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1 | AN ACT concerning civil law.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 5. The Adoption Act is amended by changing Section | |||||||||||||||||||
5 | 10 as follows:
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6 | (750 ILCS 50/10) (from Ch. 40, par. 1512)
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7 | Sec. 10. Forms of consent and surrender; execution and
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8 | acknowledgment thereof. A. The form of consent required for | |||||||||||||||||||
9 | the
adoption of a born child shall be substantially as follows:
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10 | FINAL AND IRREVOCABLE CONSENT TO ADOPTION
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11 | I, ...., (relationship, e.g., mother, father, relative, | |||||||||||||||||||
12 | guardian)
of ...., a ..male child, state:
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13 | That such child was born on .... at ....
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14 | That I reside at ...., County of .... and State of ....
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15 | That I am of the age of .... years.
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16 | That I hereby enter my appearance in this proceeding and | |||||||||||||||||||
17 | waive
service of summons on me.
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18 | That I do hereby consent and agree to the adoption of such | |||||||||||||||||||
19 | child.
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20 | That I wish to and understand that by signing this consent | |||||||||||||||||||
21 | I do
irrevocably and permanently give up all custody and other | |||||||||||||||||||
22 | parental
rights I have to such child.
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23 | That I understand such child will be placed for adoption |
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| |||||||
1 | and that I
cannot under any circumstances, after signing this | ||||||
2 | document, change my
mind and revoke or cancel this consent or | ||||||
3 | obtain or recover custody or
any other rights over such child. | ||||||
4 | That I have read and understand the
above and I am signing it | ||||||
5 | as my free and voluntary act.
| ||||||
6 | Dated (insert date).
| ||||||
7 | .........................
| ||||||
8 | If under Section 8 the consent of more than one person is | ||||||
9 | required,
then each such person shall execute a separate | ||||||
10 | consent.
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11 | B. The form of consent required for the adoption of an | ||||||
12 | unborn child
shall be substantially as follows:
| ||||||
13 | CONSENT TO ADOPTION OF UNBORN CHILD
| ||||||
14 | I, ...., state:
| ||||||
15 | That I am the father of a child expected to be born on or | ||||||
16 | about ....
to .... (name of mother).
| ||||||
17 | That I reside at .... County of ...., and State of .....
| ||||||
18 | That I am of the age of .... years.
| ||||||
19 | That I hereby enter my appearance in such adoption | ||||||
20 | proceeding and
waive service of summons on me.
| ||||||
21 | That I do hereby consent and agree to the adoption of such | ||||||
22 | child, and
that I have not previously executed a consent or | ||||||
23 | surrender with respect
to such child.
| ||||||
24 | That I wish to and do understand that by signing this | ||||||
25 | consent I do
irrevocably and permanently give up all custody |
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| |||||||
1 | and other parental
rights I have to such child, except that I | ||||||
2 | have the right to revoke this
consent by giving written notice | ||||||
3 | of my revocation not later than 72
hours after the birth of the | ||||||
4 | child.
| ||||||
5 | That I understand such child will be placed for adoption | ||||||
6 | and that,
except as hereinabove provided, I cannot under any | ||||||
7 | circumstances, after
signing this document, change my mind and | ||||||
8 | revoke or cancel this consent
or obtain or recover custody or | ||||||
9 | any other rights over such child.
| ||||||
10 | That I have read and understand the above and I am signing | ||||||
11 | it as my
free and voluntary act.
| ||||||
12 | Dated (insert date).
| ||||||
13 | ........................
| ||||||
14 | B-5. (1) The parent of a child may execute a consent to | ||||||
15 | standby
adoption by a specified person or persons. A consent | ||||||
16 | under this subsection B-5
shall be acknowledged by a parent | ||||||
17 | pursuant to subsection H and subsection K of
this Section.
The | ||||||
18 | form of consent required for the standby adoption of a born | ||||||
19 | child
effective at a future date when the consenting
parent of | ||||||
20 | the child dies or
requests that a final judgment of adoption be | ||||||
21 | entered shall be substantially as
follows:
| ||||||
22 | FINAL AND IRREVOCABLE CONSENT
| ||||||
23 | TO STANDBY ADOPTION
| ||||||
24 | I, ..., (relationship, e.g. mother or father)
of ...., a | ||||||
25 | ..male child, state:
| ||||||
26 | That the child was born on .... at .....
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| |||||||
| |||||||
1 | That I reside at ...., County of ...., and State of .....
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2 | That I am of the age of .... years.
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3 | That I hereby enter my appearance in this proceeding and | ||||||
4 | waive service of
summons on me in this action only.
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5 | That I do hereby consent and
agree to the standby adoption | ||||||
6 | of the child, and that I have not previously
executed a consent | ||||||
7 | or surrender with respect to the child.
| ||||||
8 | That I wish to and understand that by signing this consent | ||||||
9 | I do irrevocably
and permanently give up all custody and other | ||||||
10 | parental rights I have to the
child, effective upon
(my death) | ||||||
11 | (the child's other parent's death) or upon (my) (the other
| ||||||
12 | parent's) request for the entry of a final judgment for | ||||||
13 | adoption if .....
(specified person or persons) adopt my child.
| ||||||
14 | That I understand that until (I die) (the child's other | ||||||
15 | parent dies), I
retain all legal rights and obligations | ||||||
16 | concerning the child, but at that time,
I irrevocably give all | ||||||
17 | custody and other parental rights to .... (specified
person or | ||||||
18 | persons).
| ||||||
19 | I understand my child will be adopted by ....... (specified | ||||||
20 | person or
persons) only and that I cannot, under any | ||||||
21 | circumstances, after signing this
document, change my mind and | ||||||
22 | revoke or cancel this consent or obtain or recover
custody or | ||||||
23 | any other rights over my child if ..... (specified person or
| ||||||
24 | persons) adopt my child.
| ||||||
25 | I understand that this consent to standby adoption is valid | ||||||
26 | only if the
petition for standby adoption is filed and that if |
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1 | ....... (specified person or
persons), for any reason, cannot | ||||||
2 | or will not file a petition for standby
adoption or if his, | ||||||
3 | her, or their petition for standby adoption is denied, then
| ||||||
4 | this consent is void. I have the right to notice of any other | ||||||
5 | proceeding that
could affect my parental rights.
| ||||||
6 | That I have read and understand the above and I am signing | ||||||
7 | it as my free and
voluntary act.
| ||||||
8 | Dated (insert date).
| ||||||
9 | ....................
| ||||||
10 | If under Section 8 the consent of more than one person is | ||||||
11 | required, then each
such
person shall execute a separate | ||||||
12 | consent. A separate consent shall be executed
for each
child.
| ||||||
13 | (2) If the parent consents to a standby adoption by 2 | ||||||
14 | specified persons,
then the form shall contain 2 additional | ||||||
15 | paragraphs in substantially the
following form:
| ||||||
16 | If .... (specified persons) obtain a judgment of
| ||||||
17 | dissolution of
marriage before the judgment for adoption is | ||||||
18 | entered, then .....
(specified person) shall adopt my child. I | ||||||
19 | understand that I cannot change my
mind and revoke this consent | ||||||
20 | or obtain or recover custody of my child if .....
(specified | ||||||
21 | persons) obtain a judgment of dissolution of marriage and .....
| ||||||
22 | (specified person) adopts my child. I understand that I cannot | ||||||
23 | change my
mind and revoke this consent if ...... (specified | ||||||
24 | persons) obtain a
judgment of dissolution of marriage before | ||||||
25 | the adoption is final. I
understand that this consent to |
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| |||||||
1 | adoption has no effect on who will get custody
of my child if | ||||||
2 | ..... (specified persons) obtain a judgment of dissolution
of | ||||||
3 | marriage after the adoption is final. I understand that if | ||||||
4 | either .....
(specified persons) dies before the petition to | ||||||
5 | adopt my child is granted, then
the surviving person may adopt | ||||||
6 | my child. I understand that I cannot change my
mind and revoke | ||||||
7 | this consent or obtain or recover custody of my child if the
| ||||||
8 | surviving person adopts my child.
| ||||||
9 | A consent to standby adoption by specified persons on this | ||||||
10 | form shall have no
effect on a court's determination of custody | ||||||
11 | or visitation under the Illinois
Marriage and Dissolution
of | ||||||
12 | Marriage Act if the marriage of the specified persons is | ||||||
13 | dissolved before
the adoption is final.
| ||||||
14 | (3) The form of the certificate of acknowledgement for a | ||||||
15 | Final and
Irrevocable Consent for Standby Adoption shall be | ||||||
16 | substantially as follows:
| ||||||
17 | STATE OF .....)
| ||||||
18 | ) SS.
| ||||||
19 | COUNTY OF ....)
| ||||||
20 | I, ....... (name of Judge or other person) ..... (official | ||||||
21 | title,
name, and address), certify that ......., personally | ||||||
22 | known to me to be
the same person whose name is subscribed to | ||||||
23 | the foregoing Final and Irrevocable
Consent to Standby | ||||||
24 | Adoption, appeared before me this day in person and
|
| |||||||
| |||||||
1 | acknowledged that (she) (he) signed and
delivered the consent | ||||||
2 | as (her) (his) free and voluntary act, for the specified
| ||||||
3 | purpose.
| ||||||
4 | I have fully explained that this consent to adoption is | ||||||
5 | valid only if the
petition to adopt is filed, and that if the | ||||||
6 | specified person or persons, for
any reason, cannot or will not | ||||||
7 | adopt the child or if the adoption petition is
denied, then | ||||||
8 | this consent will be void. I have fully explained that if the
| ||||||
9 | specified person or persons adopt the child, by signing this | ||||||
10 | consent (she) (he)
is irrevocably and permanently | ||||||
11 | relinquishing all parental rights to the child,
and (she) (he) | ||||||
12 | has stated that such is (her) (his) intention and desire.
| ||||||
13 | Dated (insert date).
| ||||||
14 | Signature..............................
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15 | (4) If a consent to standby adoption is executed in this | ||||||
16 | form,
the consent shall be valid only if the specified
person | ||||||
17 | or persons adopt the child. The consent shall be void if:
| ||||||
18 | (a) the specified person or persons do not file a petition | ||||||
19 | for standby
adoption of the child; or
| ||||||
20 | (b) a court denies the standby adoption petition.
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21 | The parent shall not need to take further action to revoke | ||||||
22 | the consent if the
standby adoption by the specified person or | ||||||
23 | persons does not occur,
notwithstanding the provisions of | ||||||
24 | Section 11 of this Act.
| ||||||
25 | C. The form of surrender to any agency given by a parent of | ||||||
26 | a born
child who is to be subsequently placed for adoption |
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| |||||||
1 | shall be
substantially as follows and shall contain such other | ||||||
2 | facts and
statements as the particular agency shall require.
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3 | FINAL AND IRREVOCABLE SURRENDER
| ||||||
4 | FOR PURPOSES OF ADOPTION
| ||||||
5 | I, .... (relationship, e.g., mother, father, relative, | ||||||
6 | guardian) of
...., a ..male child, state:
| ||||||
7 | That such child was born on ...., at .....
| ||||||
8 | That I reside at ...., County of ...., and State of .....
| ||||||
9 | That I am of the age of .... years.
| ||||||
10 | That I do hereby surrender and entrust the entire custody | ||||||
11 | and control
of such child to the .... (the "Agency"), a | ||||||
12 | (public) (licensed) child
welfare agency with its principal | ||||||
13 | office in the City of ...., County of
.... and State of ...., | ||||||
14 | for the purpose of enabling it to care for and
supervise the | ||||||
15 | care of such child, to place such child for adoption and
to | ||||||
16 | consent to the legal adoption of such child.
| ||||||
17 | That I hereby grant to the Agency full power and authority | ||||||
18 | to place
such child with any person or persons it may in its | ||||||
19 | sole discretion
select to become the adopting parent or parents | ||||||
20 | and to consent to the
legal adoption of such child by such | ||||||
21 | person or persons; and to take any
and all measures which, in | ||||||
22 | the judgment of the Agency, may be for the
best interests of | ||||||
23 | such child, including authorizing medical, surgical
and dental | ||||||
24 | care and treatment including inoculation and anaesthesia for
| ||||||
25 | such child.
| ||||||
26 | That I wish to and understand that by signing this |
| |||||||
| |||||||
1 | surrender I do
irrevocably and permanently give up all custody | ||||||
2 | and other parental
rights I have to such child.
| ||||||
3 | That I understand I cannot under any circumstances, after | ||||||
4 | signing
this surrender, change my mind and revoke or cancel | ||||||
5 | this surrender or
obtain or recover custody or any other rights | ||||||
6 | over such child.
| ||||||
7 | That I have read and understand the above and I am signing | ||||||
8 | it as my
free and voluntary act.
| ||||||
9 | Dated (insert date).
| ||||||
10 | ........................
| ||||||
11 | D. The form of surrender to an agency given by a parent of | ||||||
12 | an unborn
child who is to be subsequently placed for adoption | ||||||
13 | shall be
substantially as follows and shall contain such other | ||||||
14 | facts and
statements as the particular agency shall require.
| ||||||
15 | SURRENDER OF UNBORN CHILD FOR
| ||||||
16 | PURPOSES OF ADOPTION
| ||||||
17 | I, .... (father), state:
| ||||||
18 | That I am the father of a child expected to be born on or | ||||||
19 | about ....
to .... (name of mother).
| ||||||
20 | That I reside at ...., County of ...., and State of .....
| ||||||
21 | That I am of the age of .... years.
| ||||||
22 | That I do hereby surrender and entrust the entire custody | ||||||
23 | and control
of such child to the .... (the "Agency"), a | ||||||
24 | (public) (licensed) child
welfare agency with its principal | ||||||
25 | office in the City of ...., County of
.... and State of ...., | ||||||
26 | for the purpose of enabling it to care for and
supervise the |
| |||||||
| |||||||
1 | care of such child, to place such child for adoption and
to | ||||||
2 | consent to the legal adoption of such child, and that I have | ||||||
3 | not
previously executed a consent or surrender with respect to | ||||||
4 | such child.
| ||||||
5 | That I hereby grant to the Agency full power and authority | ||||||
6 | to place
such child with any person or persons it may in its | ||||||
7 | sole discretion
select to become the adopting parent or parents | ||||||
8 | and to consent to the
legal adoption of such child by such | ||||||
9 | person or persons; and to take any
and all measures which, in | ||||||
10 | the judgment of the Agency, may be for the
best interests of | ||||||
11 | such child, including authorizing medical, surgical
and dental | ||||||
12 | care and treatment, including inoculation and anaesthesia for
| ||||||
13 | such child.
| ||||||
14 | That I wish to and understand that by signing this | ||||||
15 | surrender I do
irrevocably and permanently give up all custody | ||||||
16 | and other parental
rights I have to such child.
| ||||||
17 | That I understand I cannot under any circumstances, after | ||||||
18 | signing
this surrender, change my mind and revoke or cancel | ||||||
19 | this surrender or
obtain or recover custody or any other rights | ||||||
20 | over such child, except
that I have the right to revoke this | ||||||
21 | surrender by giving written notice
of my revocation not later | ||||||
22 | than 72 hours after the birth of such child.
| ||||||
23 | That I have read and understand the above and I am signing | ||||||
24 | it as my
free and voluntary act.
| ||||||
25 | Dated (insert date).
| ||||||
26 | ........................
|
| |||||||
| |||||||
1 | E. The form of consent required from the parents for the | ||||||
2 | adoption of
an adult, when such adult elects to obtain such | ||||||
3 | consent, shall be
substantially as follows:
| ||||||
4 | CONSENT
| ||||||
5 | I, ...., (father) (mother) of ...., an adult, state:
| ||||||
6 | That I reside at ...., County of .... and State of .....
| ||||||
7 | That I do hereby consent and agree to the adoption of such | ||||||
8 | adult by
.... and .....
| ||||||
9 | Dated (insert date).
| ||||||
10 | .........................
| ||||||
11 | F. The form of consent required for the adoption of a child | ||||||
12 | of the
age of 14 years or upwards, or of an adult, to be given | ||||||
13 | by such person,
shall be substantially as follows:
| ||||||
14 | CONSENT
| ||||||
15 | I, ...., state:
| ||||||
16 | That I reside at ...., County of .... and State of ..... | ||||||
17 | That I am
of the age of .... years. That I consent and agree to | ||||||
18 | my adoption by
.... and .....
| ||||||
19 | Dated (insert date).
| ||||||
20 | ........................
| ||||||
21 | G. The form of consent given by an agency to the adoption | ||||||
22 | by
specified persons of a child previously surrendered to it | ||||||
23 | shall set
forth that the agency has the authority to execute | ||||||
24 | such consent. The
form of consent given by a guardian of the | ||||||
25 | person of a child sought to
be adopted, appointed by a court of | ||||||
26 | competent jurisdiction, shall set
forth the facts of such |
| |||||||
| |||||||
1 | appointment and the authority of the guardian to
execute such | ||||||
2 | consent.
| ||||||
3 | H. A consent (other than that given by an agency, or | ||||||
4 | guardian of the
person of the child sought to be adopted who | ||||||
5 | was appointed by a court of
competent jurisdiction) shall be | ||||||
6 | acknowledged by a parent before a the
presiding judge of a the | ||||||
7 | court of competent jurisdiction in which the petition for | ||||||
8 | adoption has
been, or is to be filed or before any other judge | ||||||
9 | or hearing officer
designated or
subsequently approved by the | ||||||
10 | court, or the circuit clerk if so authorized
by the presiding | ||||||
11 | judge or, except as otherwise provided in
this Act, before a | ||||||
12 | representative of an the Department of Children and
Family | ||||||
13 | Services or a licensed child welfare agency, or before a | ||||||
14 | person, other than the attorney for the prospective adoptive | ||||||
15 | parent or parents, designated by social
service personnel under | ||||||
16 | the jurisdiction of a court of competent
jurisdiction , or | ||||||
17 | before social service personnel of the Cook County
Department | ||||||
18 | of Supportive Services designated by the presiding judge .
| ||||||
19 | I. A surrender, or any other document equivalent to a | ||||||
20 | surrender, by
which a child is surrendered to an agency shall | ||||||
21 | be acknowledged by the
person signing such surrender, or other | ||||||
22 | document, before a judge of a court of competent jurisdiction | ||||||
23 | or hearing
officer or the
clerk of any court of record, either | ||||||
24 | in this State or any other state of
the United States , or , | ||||||
25 | except as otherwise provided in this Act, before a | ||||||
26 | representative of an agency , or before a any
other person |
| |||||||
| |||||||
1 | designated or approved by a the presiding judge of the court
of | ||||||
2 | competent jurisdiction in which the petition for adoption has | ||||||
3 | been, or is to be, filed .
| ||||||
4 | J. The form of the certificate of acknowledgment for a | ||||||
5 | consent, a
surrender, or any other document equivalent to a | ||||||
6 | surrender, shall be
substantially as follows:
| ||||||
7 | STATE OF ....)
| ||||||
8 | ) SS.
| ||||||
9 | COUNTY OF ...)
| ||||||
10 | I, .... (Name of judge or other person), .... (official | ||||||
11 | title, name and
location of court or status or position of | ||||||
12 | other person),
certify that ...., personally known to me to be | ||||||
13 | the same person whose
name is subscribed to the foregoing | ||||||
14 | (consent) (surrender), appeared
before me this day in person | ||||||
15 | and acknowledged that (she) (he) signed and
delivered such | ||||||
16 | (consent) (surrender) as (her) (his) free and voluntary
act, | ||||||
17 | for the specified purpose.
| ||||||
18 | I have fully explained that by signing such (consent) | ||||||
19 | (surrender)
(she) (he) is irrevocably relinquishing all | ||||||
20 | parental rights to such
child or adult and (she) (he) has | ||||||
21 | stated that such is (her) (his)
intention and desire.
| ||||||
22 | Dated (insert date).
| ||||||
23 | Signature ...............
| ||||||
24 | K. When the execution of a consent or a surrender is | ||||||
25 | acknowledged
before someone other than a judge or the clerk of | ||||||
26 | a court of record ,
such other person shall have his or her |
| |||||||
| |||||||
1 | signature on the certificate
acknowledged before a notary | ||||||
2 | public, in form substantially as follows:
| ||||||
3 | STATE OF ....)
| ||||||
4 | ) SS.
| ||||||
5 | COUNTY OF ...)
| ||||||
6 | I, a Notary Public, in and for the County of ......, in the | ||||||
7 | State of
......, certify that ...., personally known to me to | ||||||
8 | be the
same person whose name is subscribed to the foregoing | ||||||
9 | certificate of
acknowledgment, appeared before me in person and | ||||||
10 | acknowledged that (she)
(he) signed such certificate as (her) | ||||||
11 | (his) free and voluntary act and
that the statements made in | ||||||
12 | the certificate are true.
| ||||||
13 | Dated (insert date).
| ||||||
14 | Signature ...................... Notary Public
| ||||||
15 | (official seal)
| ||||||
16 | There shall be attached a certificate of magistracy, or | ||||||
17 | other
comparable proof of office of the notary public | ||||||
18 | satisfactory to the
court, to a consent signed and acknowledged | ||||||
19 | in another state.
| ||||||
20 | L. A surrender or consent executed and acknowledged outside | ||||||
21 | of this
State, either in accordance with the law of this State | ||||||
22 | or in accordance
with the law of the place where executed, is | ||||||
23 | valid.
| ||||||
24 | M. Where a consent or a surrender is signed in a foreign | ||||||
25 | country,
the execution of such consent shall be acknowledged or |
| |||||||
| |||||||
1 | affirmed in a
manner conformable to the law and procedure of | ||||||
2 | such country.
| ||||||
3 | N. If the person signing a consent or surrender is in the | ||||||
4 | military
service of the United States, the execution of such | ||||||
5 | consent or surrender
may be acknowledged before a commissioned | ||||||
6 | officer and the signature of
such officer on such certificate | ||||||
7 | shall be verified or acknowledged
before a notary public or by | ||||||
8 | such other procedure as is then in effect
for such division or | ||||||
9 | branch of the armed forces.
| ||||||
10 | O. (1) The parent or parents of a child in whose interests | ||||||
11 | a petition
under Section 2-13 of the Juvenile Court Act of 1987 | ||||||
12 | is pending may, with the
approval of the designated | ||||||
13 | representative of the Department of Children and
Family | ||||||
14 | Services, execute a consent to adoption by a specified person | ||||||
15 | or
persons:
| ||||||
16 | (a) in whose physical custody the child has resided for | ||||||
17 | at least 6
months;
or
| ||||||
18 | (b) in whose physical custody at least one sibling of | ||||||
19 | the child who is the
subject of this consent has resided | ||||||
20 | for at least 6 months, and
the child who is
the subject of | ||||||
21 | this consent is currently residing in this foster home; or
| ||||||
22 | (c) in whose physical custody a child under one year of | ||||||
23 | age has resided
for at least 3 months.
| ||||||
24 | A consent under this subsection O shall be acknowledged by a | ||||||
25 | parent pursuant to
subsection H and subsection K of this | ||||||
26 | Section.
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1 | (2) The consent to adoption by a specified person or | ||||||
2 | persons shall have the
caption of the proceeding in which it is | ||||||
3 | to be filed and shall be substantially
as follows:
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4 | FINAL AND IRREVOCABLE CONSENT TO ADOPTION BY
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5 | A SPECIFIED PERSON OR PERSONS
| ||||||
6 | I, ......................................, the | ||||||
7 | .................. (mother or
father) of a ....male child, | ||||||
8 | state:
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9 | 1. My child ............................ (name of | ||||||
10 | child) was born on
(insert date) at .................... | ||||||
11 | Hospital in
................ County, State of | ||||||
12 | ...............
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13 | 2. I reside at ......................, County of | ||||||
14 | ............. and
State of ..............
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15 | 3. I, ..........................., am .... years old.
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16 | 4. I enter my appearance in this action to adopt my | ||||||
17 | child by the
person or persons specified herein by me and | ||||||
18 | waive service of
summons on me in this action only.
| ||||||
19 | 5. I consent to the adoption of my child by
| ||||||
20 | .............................
(specified person or | ||||||
21 | persons) only.
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22 | 6. I wish to sign this consent and I understand that by | ||||||
23 | signing this
consent I irrevocably and permanently give up | ||||||
24 | all parental rights I have to my
child if my child is | ||||||
25 | adopted by ............................. (specified person
| ||||||
26 | or persons).
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| |||||||
1 | 7. I understand my child will be adopted by | ||||||
2 | .............................
(specified person or | ||||||
3 | persons) only and that I cannot under any circumstances,
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4 | after signing this document, change my mind and revoke or | ||||||
5 | cancel this consent
or obtain or recover custody or any | ||||||
6 | other rights over my child if
............................ | ||||||
7 | (specified person or persons) adopt my child.
| ||||||
8 | 8. I understand that this consent to adoption is valid | ||||||
9 | only if the
petition to adopt is filed within one year from | ||||||
10 | the date that I sign it and
that if ....................... | ||||||
11 | (specified person or persons), for any reason,
cannot or | ||||||
12 | will not file a petition to adopt my child within that one | ||||||
13 | year
period or if their adoption petition is denied, then | ||||||
14 | this consent will be
voidable after one year upon the | ||||||
15 | timely filing of my motion. If I file this
motion before | ||||||
16 | the filing of the petition for adoption, I understand that | ||||||
17 | the
court shall revoke this specific consent.
I have the | ||||||
18 | right to notice of any other proceeding that could affect | ||||||
19 | my
parental rights, except for the proceeding for | ||||||
20 | ............. (specified person
or persons) to adopt my | ||||||
21 | child.
| ||||||
22 | 9. I have read and understand the above and I am | ||||||
23 | signing it as my free
and voluntary act.
| ||||||
24 | Dated (insert date).
| ||||||
25 | .............................................
| ||||||
26 | Signature of parent
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1 | (3) If the parent consents to an adoption by 2 specified | ||||||
2 | persons, then the
form shall contain 2 additional paragraphs in | ||||||
3 | substantially the following form:
| ||||||
4 | 10. If ............... (specified persons) get a | ||||||
5 | divorce
before the petition to adopt my child is granted, | ||||||
6 | then ..........
(specified person) shall adopt my child. I | ||||||
7 | understand that I
cannot change my mind and revoke this | ||||||
8 | consent or obtain or
recover custody over my child if | ||||||
9 | ............. (specified persons)
divorce and | ||||||
10 | ............. (specified person) adopts my
child. I | ||||||
11 | understand that I cannot change my mind and revoke
this | ||||||
12 | consent or obtain or recover custody over my child if
| ||||||
13 | ................. (specified persons) divorce after the
| ||||||
14 | adoption is final. I understand that this consent to | ||||||
15 | adoption
has no effect on who will get custody of my child | ||||||
16 | if they
divorce after the adoption is final.
| ||||||
17 | 11. I understand that if either ...............
| ||||||
18 | (specified persons) dies before the petition to adopt
my | ||||||
19 | child is granted, then the surviving person can adopt my | ||||||
20 | child. I
understand that I cannot change my mind and revoke | ||||||
21 | this consent
or obtain or recover custody over my child if | ||||||
22 | the surviving
person adopts my child.
| ||||||
23 | A consent to adoption by specified persons on this form | ||||||
24 | shall
have no effect on a court's determination of custody or | ||||||
25 | visitation
under the Illinois Marriage and Dissolution of | ||||||
26 | Marriage Act if the
marriage of the
specified persons is |
| |||||||
| |||||||
1 | dissolved after the adoption is final.
| ||||||
2 | (4) The form of the certificate of acknowledgement for a | ||||||
3 | Final and
Irrevocable Consent for Adoption by a Specified | ||||||
4 | Person or Persons shall be
substantially as follows:
| ||||||
5 | STATE OF..............)
| ||||||
6 | ) SS.
| ||||||
7 | COUNTY OF.............)
| ||||||
8 | I, .................... (Name of Judge or other person),
| ||||||
9 | ..................... (official title, name, and address),
| ||||||
10 | certify that ............., personally known to me to be the | ||||||
11 | same person whose
name is subscribed to the foregoing Final and | ||||||
12 | Irrevocable Consent for Adoption
by a Specified Person or | ||||||
13 | Persons, appeared before me this day
in person and acknowledged | ||||||
14 | that (she)(he) signed and delivered the consent as
(her)(his) | ||||||
15 | free and voluntary act, for the specified purpose.
| ||||||
16 | I have fully explained that this consent to adoption is | ||||||
17 | valid only if the
petition to adopt is filed within one year | ||||||
18 | from the date that it is signed, and
that if the specified | ||||||
19 | person or persons, for any reason, cannot or will not
adopt the | ||||||
20 | child or if the adoption petition is denied, then this consent | ||||||
21 | will
be voidable after one year upon the timely filing of a | ||||||
22 | motion by the parent
to revoke the consent. I explained that if | ||||||
23 | this motion is filed before the
filing of the petition for | ||||||
24 | adoption, the court shall revoke this specific
consent. I have |
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1 | fully explained that if the specified person or
persons adopt
| ||||||
2 | the child, by signing this consent this parent is irrevocably
| ||||||
3 | and permanently
relinquishing all parental rights to the child, | ||||||
4 | and this parent has stated that
such is (her)(his) intention | ||||||
5 | and desire.
| ||||||
6 | Dated (insert date).
| ||||||
7 | ...............................
| ||||||
8 | Signature
| ||||||
9 | (5) If a consent to adoption by a specified person or | ||||||
10 | persons is executed in
this form, the following provisions | ||||||
11 | shall apply. The consent shall be valid
only if that specified | ||||||
12 | person or persons adopt the child. The consent shall be
| ||||||
13 | voidable after one year if:
| ||||||
14 | (a) the specified person or persons do not file a | ||||||
15 | petition to adopt the
child within one year after the | ||||||
16 | consent is signed and the parent files a
timely motion to | ||||||
17 | revoke this consent. If this motion is filed before the
| ||||||
18 | filing of the petition for adoption the court shall revoke | ||||||
19 | this consent; or
| ||||||
20 | (b) a court denies the adoption petition; or
| ||||||
21 | (c) the Department of Children and Family Services | ||||||
22 | Guardianship
Administrator determines that the specified | ||||||
23 | person or persons will not or
cannot complete the adoption, | ||||||
24 | or in the best interests of the child should not
adopt the | ||||||
25 | child.
| ||||||
26 | Within 30 days of the consent becoming void, the Department |
| |||||||
| |||||||
1 | of Children and
Family Services Guardianship Administrator | ||||||
2 | shall make good faith attempts to
notify the parent in writing | ||||||
3 | and shall give written notice to the court and all
additional | ||||||
4 | parties in writing that the adoption has not occurred or will | ||||||
5 | not
occur and that the consent is void. If the adoption by a | ||||||
6 | specified person or
persons does not occur, no proceeding for | ||||||
7 | termination of parental rights shall
be brought unless the | ||||||
8 | biological parent who executed the consent to adoption by
a | ||||||
9 | specified person or persons has been notified of the proceeding | ||||||
10 | pursuant to
Section 7 of this Act or subsection (4) of Section | ||||||
11 | 2-13 of the Juvenile Court
Act of 1987. The parent shall not | ||||||
12 | need to take further action to revoke the
consent if the | ||||||
13 | specified adoption does not occur, notwithstanding the
| ||||||
14 | provisions of Section 11 of this Act.
| ||||||
15 | (6) The Department of Children and Family Services is | ||||||
16 | authorized
to promulgate rules necessary to implement this | ||||||
17 | subsection O.
| ||||||
18 | (7) The Department shall collect and maintain data | ||||||
19 | concerning the efficacy
of specific consents. This data shall | ||||||
20 | include the number of specific consents
executed and their | ||||||
21 | outcomes, including but not limited to the number of
children | ||||||
22 | adopted pursuant to the consents, the number of children for | ||||||
23 | whom
adoptions are not completed, and the reason or reasons why | ||||||
24 | the adoptions are
not completed.
| ||||||
25 | P. If the person signing a consent or surrender is | ||||||
26 | incarcerated or detained in a correctional facility, prison, |
| |||||||
| |||||||
1 | jail, detention center, or other comparable institution, | ||||||
2 | either in this State or any other jurisdiction, the execution | ||||||
3 | of such consent or surrender may be acknowledged before social | ||||||
4 | service personnel of such institution, or before a person | ||||||
5 | designated by a court of competent jurisdiction. | ||||||
6 | Q. A consent or surrender may be acknowledged | ||||||
7 | telephonically, via audiovisual connection, or other | ||||||
8 | electronic means, provided that a court of competent | ||||||
9 | jurisdiction has entered an order approving the execution of | ||||||
10 | the consent or surrender in such manner and has designated an | ||||||
11 | individual to be physically present with the parent executing | ||||||
12 | such consent or surrender in order to verify the identify of | ||||||
13 | the parent. | ||||||
14 | R. An agency whose representative is acknowledging a | ||||||
15 | consent or surrender pursuant to this Section shall be a public | ||||||
16 | child welfare agency, child welfare agency, or a child placing | ||||||
17 | agency that is authorized or licensed in the State or | ||||||
18 | jurisdiction in which the consent or surrender is signed. | ||||||
19 | (Source: P.A. 92-320, eff. 1-1-02; 93-732, eff. 1-1-05.)
|