
surviving child, adoptive parent, or surviving spouse of a |
deceased adopted or surrendered person who wishes to petition |
the court for the appointment of a confidential intermediary |
shall be required to accompany their petition with proof of |
registration with the Illinois Adoption Registry and Medical |
|
Information Exchange.
|
(b) Petition. Upon petition by an adopted or surrendered
|
person 21 years of age or over (an "adult adopted or |
surrendered person") , an
adoptive parent or legal guardian of |
an adopted or surrendered person under the age of 21,
or a |
birth parent of an adopted or surrendered person who is 21 |
years of age or over, the
court
shall appoint a confidential |
intermediary. Upon petition by
an adult child, adoptive parent |
or surviving spouse of an adopted or surrendered person who is |
deceased, by an adult birth sibling of an adopted or |
surrendered person
whose common birth parent is deceased
and |
whose adopted or surrendered birth sibling is 21 years of age |
or over, or by an adult sibling of a birth parent who is |
deceased,
and whose surrendered child is 21 years of age or |
over, the court may appoint a confidential
intermediary if the |
court finds that the disclosure is of greater benefit than
|
nondisclosure.
The petition shall state which biological |
relative
or
relatives are being sought and shall indicate if |
the petitioner wants to do any
one or more of the following: |
exchange medical information with the
biological relative or |
relatives, obtain identifying information from the
biological |
relative or relatives, or to arrange contact with the |
biological
relative.
|
(c) Order. The order appointing the confidential |
intermediary shall allow
that
intermediary to conduct a search |
for the sought-after relative by accessing
those records |
|
described in subsection (g) of this Section.
|
(d) Fees and expenses. The court shall condition the |
appointment of the
confidential intermediary on the |
petitioner's payment of the intermediary's
fees and expenses in |
advance of the commencement of the work of the
confidential |
intermediary. However, no fee shall be charged if the |
petitioner is an adult adopted or surrendered person and the |
sought-after relative is a birth parent who filed a Denial with |
the Registry prior to January 1, 2011, or filed a Birth Parent |
Preference Form on which Option E was selected after January 1, |
2011 and more than 5 years have transpired since the birth |
parent filed the Denial of Information Exchange or Birth Parent |
Preference Form on which Option E was selected.
|
(e) Eligibility of intermediary. The court may appoint as |
confidential
intermediary any
person certified by the |
Department of Children and Family Services as qualified to |
serve as a confidential
intermediary.
Certification shall be |
dependent upon the
confidential intermediary completing a |
course of training including, but not
limited to, applicable |
federal and State privacy laws.
|
(f) Confidential Intermediary Council. There shall be |
established under the
Department of Children and Family
|
Services a Confidential Intermediary Advisory Council. One |
member shall be an
attorney representing the Attorney General's |
Office appointed by the Attorney
General. One member shall be a |
currently certified confidential intermediary
appointed by the |
|
Director of the Department of Children and Family Services.
The |
Director shall also appoint 5 additional members. When making |
those
appointments, the Director shall consider advocates for |
adopted persons,
adoptive parents, birth parents, lawyers who |
represent clients in private
adoptions, lawyers specializing |
in privacy law, and representatives of agencies
involved in |
adoptions. The Director shall appoint one of the 7 members as
|
the chairperson. An attorney from the Department of Children |
and Family
Services
and the person directly responsible for |
administering the confidential
intermediary program shall |
serve as ex-officio, non-voting advisors to the
Council. |
Council members shall serve at the discretion of the Director |
and
shall receive no compensation other than reasonable |
expenses approved by the
Director. The Council shall meet no |
less than twice yearly and shall meet at least once yearly with |
the Registry Advisory Council , and shall make
recommendations |
to the Director regarding the development of rules, procedures,
|
and forms that will ensure efficient and effective operation of |
the
confidential intermediary process, including:
|
(1) Standards for certification for confidential |
intermediaries.
|
(2) Oversight of methods used to verify that |
intermediaries are complying
with the appropriate laws.
|
(3) Training for confidential intermediaries, |
including training with
respect to federal and State |
privacy laws.
|
|
(4) The relationship between confidential |
intermediaries and the court
system, including the |
development of sample orders defining the scope of the
|
intermediaries' access to information.
|
(5) Any recent violations of policy or procedures by |
confidential
intermediaries and remedial steps, including |
decertification, to prevent future
violations.
|
(g) Access. Subject to the limitations of subsection (i) |
of this
Section, the
confidential
intermediary shall have |
access to vital records or a comparable public entity that |
maintains vital records in another state in accordance with |
that state's laws, maintained by the Department of
Public |
Health and its local designees for the maintenance of vital |
records or a comparable public entity that maintains vital |
records in another state in accordance with that state's laws |
and
all records of the court or any adoption agency,
public
or |
private, as limited in this Section, which relate to the |
adoption or the identity and location of an
adopted or |
surrendered person, of an adult child or surviving spouse of a |
deceased adopted or surrendered person, or of a birth
parent, |
birth sibling, or the sibling of a deceased birth parent. The
|
confidential intermediary shall not have access to any personal |
health
information protected by the Standards for Privacy of |
Individually
Identifiable Health Information adopted by the |
U.S. Department of Health and
Human Services under the Health |
Insurance Portability and Accountability Act of
1996 unless the |
|
confidential intermediary has obtained written consent from |
the
person whose information is being sought by an adult |
adopted or surrendered person or, if that person is a minor |
child,
that person's parent or guardian. Confidential
|
intermediaries shall be authorized to inspect confidential |
relinquishment and
adoption records. The confidential |
intermediary shall not be authorized to
access medical
records, |
financial records, credit records, banking records, home |
studies,
attorney file records, or other personal records.
In |
cases where a birth parent is being sought, an adoption agency |
shall inform
the confidential intermediary of any statement |
filed pursuant to Section 18.3, hereinafter referred to as "the |
18.3 statement",
indicating a desire of the surrendering birth |
parent to have identifying
information shared or to not have |
identifying information shared. If there was
a clear statement |
of intent by the sought-after birth parent not to have
|
identifying information shared, the confidential intermediary |
shall discontinue
the search and inform the petitioning party |
of the sought-after relative's
intent unless the birth parent |
filed the 18.3 statement prior to the effective date of this |
amendatory Act of the 96th General Assembly and more than 5 |
years have elapsed since the filing of the 18.3 statement. If |
the adult adopted or surrendered person is the subject of an |
18.3 statement indicating a desire not to establish contact |
which was filed more than 5 years prior to the search request, |
the confidential intermediary shall confirm the petitioner's |
|
desire to continue the search . Information
provided to the |
confidential intermediary by an adoption agency shall be
|
restricted to the full name, date of birth, place of birth, |
last known address,
last known telephone number of the |
sought-after relative or, if applicable,
of the children or |
siblings of the sought-after relative, and the 18.3 statement.
|
(h) Adoption agency disclosure of medical information. If |
the petitioner is
an adult adopted or surrendered person or the |
adoptive parent of a
minor and if the petitioner has signed a |
written authorization to disclose
personal medical |
information, an adoption agency disclosing information to a
|
confidential intermediary shall disclose available medical |
information about
the adopted or surrendered person from birth |
through adoption.
|
(i) Duties of confidential intermediary in conducting a |
search. In
conducting
a search under this Section, the |
confidential intermediary shall first confirm
that there is no |
Denial of Information Exchange on file with the Illinois
|
Adoption Registry. If the petitioner is an adult child of an |
adopted or surrendered person
who is deceased, the
confidential |
intermediary shall additionally confirm that the adopted or |
surrendered person
did not file a Denial of Information |
Exchange with the Illinois Adoption
Registry during his or her |
life. If there is a Denial on file with the Registry, the |
confidential intermediary must discontinue the search unless |
the petitioner is an adult adopted or surrendered person and |
|
the sought-after birth relative filed the Denial 5 years or |
more prior to the search or the birth parent has not been the |
object of a search through the State confidential intermediary |
program for 10 or more years. If the petitioner is an adult |
adopted or surrendered person and there is a Birth Parent |
Preference Form on file with the Registry and the birth parent |
who completed the form selected Option E, the confidential |
intermediary must discontinue the search unless 5 years or more |
have elapsed since the filing of the Birth Parent Preference |
Form. If the petitioner is an adult birth sibling of
an
adopted
|
or surrendered person or an adult sibling of a birth parent who |
is deceased,
the confidential intermediary shall
additionally |
confirm that the birth parent did not file a Denial of |
Information
Exchange with the Registry during his or her life. |
If the confidential
intermediary learns that a sought-after |
birth parent signed an 18.3 a statement
indicating his or her |
intent not to have identifying information shared, and
did not |
later file an Information Exchange Authorization or a Birth |
Parent Preference Form with the Adoption
Registry, the |
confidential intermediary shall discontinue the search and |
inform
the petitioning party of the birth parent's intent , |
unless the petitioner is an adult adopted or surrendered person |
and 5 years or more have elapsed since the birth parent signed |
the statement indicating his or her intent not to have |
identifying information shared. In cases where the birth parent |
filed a Denial of Information Exchange or Birth Parent |
|
Preference Form where Option E was selected, or statement |
indicating his or her intent not to have identifying |
information shared less than 5 years prior to the search |
request and the petitioner is an adult adopted or surrendered |
person, the confidential intermediary shall inform the |
petitioner of the need to discontinue the search until 5 years |
have elapsed since the Denial of Information Exchange or Birth |
Parent Preference Form where Option E was selected, or |
statement
was filed; in cases where a birth parent was |
previously the subject of a search through the State |
confidential intermediary program, the confidential |
intermediary shall inform the petitioner of the need to |
discontinue the search until 10 years or more have elapsed |
since the initial search was closed. In cases where a birth |
parent has been the object of 2 searches through the State |
confidential intermediary program, no subsequent search for |
the birth parent shall be authorized absent a court order to |
the contrary .
|
In conducting a search under this Section, the confidential |
intermediary
shall attempt to locate the relative or relatives |
from whom the petitioner has
requested information. If the |
sought-after relative is deceased
or cannot be located after a |
diligent search, the
confidential intermediary may contact |
other adult relatives of the
sought-after relative.
|
The confidential intermediary shall contact a sought-after |
relative on
behalf of the petitioner in a manner that respects |
|
the sought-after relative's
privacy and shall inform the |
sought-after relative of the petitioner's request
for medical |
information, identifying information or contact as stated in |
the
petition. Based upon the terms of the petitioner's request, |
the confidential
intermediary shall contact a sought-after |
relative on behalf of the petitioner
and inform the |
sought-after relative of the following options:
|
(1) The sought-after relative may totally reject one or |
all of the
requests for medical information, identifying |
information or
contact. The sought-after relative shall be |
informed that they can
provide a medical questionnaire to |
be forwarded to the petitioner
without releasing any |
identifying information. The confidential
intermediary |
shall inform the petitioner of the sought-after
relative's |
decision to reject the sharing of information or contact.
|
(2) The sought-after relative may consent to |
completing a medical
questionnaire only. In this case, the |
confidential intermediary
shall provide the questionnaire |
and ask the sought-after relative to
complete it. The |
confidential intermediary shall forward the
completed |
questionnaire to the petitioner and inform the petitioner
|
of the sought-after relative's desire to not provide any |
additional
information.
|
(3) The sought-after relative may communicate with the |
petitioner
without having his or her identity disclosed. In |
this case, the
confidential intermediary shall arrange the |
|
desired communication
in a manner that protects the |
identity of the sought-after relative.
The confidential |
intermediary shall inform the petitioner of the
|
sought-after relative's decision to communicate but not |
disclose
his or her identity.
|
(4) The sought after relative may consent to initiate |
contact with the
petitioner. If both the petitioner and the |
sought-after relative or
relatives are eligible to |
register with the Illinois Adoption Registry,
the |
confidential intermediary shall provide the necessary
|
application forms and request that the sought-after |
relative
register with the Illinois Adoption Registry. If |
either the petitioner
or the sought-after relative or |
relatives are ineligible to register
with the Illinois |
Adoption Registry, the confidential intermediary
shall |
obtain written consents from both parties that they wish to
|
disclose their identities to each other and to have contact |
with
each other.
|
(j) Oath. The confidential intermediary shall sign an oath |
of
confidentiality substantially as follows: "I, .........., |
being duly sworn, on
oath depose and say: As a condition of |
appointment as a confidential
intermediary, I affirm that:
|
(1) I will not disclose to the petitioner,
directly or |
indirectly, any confidential information
except in a |
manner consistent with the
law.
|
(2) I recognize that violation of this oath subjects me |
|
to civil liability
and to a potential finding of contempt |
of court.
................................
|
SUBSCRIBED AND SWORN to before me, a Notary Public, on (insert
|
date)
|
................................."
|
(k) Sanctions.
|
(1) Any confidential intermediary who improperly |
discloses
confidential information identifying a |
sought-after relative shall be liable to
the sought-after |
relative for damages and may also be found in contempt of
|
court.
|
(2) Any person who learns a sought-after
relative's |
identity, directly or indirectly, through the use of |
procedures
provided in this Section and who improperly |
discloses information identifying
the sought-after |
relative shall be liable to the sought-after relative for
|
actual damages plus minimum punitive damages of $10,000.
|
(3) The Department shall fine any confidential |
intermediary who improperly
discloses
confidential |
information in violation of item (1) or (2) of this |
subsection (k)
an amount up to $2,000 per improper |
disclosure. This fine does not affect
civil liability under |
item (2) of this subsection (k). The Department shall
|
deposit all fines and penalties collected under this |
Section into the Illinois
Adoption Registry and Medical |
Information Fund.
|
|
(l) Death of person being sought. Notwithstanding any other |
provision
of this Act, if the confidential intermediary |
discovers that the person
being sought has died, he or she |
shall report this fact to the court,
along with a copy of the |
death certificate. If the sought-after relative is a birth |
parent, the confidential intermediary shall also forward a copy |
of the birth parent's death certificate, if available, to the |
Registry for inclusion in the Registry file.
|
(m) Any confidential information obtained by the |
confidential intermediary
during the course of his or her |
search shall be kept strictly confidential
and shall be used |
for the purpose of arranging contact between the
petitioner and |
the sought-after birth relative. At the time the case is
|
closed, all identifying information shall be returned to the |
court for
inclusion in the impounded adoption file.
|
(n) If the petitioner is an adopted or surrendered person |
21 years of age or over or the
adoptive parent or legal |
guardian of an adopted or surrendered person under the age
of |
21, any
non-identifying information, as defined in Section |
18.4, that is
ascertained during the course of the search may |
be given in writing to
the petitioner at any time during the |
search before the case is closed.
|
(o) Except as provided in subsection (k) of this Section, |
no liability shall
accrue to
the State, any State agency, any |
judge, any officer or employee of the
court, any certified |
confidential intermediary, or any agency designated
to oversee |
|
confidential intermediary services for acts, omissions, or
|
efforts made in good faith within the scope of this Section.
|
(p) An adoption agency that has received a request from a |
confidential intermediary for the full name, date of birth, |
last known address, or last known telephone number of a |
sought-after relative pursuant to subsection (g) of Section |
18.3a 18.3 , or for medical information regarding a sought-after |
relative pursuant to subsection (h) of Section 18.3a 18.3 , must |
satisfactorily comply with this court order within a period of |
45 days. The court shall order the adoption agency to reimburse |
the petitioner in an amount equal to all payments made by the |
petitioner to the confidential intermediary, and the adoption |
agency shall be subject to a civil monetary penalty of $1,000 |
to be paid to the Department of Children and Family Services. |
Following the issuance of a court order finding that the |
adoption agency has not complied with Section 18.3, the |
adoption agency shall be subject to a monetary penalty of $500 |
per day for each subsequent day of non-compliance. Proceeds |
from such fines shall be utilized by the Department of Children |
and Family Services to subsidize the fees of petitioners as |
referenced in subsection (d) of this Section. |
(q) Provide information to eligible petitioner. The |
confidential intermediary may provide to eligible petitioners |
as described in subsections (a) and (b) of this Section, the |
name of the child welfare agency which had legal custody of the |
surrendered person or responsibility for placing the |
|
surrendered person and any available contact information for |
such agency. In addition, the confidential intermediary may |
provide to such petitioners the name of the state in which the |
surrender occurred or in which the adoption was finalized. |
Any reimbursements and fines, notwithstanding any |
reimbursement directly to the petitioner, paid under this |
subsection are in addition to other remedies a court may |
otherwise impose by law. |
Proceeds from the penalties paid to the Department of |
Children and Family Services shall be deposited into the DCFS |
Children's Services Fund. The Department of Children and Family |
Services shall submit reports to the Confidential Intermediary |
Advisory Council by July 1 and January 1 of each year in order |
to report the penalties assessed and collected under this |
subsection, the amounts of related deposits into the DCFS |
Children's Services Fund, and any expenditures from such |
deposits.
|
(Source: P.A. 96-661, eff. 8-25-09.)
|
(750 ILCS 50/18.5) (from Ch. 40, par. 1522.5)
|
Sec. 18.5. Liability. No liability shall attach to the |
State, any
agency thereof,
any licensed agency, any judge, any |
officer or employee of the court, or
any party or employee |
thereof involved in the surrender of a child for
adoption or in |
an adoption proceeding for acts or efforts made within the
|
scope of Sections 18.05 thru 18.5, inclusive, of this Act and
|
|
under
its provisions, except for subsection (n) (f) of Section |
18.1.
|
(Source: P.A. 91-417, eff. 1-1-00.)
|
(750 ILCS 50/18.6) (from Ch. 40, par. 1522.6)
|
Sec. 18.6. Registry fees. The Department of Public Health |
shall levy a
fee for each
registrant under Sections 18.05 |
through 18.5.
A $15 $40 fee shall be charged for registering |
with the Illinois Adoption
Registry and Medical Information |
Exchange. However, this fee shall be
waived for all adopted or |
surrendered persons, surviving children and spouses of |
deceased adopted persons, adoptive parents,
legal guardians, |
birth parents, and
birth siblings who complete a Medical |
Information Exchange Questionnaire at the
time of registration |
and authorize its release to specified registered parties,
and |
for adoptive parents
registering within 12 months of the |
finalization of the
adoption. All persons who were registered |
with the Illinois Adoption Registry
prior to the effective date |
of this amendatory Act of 1999
and who wish to
update their |
registration may do so without charge.
No charge of any
kind |
shall be made for the withdrawal of any form provided in |
Section 18.2.
|
(Source: P.A. 91-417, eff. 1-1-00.)
|
Section 99. Effective date. This Act takes effect upon |
becoming law. |