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96TH GENERAL ASSEMBLY
State of Illinois
2009 and 2010 HB6080
Introduced 2/11/2010, by Rep. Sara Feigenholtz SYNOPSIS AS INTRODUCED: |
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750 ILCS 50/10 |
from Ch. 40, par. 1512 |
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Amends the Adoption Act. Provides 2 new adoption forms: final and irrevocable designated surrender for purposes of adoption; and final and irrevocable consent to adoption by a specified person or persons in a non-DCFS case. Effective immediately.
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A BILL FOR
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HB6080 |
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LRB096 18717 AJO 36573 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 Section |
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| 10 as follows:
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| (750 ILCS 50/10) (from Ch. 40, par. 1512)
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| Sec. 10. Forms of consent and surrender; execution and
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| acknowledgment thereof. A. The form of consent required for |
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| the
adoption of a born child shall be substantially as follows:
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| FINAL AND IRREVOCABLE CONSENT TO ADOPTION
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| I, ...., (relationship, e.g., mother, father, relative, |
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| guardian)
of ...., a ..male child, state:
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| That such child was born on .... at ....
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| That I reside at ...., County of .... and State of ....
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| That I am of the age of .... years.
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| That I hereby enter my appearance in this proceeding and |
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| waive
service of summons on me.
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| That I do hereby consent and agree to the adoption of such |
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| child.
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| That I wish to and understand that by signing this consent |
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| I do
irrevocably and permanently give up all custody and other |
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| parental
rights I have to such child.
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| That I understand such child will be placed for adoption |
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HB6080 |
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LRB096 18717 AJO 36573 b |
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| and that I
cannot under any circumstances, after signing this |
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| document, change my
mind and revoke or cancel this consent or |
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| obtain or recover custody or
any other rights over such child. |
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| That I have read and understand the
above and I am signing it |
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| as my free and voluntary act.
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| Dated (insert date).
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| .........................
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| If under Section 8 the consent of more than one person is |
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| required,
then each such person shall execute a separate |
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| consent.
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| B. The form of consent required for the adoption of an |
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| unborn child
shall be substantially as follows:
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| CONSENT TO ADOPTION OF UNBORN CHILD
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| I, ...., state:
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| That I am the father of a child expected to be born on or |
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| about ....
to .... (name of mother).
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| That I reside at .... County of ...., and State of .....
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| That I am of the age of .... years.
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| That I hereby enter my appearance in such adoption |
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| proceeding and
waive service of summons on me.
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| That I do hereby consent and agree to the adoption of such |
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| child, and
that I have not previously executed a consent or |
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| surrender with respect
to such child.
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| That I wish to and do understand that by signing this |
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| consent I do
irrevocably and permanently give up all custody |
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HB6080 |
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LRB096 18717 AJO 36573 b |
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| and other parental
rights I have to such child, except that I |
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| have the right to revoke this
consent by giving written notice |
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| of my revocation not later than 72
hours after the birth of the |
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| child.
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| That I understand such child will be placed for adoption |
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| and that,
except as hereinabove provided, I cannot under any |
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| circumstances, after
signing this document, change my mind and |
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| revoke or cancel this consent
or obtain or recover custody or |
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| any other rights over such child.
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| That I have read and understand the above and I am signing |
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| it as my
free and voluntary act.
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| Dated (insert date).
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| ........................
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| B-5. (1) The parent of a child may execute a consent to |
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| standby
adoption by a specified person or persons. A consent |
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| under this subsection B-5
shall be acknowledged by a parent |
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| pursuant to subsection H and subsection K of
this Section.
The |
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| form of consent required for the standby adoption of a born |
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| child
effective at a future date when the consenting
parent of |
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| the child dies or
requests that a final judgment of adoption be |
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| entered shall be substantially as
follows:
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| FINAL AND IRREVOCABLE CONSENT
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| TO STANDBY ADOPTION
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| I, ..., (relationship, e.g. mother or father)
of ...., a |
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| ..male child, state:
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| That the child was born on .... at .....
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HB6080 |
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LRB096 18717 AJO 36573 b |
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| That I reside at ...., County of ...., and State of .....
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| That I am of the age of .... years.
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| That I hereby enter my appearance in this proceeding and |
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| waive service of
summons on me in this action only.
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| That I do hereby consent and
agree to the standby adoption |
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| of the child, and that I have not previously
executed a consent |
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| or surrender with respect to the child.
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| That I wish to and understand that by signing this consent |
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| I do irrevocably
and permanently give up all custody and other |
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| parental rights I have to the
child, effective upon
(my death) |
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| (the child's other parent's death) or upon (my) (the other
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| parent's) request for the entry of a final judgment for |
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| adoption if .....
(specified person or persons) adopt my child.
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| That I understand that until (I die) (the child's other |
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| parent dies), I
retain all legal rights and obligations |
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| concerning the child, but at that time,
I irrevocably give all |
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| custody and other parental rights to .... (specified
person or |
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| persons).
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| I understand my child will be adopted by ....... (specified |
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| person or
persons) only and that I cannot, under any |
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| circumstances, after signing this
document, change my mind and |
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| revoke or cancel this consent or obtain or recover
custody or |
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| any other rights over my child if ..... (specified person or
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| persons) adopt my child.
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| I understand that this consent to standby adoption is valid |
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| only if the
petition for standby adoption is filed and that if |
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HB6080 |
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LRB096 18717 AJO 36573 b |
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| ....... (specified person or
persons), for any reason, cannot |
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| or will not file a petition for standby
adoption or if his, |
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| her, or their petition for standby adoption is denied, then
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| this consent is void. I have the right to notice of any other |
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| proceeding that
could affect my parental rights.
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| That I have read and understand the above and I am signing |
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| it as my free and
voluntary act.
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| Dated (insert date).
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| ....................
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| If under Section 8 the consent of more than one person is |
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| required, then each
such
person shall execute a separate |
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| consent. A separate consent shall be executed
for each
child.
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| (2) If the parent consents to a standby adoption by 2 |
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| specified persons,
then the form shall contain 2 additional |
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| paragraphs in substantially the
following form:
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| If .... (specified persons) obtain a judgment of
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| dissolution of
marriage before the judgment for adoption is |
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| entered, then .....
(specified person) shall adopt my child. I |
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| understand that I cannot change my
mind and revoke this consent |
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| or obtain or recover custody of my child if .....
(specified |
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| persons) obtain a judgment of dissolution of marriage and .....
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| (specified person) adopts my child. I understand that I cannot |
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| change my
mind and revoke this consent if ...... (specified |
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| persons) obtain a
judgment of dissolution of marriage before |
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| the adoption is final. I
understand that this consent to |
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HB6080 |
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LRB096 18717 AJO 36573 b |
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| adoption has no effect on who will get custody
of my child if |
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| ..... (specified persons) obtain a judgment of dissolution
of |
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| marriage after the adoption is final. I understand that if |
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| either .....
(specified persons) dies before the petition to |
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| adopt my child is granted, then
the surviving person may adopt |
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| my child. I understand that I cannot change my
mind and revoke |
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| this consent or obtain or recover custody of my child if the
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| surviving person adopts my child.
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| A consent to standby adoption by specified persons on this |
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| form shall have no
effect on a court's determination of custody |
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| or visitation under the Illinois
Marriage and Dissolution
of |
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| Marriage Act if the marriage of the specified persons is |
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| dissolved before
the adoption is final.
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| (3) The form of the certificate of acknowledgement for a |
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| Final and
Irrevocable Consent for Standby Adoption shall be |
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| substantially as follows:
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| STATE OF .....)
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| ) SS.
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| COUNTY OF ....)
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| I, ....... (name of Judge or other person) ..... (official |
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| title,
name, and address), certify that ......., personally |
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| known to me to be
the same person whose name is subscribed to |
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| the foregoing Final and Irrevocable
Consent to Standby |
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| Adoption, appeared before me this day in person and
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HB6080 |
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LRB096 18717 AJO 36573 b |
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| acknowledged that (she) (he) signed and
delivered the consent |
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| as (her) (his) free and voluntary act, for the specified
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| purpose.
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| I have fully explained that this consent to adoption is |
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| valid only if the
petition to adopt is filed, and that if the |
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| specified person or persons, for
any reason, cannot or will not |
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| adopt the child or if the adoption petition is
denied, then |
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| this consent will be void. I have fully explained that if the
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| specified person or persons adopt the child, by signing this |
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| consent (she) (he)
is irrevocably and permanently |
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| relinquishing all parental rights to the child,
and (she) (he) |
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| has stated that such is (her) (his) intention and desire.
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| Dated (insert date).
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| Signature..............................
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| (4) If a consent to standby adoption is executed in this |
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| form,
the consent shall be valid only if the specified
person |
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| or persons adopt the child. The consent shall be void if:
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| (a) the specified person or persons do not file a petition |
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| for standby
adoption of the child; or
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| (b) a court denies the standby adoption petition.
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| The parent shall not need to take further action to revoke |
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| the consent if the
standby adoption by the specified person or |
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| persons does not occur,
notwithstanding the provisions of |
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| Section 11 of this Act.
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| C. The form of surrender to any agency given by a parent of |
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| a born
child who is to be subsequently placed for adoption |
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HB6080 |
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LRB096 18717 AJO 36573 b |
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| shall be
substantially as follows and shall contain such other |
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| facts and
statements as the particular agency shall require.
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| FINAL AND IRREVOCABLE SURRENDER
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| FOR PURPOSES OF ADOPTION
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| I, .... (relationship, e.g., mother, father, relative, |
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| guardian) of
...., a ..male child, state:
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| That such child was born on ...., at .....
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| That I reside at ...., County of ...., and State of .....
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| That I am of the age of .... years.
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| That I do hereby surrender and entrust the entire custody |
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| and control
of such child to the .... (the "Agency"), a |
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| (public) (licensed) child
welfare agency with its principal |
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| office in the City of ...., County of
.... and State of ...., |
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| for the purpose of enabling it to care for and
supervise the |
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| care of such child, to place such child for adoption and
to |
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| consent to the legal adoption of such child.
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| That I hereby grant to the Agency full power and authority |
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| to place
such child with any person or persons it may in its |
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| sole discretion
select to become the adopting parent or parents |
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| and to consent to the
legal adoption of such child by such |
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| person or persons; and to take any
and all measures which, in |
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| the judgment of the Agency, may be for the
best interests of |
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| such child, including authorizing medical, surgical
and dental |
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| care and treatment including inoculation and anaesthesia for
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| such child.
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| That I wish to and understand that by signing this |
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HB6080 |
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LRB096 18717 AJO 36573 b |
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| surrender I do
irrevocably and permanently give up all custody |
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| and other parental
rights I have to such child.
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| That I understand I cannot under any circumstances, after |
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| signing
this surrender, change my mind and revoke or cancel |
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| this surrender or
obtain or recover custody or any other rights |
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| over such child.
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| That I have read and understand the above and I am signing |
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| it as my
free and voluntary act.
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| Dated (insert date).
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| ........................
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| C-5. The form of a Final and Irrevocable Designated |
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| Surrender for Purposes of Adoption to any agency given by a |
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| parent of a born child who is to be subsequently placed for |
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| adoption shall be substantially as follows and shall contain |
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| such other facts and statements as the particular agency shall |
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| require: |
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| FINAL AND IRREVOCABLE DESIGNATED SURRENDER |
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| FOR PURPOSES OF ADOPTION |
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| 1. I, .... (relationship, e.g., mother, father, relative, |
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| guardian) of ...., a ..male child, state: |
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| 2. That such child was born on ...., at ..... |
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| 3. That I reside at ...., County of ...., and State of |
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| ..... |
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| 4. That I am of the age of .... years. |
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| 5. That I hereby enter my appearance in this proceeding and |
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| waive service of summons on me. |
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HB6080 |
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LRB096 18717 AJO 36573 b |
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| 6. That I do hereby surrender and entrust the entire |
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| custody and control of such child to the .... (the "Agency"), a |
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| (public) (licensed) child welfare agency with its principal |
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| office in the City of ...., County of .... and State of ...., |
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| for the purpose of enabling it to care for and supervise the |
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| care of such child, to place such child for adoption with |
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| ............................. (specified person or persons) |
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| and to consent to the legal adoption of such child and to take |
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| any and all measures which, in the judgment of the Agency, may |
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| be for the best interests of such child, including authorizing |
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| medical, surgical and dental care and treatment including |
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| inoculation and anesthesia for such child. |
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| 7. That I wish to and understand that by signing this |
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| surrender I do irrevocably and permanently give up all custody |
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| and other parental rights I have to such child. |
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| 8. That if the petition for adoption is not filed by the |
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| specified person or persons designated herein or, if said |
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| petition for adoption is filed but the adoption petition is |
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| dismissed with prejudice or the
adoption proceeding is |
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| otherwise concluded without an order declaring the child to be |
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| the adopted child of each said person, then I hereby grant to |
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| the Agency full power and authority to place such child with |
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| any person or persons it may in its sole discretion select to |
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| become the adopting parent or parents and to consent to the |
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| legal adoption of such child by such person or persons. |
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| 9. That I acknowledge that this surrender is valid even if |
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HB6080 |
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LRB096 18717 AJO 36573 b |
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| the specified person or persons separate or divorce or one of |
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| the specified persons dies prior to the entry of the final |
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| judgment for adoption. |
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| 10. That I expressly acknowledge that the above paragraphs |
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| 8 and 9 do not impair the validity and absolute finality of |
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| this surrender under any circumstance. |
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| 11. That I understand I cannot under any circumstances, |
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| after signing this surrender, change my mind and revoke or |
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| cancel this surrender or obtain or recover custody or any other |
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| rights over such child. |
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| 12. That I have read and understand the above and I am |
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| signing it as my free and voluntary act. |
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| Dated (insert date). |
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| .............................. |
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| D. The form of surrender to an agency given by a parent of |
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| an unborn
child who is to be subsequently placed for adoption |
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| shall be
substantially as follows and shall contain such other |
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| facts and
statements as the particular agency shall require.
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| SURRENDER OF UNBORN CHILD FOR
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| PURPOSES OF ADOPTION
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| I, .... (father), state:
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| That I am the father of a child expected to be born on or |
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| about ....
to .... (name of mother).
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| That I reside at ...., County of ...., and State of .....
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| That I am of the age of .... years.
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| That I do hereby surrender and entrust the entire custody |
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HB6080 |
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LRB096 18717 AJO 36573 b |
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| and control
of such child to the .... (the "Agency"), a |
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| (public) (licensed) child
welfare agency with its principal |
3 |
| office in the City of ...., County of
.... and State of ...., |
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| for the purpose of enabling it to care for and
supervise the |
5 |
| care of such child, to place such child for adoption and
to |
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| consent to the legal adoption of such child, and that I have |
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| not
previously executed a consent or surrender with respect to |
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| such child.
|
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| That I hereby grant to the Agency full power and authority |
10 |
| to place
such child with any person or persons it may in its |
11 |
| sole discretion
select to become the adopting parent or parents |
12 |
| and to consent to the
legal adoption of such child by such |
13 |
| person or persons; and to take any
and all measures which, in |
14 |
| the judgment of the Agency, may be for the
best interests of |
15 |
| such child, including authorizing medical, surgical
and dental |
16 |
| care and treatment, including inoculation and anaesthesia for
|
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| such child.
|
18 |
| That I wish to and understand that by signing this |
19 |
| surrender I do
irrevocably and permanently give up all custody |
20 |
| and other parental
rights I have to such child.
|
21 |
| That I understand I cannot under any circumstances, after |
22 |
| signing
this surrender, change my mind and revoke or cancel |
23 |
| this surrender or
obtain or recover custody or any other rights |
24 |
| over such child, except
that I have the right to revoke this |
25 |
| surrender by giving written notice
of my revocation not later |
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| than 72 hours after the birth of such child.
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HB6080 |
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LRB096 18717 AJO 36573 b |
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| That I have read and understand the above and I am signing |
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| it as my
free and voluntary act.
|
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| Dated (insert date).
|
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| ........................
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| E. The form of consent required from the parents for the |
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| adoption of
an adult, when such adult elects to obtain such |
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| consent, shall be
substantially as follows:
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| CONSENT
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| I, ...., (father) (mother) of ...., an adult, state:
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| That I reside at ...., County of .... and State of .....
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| That I do hereby consent and agree to the adoption of such |
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| adult by
.... and .....
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| Dated (insert date).
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| .........................
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| F. The form of consent required for the adoption of a child |
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| of the
age of 14 years or upwards, or of an adult, to be given |
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| by such person,
shall be substantially as follows:
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| CONSENT
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| I, ...., state:
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| That I reside at ...., County of .... and State of ..... |
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| That I am
of the age of .... years. That I consent and agree to |
22 |
| my adoption by
.... and .....
|
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| Dated (insert date).
|
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| ........................
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| G. The form of consent given by an agency to the adoption |
26 |
| by
specified persons of a child previously surrendered to it |
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HB6080 |
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LRB096 18717 AJO 36573 b |
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| shall set
forth that the agency has the authority to execute |
2 |
| such consent. The
form of consent given by a guardian of the |
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| person of a child sought to
be adopted, appointed by a court of |
4 |
| competent jurisdiction, shall set
forth the facts of such |
5 |
| appointment and the authority of the guardian to
execute such |
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| consent.
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| H. A consent (other than that given by an agency, or |
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| guardian of the
person of the child sought to be adopted who |
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| was appointed by a court of
competent jurisdiction) shall be |
10 |
| acknowledged by a parent before a judge of a court of competent |
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| jurisdiction or, except as otherwise provided in
this Act, |
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| before a representative of an agency, or before a person, other |
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| than the attorney for the prospective adoptive parent or |
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| parents, designated by a court of competent
jurisdiction.
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| I. A surrender, or any other document equivalent to a |
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| surrender, by
which a child is surrendered to an agency shall |
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| be acknowledged by the
person signing such surrender, or other |
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| document, before a judge of a court of competent jurisdiction, |
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| or, except as otherwise provided in this Act, before a |
20 |
| representative of an agency, or before a person designated by a |
21 |
| court
of competent jurisdiction.
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| J. The form of the certificate of acknowledgment for a |
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| consent, a
surrender, or any other document equivalent to a |
24 |
| surrender, shall be
substantially as follows:
|
25 |
| STATE OF ....)
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| ) SS.
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HB6080 |
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LRB096 18717 AJO 36573 b |
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| COUNTY OF ...)
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| I, .... (Name of judge or other person), .... (official |
3 |
| title, name and
location of court or status or position of |
4 |
| other person),
certify that ...., personally known to me to be |
5 |
| the same person whose
name is subscribed to the foregoing |
6 |
| (consent) (surrender), appeared
before me this day in person |
7 |
| and acknowledged that (she) (he) signed and
delivered such |
8 |
| (consent) (surrender) as (her) (his) free and voluntary
act, |
9 |
| for the specified purpose.
|
10 |
| I have fully explained that by signing such (consent) |
11 |
| (surrender)
(she) (he) is irrevocably relinquishing all |
12 |
| parental rights to such
child or adult and (she) (he) has |
13 |
| stated that such is (her) (his)
intention and desire.
|
14 |
| Dated (insert date).
|
15 |
| Signature ...............
|
16 |
| K. When the execution of a consent or a surrender is |
17 |
| acknowledged
before someone other than a judge,
such other |
18 |
| person shall have his or her signature on the certificate
|
19 |
| acknowledged before a notary public, in form substantially as |
20 |
| follows:
|
21 |
| STATE OF ....)
|
22 |
| ) SS.
|
23 |
| COUNTY OF ...)
|
24 |
| I, a Notary Public, in and for the County of ......, in the |
25 |
| State of
......, certify that ...., personally known to me to |
26 |
| be the
same person whose name is subscribed to the foregoing |
|
|
|
HB6080 |
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LRB096 18717 AJO 36573 b |
|
|
1 |
| certificate of
acknowledgment, appeared before me in person and |
2 |
| acknowledged that (she)
(he) signed such certificate as (her) |
3 |
| (his) free and voluntary act and
that the statements made in |
4 |
| the certificate are true.
|
5 |
| Dated (insert date).
|
6 |
| Signature ...................... Notary Public
|
7 |
| (official seal)
|
8 |
| There shall be attached a certificate of magistracy, or |
9 |
| other
comparable proof of office of the notary public |
10 |
| satisfactory to the
court, to a consent signed and acknowledged |
11 |
| in another state.
|
12 |
| L. A surrender or consent executed and acknowledged outside |
13 |
| of this
State, either in accordance with the law of this State |
14 |
| or in accordance
with the law of the place where executed, is |
15 |
| valid.
|
16 |
| M. Where a consent or a surrender is signed in a foreign |
17 |
| country,
the execution of such consent shall be acknowledged or |
18 |
| affirmed in a
manner conformable to the law and procedure of |
19 |
| such country.
|
20 |
| N. If the person signing a consent or surrender is in the |
21 |
| military
service of the United States, the execution of such |
22 |
| consent or surrender
may be acknowledged before a commissioned |
23 |
| officer and the signature of
such officer on such certificate |
24 |
| shall be verified or acknowledged
before a notary public or by |
25 |
| such other procedure as is then in effect
for such division or |
|
|
|
HB6080 |
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LRB096 18717 AJO 36573 b |
|
|
1 |
| branch of the armed forces.
|
2 |
| O. (1) The parent or parents of a child in whose interests |
3 |
| a petition
under Section 2-13 of the Juvenile Court Act of 1987 |
4 |
| is pending may, with the
approval of the designated |
5 |
| representative of the Department of Children and
Family |
6 |
| Services, execute a consent to adoption by a specified person |
7 |
| or
persons:
|
8 |
| (a) in whose physical custody the child has resided for |
9 |
| at least 6
months;
or
|
10 |
| (b) in whose physical custody at least one sibling of |
11 |
| the child who is the
subject of this consent has resided |
12 |
| for at least 6 months, and
the child who is
the subject of |
13 |
| this consent is currently residing in this foster home; or
|
14 |
| (c) in whose physical custody a child under one year of |
15 |
| age has resided
for at least 3 months.
|
16 |
| A consent under this subsection O shall be acknowledged by a |
17 |
| parent pursuant to
subsection H and subsection K of this |
18 |
| Section.
|
19 |
| (2) The consent to adoption by a specified person or |
20 |
| persons shall have the
caption of the proceeding in which it is |
21 |
| to be filed and shall be substantially
as follows:
|
22 |
| FINAL AND IRREVOCABLE CONSENT TO ADOPTION BY
|
23 |
| A SPECIFIED PERSON OR PERSONS
|
24 |
| I, ......................................, the |
25 |
| .................. (mother or
father) of a ....male child, |
26 |
| state:
|
|
|
|
HB6080 |
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LRB096 18717 AJO 36573 b |
|
|
1 |
| 1. My child ............................ (name of |
2 |
| child) was born on
(insert date) at .................... |
3 |
| Hospital in
................ County, State of |
4 |
| ...............
|
5 |
| 2. I reside at ......................, County of |
6 |
| ............. and
State of ..............
|
7 |
| 3. I, ..........................., am .... years old.
|
8 |
| 4. I enter my appearance in this action to adopt my |
9 |
| child by the
person or persons specified herein by me and |
10 |
| waive service of
summons on me in this action only.
|
11 |
| 5. I consent to the adoption of my child by
|
12 |
| .............................
(specified person or |
13 |
| persons) only.
|
14 |
| 6. I wish to sign this consent and I understand that by |
15 |
| signing this
consent I irrevocably and permanently give up |
16 |
| all parental rights I have to my
child if my child is |
17 |
| adopted by ............................. (specified person
|
18 |
| or persons).
|
19 |
| 7. I understand my child will be adopted by |
20 |
| .............................
(specified person or |
21 |
| persons) only and that I cannot under any circumstances,
|
22 |
| after signing this document, change my mind and revoke or |
23 |
| cancel this consent
or obtain or recover custody or any |
24 |
| other rights over my child if
............................ |
25 |
| (specified person or persons) adopt my child.
|
26 |
| 8. I understand that this consent to adoption is valid |
|
|
|
HB6080 |
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LRB096 18717 AJO 36573 b |
|
|
1 |
| only if the
petition to adopt is filed within one year from |
2 |
| the date that I sign it and
that if ....................... |
3 |
| (specified person or persons), for any reason,
cannot or |
4 |
| will not file a petition to adopt my child within that one |
5 |
| year
period or if their adoption petition is denied, then |
6 |
| this consent will be
voidable after one year upon the |
7 |
| timely filing of my motion. If I file this
motion before |
8 |
| the filing of the petition for adoption, I understand that |
9 |
| the
court shall revoke this specific consent.
I have the |
10 |
| right to notice of any other proceeding that could affect |
11 |
| my
parental rights, except for the proceeding for |
12 |
| ............. (specified person
or persons) to adopt my |
13 |
| child.
|
14 |
| 9. I have read and understand the above and I am |
15 |
| signing it as my free
and voluntary act.
|
16 |
| Dated (insert date).
|
17 |
| .............................................
|
18 |
| Signature of parent
|
19 |
| (3) If the parent consents to an adoption by 2 specified |
20 |
| persons, then the
form shall contain 2 additional paragraphs in |
21 |
| substantially the following form:
|
22 |
| 10. If ............... (specified persons) get a |
23 |
| divorce
before the petition to adopt my child is granted, |
24 |
| then ..........
(specified person) shall adopt my child. I |
25 |
| understand that I
cannot change my mind and revoke this |
26 |
| consent or obtain or
recover custody over my child if |
|
|
|
HB6080 |
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LRB096 18717 AJO 36573 b |
|
|
1 |
| ............. (specified persons)
divorce and |
2 |
| ............. (specified person) adopts my
child. I |
3 |
| understand that I cannot change my mind and revoke
this |
4 |
| consent or obtain or recover custody over my child if
|
5 |
| ................. (specified persons) divorce after the
|
6 |
| adoption is final. I understand that this consent to |
7 |
| adoption
has no effect on who will get custody of my child |
8 |
| if they
divorce after the adoption is final.
|
9 |
| 11. I understand that if either ...............
|
10 |
| (specified persons) dies before the petition to adopt
my |
11 |
| child is granted, then the surviving person can adopt my |
12 |
| child. I
understand that I cannot change my mind and revoke |
13 |
| this consent
or obtain or recover custody over my child if |
14 |
| the surviving
person adopts my child.
|
15 |
| A consent to adoption by specified persons on this form |
16 |
| shall
have no effect on a court's determination of custody or |
17 |
| visitation
under the Illinois Marriage and Dissolution of |
18 |
| Marriage Act if the
marriage of the
specified persons is |
19 |
| dissolved after the adoption is final.
|
20 |
| (4) The form of the certificate of acknowledgement for a |
21 |
| Final and
Irrevocable Consent for Adoption by a Specified |
22 |
| Person or Persons shall be
substantially as follows:
|
23 |
| STATE OF..............)
|
24 |
| ) SS.
|
25 |
| COUNTY OF.............)
|
|
|
|
HB6080 |
- 21 - |
LRB096 18717 AJO 36573 b |
|
|
1 |
| I, .................... (Name of Judge or other person),
|
2 |
| ..................... (official title, name, and address),
|
3 |
| certify that ............., personally known to me to be the |
4 |
| same person whose
name is subscribed to the foregoing Final and |
5 |
| Irrevocable Consent for Adoption
by a Specified Person or |
6 |
| Persons, appeared before me this day
in person and acknowledged |
7 |
| that (she)(he) signed and delivered the consent as
(her)(his) |
8 |
| free and voluntary act, for the specified purpose.
|
9 |
| I have fully explained that this consent to adoption is |
10 |
| valid only if the
petition to adopt is filed within one year |
11 |
| from the date that it is signed, and
that if the specified |
12 |
| person or persons, for any reason, cannot or will not
adopt the |
13 |
| child or if the adoption petition is denied, then this consent |
14 |
| will
be voidable after one year upon the timely filing of a |
15 |
| motion by the parent
to revoke the consent. I explained that if |
16 |
| this motion is filed before the
filing of the petition for |
17 |
| adoption, the court shall revoke this specific
consent. I have |
18 |
| fully explained that if the specified person or
persons adopt
|
19 |
| the child, by signing this consent this parent is irrevocably
|
20 |
| and permanently
relinquishing all parental rights to the child, |
21 |
| and this parent has stated that
such is (her)(his) intention |
22 |
| and desire.
|
23 |
| Dated (insert date).
|
24 |
| ...............................
|
25 |
| Signature
|
|
|
|
HB6080 |
- 22 - |
LRB096 18717 AJO 36573 b |
|
|
1 |
| (5) If a consent to adoption by a specified person or |
2 |
| persons is executed in
this form, the following provisions |
3 |
| shall apply. The consent shall be valid
only if that specified |
4 |
| person or persons adopt the child. The consent shall be
|
5 |
| voidable after one year if:
|
6 |
| (a) the specified person or persons do not file a |
7 |
| petition to adopt the
child within one year after the |
8 |
| consent is signed and the parent files a
timely motion to |
9 |
| revoke this consent. If this motion is filed before the
|
10 |
| filing of the petition for adoption the court shall revoke |
11 |
| this consent; or
|
12 |
| (b) a court denies the adoption petition; or
|
13 |
| (c) the Department of Children and Family Services |
14 |
| Guardianship
Administrator determines that the specified |
15 |
| person or persons will not or
cannot complete the adoption, |
16 |
| or in the best interests of the child should not
adopt the |
17 |
| child.
|
18 |
| Within 30 days of the consent becoming void, the Department |
19 |
| of Children and
Family Services Guardianship Administrator |
20 |
| shall make good faith attempts to
notify the parent in writing |
21 |
| and shall give written notice to the court and all
additional |
22 |
| parties in writing that the adoption has not occurred or will |
23 |
| not
occur and that the consent is void. If the adoption by a |
24 |
| specified person or
persons does not occur, no proceeding for |
25 |
| termination of parental rights shall
be brought unless the |
26 |
| biological parent who executed the consent to adoption by
a |
|
|
|
HB6080 |
- 23 - |
LRB096 18717 AJO 36573 b |
|
|
1 |
| specified person or persons has been notified of the proceeding |
2 |
| pursuant to
Section 7 of this Act or subsection (4) of Section |
3 |
| 2-13 of the Juvenile Court
Act of 1987. The parent shall not |
4 |
| need to take further action to revoke the
consent if the |
5 |
| specified adoption does not occur, notwithstanding the
|
6 |
| provisions of Section 11 of this Act.
|
7 |
| (6) The Department of Children and Family Services is |
8 |
| authorized
to promulgate rules necessary to implement this |
9 |
| subsection O.
|
10 |
| (7) The Department shall collect and maintain data |
11 |
| concerning the efficacy
of specific consents. This data shall |
12 |
| include the number of specific consents
executed and their |
13 |
| outcomes, including but not limited to the number of
children |
14 |
| adopted pursuant to the consents, the number of children for |
15 |
| whom
adoptions are not completed, and the reason or reasons why |
16 |
| the adoptions are
not completed.
|
17 |
| O-5. (1) The form of the Final and Irrevocable Consent to |
18 |
| Adoption By A Specified Person or Persons; Non-DCFS Case set |
19 |
| forth in this subsection O-5 is to be used by legal parents |
20 |
| only. This form is not to be used in cases in which there is a |
21 |
| pending petition under Section 2-13 of the Juvenile Court Act |
22 |
| of 1987. |
23 |
| (2) The form of the Final and Irrevocable Consent to |
24 |
| Adoption By A Specified Person or Persons in a non-DCFS case |
25 |
| shall have the caption of the proceeding in which it is to be |
26 |
| filed and shall be substantially as follows: |
|
|
|
HB6080 |
- 24 - |
LRB096 18717 AJO 36573 b |
|
|
1 |
| FINAL AND IRREVOCABLE CONSENT TO ADOPTION BY |
2 |
| A SPECIFIED PERSON OR PERSONS; NON-DCFS CASE |
3 |
| 1. I, ...., (relationship, e.g., mother, father) of ...., a |
4 |
| ..male child, state: |
5 |
| 2. That such child was born on .... at ......City… and |
6 |
| State of.... |
7 |
| 3. That I reside at ...., County of .... and State of .... |
8 |
| 4. That I am of the age of .... years. |
9 |
| 5. That I hereby enter my appearance in this proceeding and |
10 |
| waive service of summons on me. |
11 |
| 6. That I do hereby consent and agree to the adoption of |
12 |
| such child by .... (specified persons) only. |
13 |
| 7. That I wish to and understand that upon signing this |
14 |
| consent I do irrevocably and permanently give up all custody |
15 |
| and other parental rights I have to such child if such child is |
16 |
| adopted by .... (specified person or persons). I hereby |
17 |
| transfer all of my rights to the custody, care and control of |
18 |
| such child to ............................. (specified person |
19 |
| or persons). |
20 |
| 8. That I understand such child will be adopted by |
21 |
| ....................... (specified person or persons) and that |
22 |
| I cannot under any circumstances, after signing this document, |
23 |
| change my mind and revoke or cancel this consent or obtain or |
24 |
| recover custody or any other rights over such child if |
25 |
| ............................ (specified person or persons) |
26 |
| adopt(s) such child; PROVIDED that each specified person or |
|
|
|
HB6080 |
- 25 - |
LRB096 18717 AJO 36573 b |
|
|
1 |
| persons has filed or shall file, within 60 days from the date |
2 |
| hereof, a petition for the adoption of such child. |
3 |
| 9. That if the specified person or persons designated |
4 |
| herein does or do not file a petition for adoption within the |
5 |
| time-frame specified above, or, if said petition for adoption |
6 |
| is filed within the time-frame specified above but the adoption |
7 |
| petition is dismissed with prejudice or the adoption proceeding |
8 |
| is otherwise concluded without an order declaring the child to |
9 |
| be the adopted child of each said person, then I request that |
10 |
| the child be returned to me. |
11 |
| 10. That I expressly acknowledge that above paragraphs 8 |
12 |
| and 9 do not impair the validity and absolute finality of this |
13 |
| consent under any circumstance other than those specified in |
14 |
| paragraph 9. |
15 |
| 11. That I understand that I have a remaining duty and |
16 |
| obligation to keep…… (insert name and address of the attorney |
17 |
| for the specified person or persons) apprised of my current |
18 |
| address until this adoption has been finalized. The failure to |
19 |
| do so may result in the termination of my parental rights and |
20 |
| the child being placed for adoption in another home. |
21 |
| 12. That I do expressly waive any other notice or service |
22 |
| of process in any of the legal proceedings for the adoption of |
23 |
| the child as long as the adoption proceeding by the specified |
24 |
| person or persons is pending. |
25 |
| 13. That I have read and understand the above and I am |
26 |
| signing it as my free and voluntary act. |
|
|
|
HB6080 |
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LRB096 18717 AJO 36573 b |
|
|
1 |
| 14. That I acknowledge that this consent is valid even if |
2 |
| the specified person or persons separate or divorce or one of |
3 |
| the specified persons dies prior to the entry of the final |
4 |
| judgment for adoption. |
5 |
| Dated (insert date). |
6 |
| ............................................. |
7 |
| Signature of parent |
8 |
| ............................................. |
9 |
| Address of parent |
10 |
| ............................................. |
11 |
| Phone number(s) of parent |
12 |
| ............................................. |
13 |
| Personal email(s) of parent |
14 |
| (3) The form of the certificate of acknowledgement for a |
15 |
| Final and Irrevocable Consent for Adoption by a Specified |
16 |
| Person or Persons; Non-DCFS Case shall be substantially as |
17 |
| follows: |
18 |
| STATE OF..............)
|
19 |
| ) SS.
|
20 |
| COUNTY OF.............) |
21 |
| I, .................... (Name of Judge or other person), |
22 |
| ..................... (official title, name, and address), |
23 |
| certify that ............., personally known to me to be the |
24 |
| same person whose name is subscribed to the foregoing Final and |
25 |
| Irrevocable Consent for Adoption by a Specified Person or |
|
|
|
HB6080 |
- 27 - |
LRB096 18717 AJO 36573 b |
|
|
1 |
| Persons; non-DCFS case, appeared before me this day in person |
2 |
| and acknowledged that (she)(he) signed and delivered the |
3 |
| consent as (her)(his) free and voluntary act, for the specified |
4 |
| purpose. |
5 |
| P. If the person signing a consent is incarcerated or |
6 |
| detained in a correctional facility, prison, jail, detention |
7 |
| center, or other comparable institution, either in this State |
8 |
| or any other jurisdiction, the execution of such consent may be |
9 |
| acknowledged before social service personnel of such |
10 |
| institution, or before a person designated by a court of |
11 |
| competent jurisdiction. |
12 |
| Q. A consent may be acknowledged telephonically, via |
13 |
| audiovisual connection, or other electronic means, provided |
14 |
| that a court of competent jurisdiction has entered an order |
15 |
| approving the execution of the consent in such manner and has |
16 |
| designated an individual to be physically present with the |
17 |
| parent executing such consent in order to verify the identity |
18 |
| of the parent. |
19 |
| R. An agency whose representative is acknowledging a |
20 |
| consent pursuant to this Section shall be a public child |
21 |
| welfare agency, or a child welfare agency, or a child placing |
22 |
| agency that is authorized or licensed in the State or |
23 |
| jurisdiction in which the consent is signed. |
24 |
| (Source: P.A. 96-601, eff. 8-21-09.)
|
25 |
| Section 99. Effective date. This Act takes effect upon |
26 |
| becoming law.
|