Public Act 097-0988
 
HB5062 EnrolledLRB097 18015 AJO 63238 b

    AN ACT concerning civil law.
 
    Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
 
    Section 5. The Adoption Act is amended by changing Sections
7 and 10 as follows:
 
    (750 ILCS 50/7)  (from Ch. 40, par. 1509)
    Sec. 7. Process.
    A. All persons named in the petition for adoption or
standby adoption, other than the petitioners and any party who
has previously either denied being a parent pursuant to Section
12a of this Act or whose rights have been terminated pursuant
to Section 12a of this Act, but including the person sought to
be adopted, shall be made parties defendant by name, and if the
name or names of any such persons are alleged in the petition
to be unknown such persons shall be made parties defendant
under the name and style of "All whom it may concern". In all
such actions petitioner or his attorney shall file, at the
office of the clerk of the court in which the action is
pending, an affidavit showing that the defendant resides or has
gone out of this State, or on due inquiry cannot be found, or
is concealed within this State, so that process cannot be
served upon him, and stating the place of residence of the
defendant, if known, or that upon diligent inquiry his place of
residence cannot be ascertained, the clerk shall cause
publication to be made in some newspaper published in the
county in which the action is pending. If there is no newspaper
published in that county, then the publication shall be in a
newspaper published in an adjoining county in this State,
having a circulation in the county in which such action is
pending. In the event there is service on any of the parties by
publication, the publication shall contain notice of pendency
of the action, the name of the person to be adopted and the
name of the parties to be served by publication, and the date
on or after which default may be entered against such parties.
Neither the name of petitioners nor the name of any party who
has either surrendered said child, has given their consent to
the adoption of the child, or whose parental rights have been
terminated by a court of competent jurisdiction shall be
included in the notice of publication. The Clerk shall also,
within ten (10) days of the first publication of the notice,
send a copy thereof by mail, addressed to each defendant whose
place of residence is stated in such affidavit. The certificate
of the Clerk that he sent the copies pursuant to this section
is evidence that he has done so. Except as provided in this
section pertaining to service by publication, all parties
defendant shall be notified of the proceedings in the same
manner as is now or may hereafter be required in other civil
cases or proceedings, except that service of process need not
be directed to a minor defendant under 14 years of age for whom
a guardian ad litem has been or will be appointed pursuant to
paragraph (a) of subsection B of Section 13 of this Act.
Nothing in the provisions of the preceding sentence stating
that service of process need not be directed to a minor
defendant under 14 years of age for whom a guardian ad litem
has been or will be appointed is intended to override any
provision of this Act which relates to information to which an
adopted person is entitled under Section 18.1 of this Act. Any
party defendant who is of age of 14 years or upward may waive
service of process by entering an appearance in writing. The
form to be used for publication shall be substantially as
follows: "ADOPTION NOTICE - STATE OF ILLINOIS, County of ....,
ss. - Circuit Court of .... County. In the matter of the
Petition for the Adoption of ...., a ..male child. Adoption No.
..... To-- .... (whom it may concern or the named parent) Take
notice that a petition was filed in the Circuit Court of ....
County, Illinois, for the adoption of a child named ..... Now,
therefore, unless you ...., and all whom it may concern, file
your answer to the Petition in the action or otherwise file
your appearance therein, in the said Circuit Court of ....,
County, Room ...., ...., in the City of ...., Illinois, on or
before the .... day of ...., a default may be entered against
you at any time after that day and a judgment entered in
accordance with the prayer of said Petition. Dated, ....,
Illinois, .... ...., Clerk. (Name and address of attorney for
petitioners.)
    B. A minor defendant who has been served in accordance with
this Section may be defaulted in the same manner as any other
defendant.
    C. Notwithstanding any inconsistent provision of this or
any other law, and in addition to the notice requirements of
any law pertaining to persons other than those specified in
this subsection, the persons entitled to notice that a petition
has been filed under Section 5 of this Act shall include:
        (a) any person adjudicated by a court in this State to
    be the father of the child;
        (b) any person adjudicated by a court of another state
    or territory of the United States to be the father of the
    child, when a certified copy of the court order has been
    filed with the Putative Father Registry under Section 12.1
    of this Act;
        (c) any person who at the time of the filing of the
    petition is registered in the Putative Father Registry
    under Section 12.1 of this Act as the putative father of
    the child;
        (d) any person who is recorded on the child's birth
    certificate as the child's father;
        (e) any person who is openly living with the child or
    the child's mother at the time the proceeding is initiated
    and who is holding himself out to be the child's father;
        (f) any person who has been identified as the child's
    father by the mother in a written, sworn statement,
    including an Affidavit of Identification as specified
    under Section 11 of this Act;
        (g) any person who was married to the child's mother on
    the date of the child's birth or within 300 days prior to
    the child's birth.
    The sole purpose of notice under this Section shall be to
enable the person receiving notice to appear in the adoption
proceedings to present evidence to the court relevant to
whether the consent or surrender of the person to the adoption
is required pursuant to Section 8 of this Act. If the court
determines that the consent or surrender of the person is not
required pursuant to Section 8, then the person shall not be
entitled to participate in the proceedings or to any further
notice of the proceedings.
(Source: P.A. 94-530, eff. 1-1-06.)
 
    (750 ILCS 50/10)  (from Ch. 40, par. 1512)
    Sec. 10. Forms of consent and surrender; execution and
acknowledgment thereof.
    A. The form of consent required for the adoption of a born
child shall be substantially as follows:
FINAL AND IRREVOCABLE CONSENT TO ADOPTION
    I, ...., (relationship, e.g., mother, father, relative,
guardian) of ...., a ..male child, state:
    That such child was born on .... at ....
    That I reside at ...., County of .... and State of ....
    That I am of the age of .... years.
    That I hereby enter my appearance in this proceeding and
waive service of summons on me.
    That I hereby acknowledge that I have been provided with a
copy of the Birth Parent Rights and Responsibilities-Private
Form before signing this Consent and that I have had time to
read, or have had read to me, this Form. I understand that if I
do not receive any of the rights as described in this Form, it
shall not constitute a basis to revoke this Final and
Irrevocable Consent.
    That I do hereby consent and agree to the adoption of such
child.
    That I wish to and understand that by signing this consent
I do irrevocably and permanently give up all custody and other
parental rights I have to such child.
    That I understand such child will be placed for adoption
and that I cannot under any circumstances, after signing this
document, change my mind and revoke or cancel this consent or
obtain or recover custody or any other rights over such child.
That I have read and understand the above and I am signing it
as my free and voluntary act.
    Dated (insert date).
.........................
 
    If under Section 8 the consent of more than one person is
required, then each such person shall execute a separate
consent.
    A-1. (1) The form of the Final and Irrevocable Consent to
Adoption by a Specified Person or Persons: Non-DCFS Case set
forth in this subsection A-1 is to be used by legal parents
only. This form is not to be used in cases in which there is a
pending petition under Section 2-13 of the Juvenile Court Act
of 1987.
    (2) The form of the Final and Irrevocable Consent to
Adoption by a Specified Person or Persons in a non-DCFS case
shall have the caption of the proceeding in which it is to be
filed and shall be substantially as follows:
FINAL AND IRREVOCABLE CONSENT TO ADOPTION BY
A SPECIFIED PERSON OR PERSONS; NON-DCFS CASE
    I, ...., (relationship, e.g., mother, father) of ...., a
..male child, state:
    1. That such child was born on ...., at ....., City of ...
and State of ....
    2. That I reside at ...., County of .... and State of ....
    3. That I am of the age of .... years.
    4. That I hereby enter my appearance in this proceeding and
waive service of summons on me.
    5. That I hereby acknowledge that I have been provided a
copy of the Birth Parent Rights and Responsibilities-Private
Form before signing this Consent and that I have had time to
read, or have had read to me, this Form and that I understand
the Rights and Responsibilities described in this Form. I
understand that if I do not receive any of my rights as
described in said Form, it shall not constitute a basis to
revoke this Final and Irrevocable Consent to Adoption by a
Specified Person.
    6. That I do hereby consent and agree to the adoption of
such child by .... (specified persons) only.
    7. That I wish to and understand that upon signing this
consent I do irrevocably and permanently give up all custody
and other parental rights I have to such child if such child is
adopted by .... (specified person or persons). I hereby
transfer all of my rights to the custody, care and control of
such child to ............................. (specified person
or persons).
    8. That I understand such child will be adopted by
....................... (specified person or persons) and that
I cannot under any circumstances, after signing this document,
change my mind and revoke or cancel this consent or obtain or
recover custody or any other rights over such child if
............................ (specified person or persons)
adopt(s) such child; PROVIDED that each specified person has
filed or shall file, within 60 days from the date hereof, a
petition for the adoption of such child.
    9. That if the specified person or persons designated
herein do not file a petition for adoption within the
time-frame specified above, or, if said petition for adoption
is filed within the time-frame specified above but the adoption
petition is dismissed with prejudice or the adoption proceeding
is otherwise concluded without an order declaring the child to
be the adopted child of the specified person or persons, then I
understand that I will receive written notice of such
circumstances within 10 business days of their occurrence. I
understand that the notice will be directed to me using the
contact information I have provided in this consent. I
understand that I will have 10 business days from the date that
the written notice is sent to me to respond, within which time
I may request the Court to declare this consent voidable and
return the child to me. I further understand that the Court
will make the final decision of whether or not the child will
be returned to me. If I do not make such request within 10
business days of the date of the notice, then I expressly waive
any other notice or service of process in any legal proceeding
for the adoption of the child.
    10. That I expressly acknowledge that nothing in this
Consent impairs the validity and absolute finality of this
Consent under any circumstance other than those described in
paragraph 9 of this Consent.
    11. That I understand that I have a remaining duty and
obligation to keep .............. (insert name and address of
the attorney for the specified person or persons) informed of
my current address or other preferred contact information until
this adoption has been finalized. My failure to do so may
result in the termination of my parental rights and the child
being placed for adoption in another home.
    12. That I do expressly waive any other notice or service
of process in any of the legal proceedings for the adoption of
the child as long as the adoption proceeding by the specified
person or persons is pending.
    13. That I have read and understand the above and I am
signing it as my free and voluntary act.
    14. That I acknowledge that this consent is valid even if
the specified person or persons separate or divorce or one of
the specified persons dies prior to the entry of the final
judgment for adoption.
    Dated (insert date).
    .............................................
    Signature of parent.
    .............................................
    Address of parent.
    .............................................
    Phone number(s) of parent.
    .............................................
    Personal email(s) of parent.
    .............................................
    (3) The form of the certificate of acknowledgement for a
Final and Irrevocable Consent for Adoption by a Specified
Person or Persons: Non-DCFS Case shall be substantially as
follows:
 
STATE OF ..............)
                       ) SS.
COUNTY OF .............)
    I, .................... (Name of Judge or other person),
..................... (official title, name, and address),
certify that ............., personally known to me to be the
same person whose name is subscribed to the foregoing Final and
Irrevocable Consent for Adoption by a Specified Person or
Persons; non-DCFS case, appeared before me this day in person
and acknowledged that (she)(he) signed and delivered the
consent as (her)(his) free and voluntary act, for the specified
purpose. I am further satisfied that, before signing this
Consent, ........ has read, or has had read to him or her, the
Birth Parent Rights and Responsibilities-Private Form.
    A-2. Birth Parent Rights and Responsibilities-Private
Form. The Birth Parent Rights and Responsibilities-Private
Form must be read by, or have been read to, any person
executing a Final and Irrevocable Consent to Adoption under
subsection A, a Final and Irrevocable Consent to Adoption by a
Specified Person or Persons: Non-DCFS Case under subsection
A-1, or a Consent to Adoption of Unborn Child under subsection
B prior to the execution of said Consent. The form of the Birth
Parent Rights and Responsibilities-Private Form shall be
substantially as follows:
Birth Parent Rights and Responsibilities-Private Form
    As a birth parent in the State of Illinois, you have the
right:
    1. To have your own attorney represent you. The prospective
adoptive parents may agree to pay for the cost of your attorney
in a manner consistent with Illinois law, but they are not
required to do so.
    2. To be treated with dignity and respect at all times and
to make decisions free from coercion and pressure.
    3. To receive counseling before and after signing a Final
and Irrevocable Consent to Adoption ("Consent"), a Final and
Irrevocable Consent to Adoption by a Specified Person or
Persons: Non-DCFS Case ("Specified Consent"), or a Consent to
Adoption of Unborn Child ("Unborn Consent"). The prospective
adoptive parents may agree to pay for the cost of counseling in
a manner consistent with Illinois law, but they are not
required to do so.
    4. To ask to be involved in choosing your child's
prospective adoptive parents and to ask to meet them.
    5. To ask your child's prospective adoptive parents any
questions that pertain to your decision to place your child
with them.
    6. To see your child before signing a Consent or Specified
Consent.
    7. To request contact with your child and/or the child's
prospective adoptive parents, with the understanding that any
promises regarding contact with your child or receipt of
information about the child after signing a Consent, Specified
Consent, or Unborn Consent cannot be enforced under Illinois
law.
    8. To receive copies of all documents that you sign and
have those documents provided to you in your preferred
language.
    9. To request that your identifying information remain
confidential, unless required otherwise by Illinois law or
court order, and to register with the Illinois Adoption
Registry and Medical Information Exchange.
    10. To work with an adoption agency or attorney of your
choice, or change said agency or attorney, provided you
promptly inform all of the parties currently involved.
    11. To receive, upon request, a written list of any
promised support, financial or otherwise, from your attorney or
the attorney for your child's prospective adoptive parents.
    12. To delay signing a Consent, Specified Consent, or
Unborn Consent if you are not ready to do so.
    13. To decline to sign a Consent, Specified Consent, or
Unborn Consent even if you have received financial support from
the prospective adoptive parents.
    If you do not receive any of the rights described in this
Form, it shall not be a basis to revoke a Consent, Specified
Consent, or Unborn Consent.
    As a Birth Parent in the State of Illinois, you have the
responsibility:
    1. To carefully consider your reasons for choosing
adoption.
    2. To voluntarily provide all known medical, background,
and family information about yourself and your immediate family
to your child's prospective adoptive parents or their attorney.
For the health of your child, you are strongly encouraged, but
not required, to provide all known medical, background, and
family history information about yourself and your family to
your child's prospective adoptive parents or their attorney.
    3. (Birth mothers only) To accurately complete an Affidavit
of Identification, which identifies the father of the child
when known, with the understanding that a birth mother has a
right to decline to identify the birth father.
    4. To not accept financial support or reimbursement of
pregnancy related expenses simultaneously from more than one
source.
    B. The form of consent required for the adoption of an
unborn child shall be substantially as follows:
CONSENT TO ADOPTION OF UNBORN CHILD
    I, ...., state:
    That I am the father of a child expected to be born on or
about .... to .... (name of mother).
    That I reside at .... County of ...., and State of .....
    That I am of the age of .... years.
    That I hereby enter my appearance in such adoption
proceeding and waive service of summons on me.
    That I hereby acknowledge that I have been provided with a
copy of the Birth Parent Rights and Responsibilities-Private
Form before signing this Consent, and that I have had time to
read, or have had read to me, this Form. I understand that if I
do not receive any of the rights as described in this Form, it
shall not constitute a basis to revoke this Consent to Adoption
of Unborn Child.
    That I do hereby consent and agree to the adoption of such
child, and that I have not previously executed a consent or
surrender with respect to such child.
    That I wish to and do understand that by signing this
consent I do irrevocably and permanently give up all custody
and other parental rights I have to such child, except that I
have the right to revoke this consent by giving written notice
of my revocation not later than 72 hours after the birth of the
child.
    That I understand such child will be placed for adoption
and that, except as hereinabove provided, I cannot under any
circumstances, after signing this document, change my mind and
revoke or cancel this consent or obtain or recover custody or
any other rights over such child.
    That I have read and understand the above and I am signing
it as my free and voluntary act.
    Dated (insert date).
........................
    B-5. (1) The parent of a child may execute a consent to
standby adoption by a specified person or persons. A consent
under this subsection B-5 shall be acknowledged by a parent
pursuant to subsection H and subsection K of this Section. The
form of consent required for the standby adoption of a born
child effective at a future date when the consenting parent of
the child dies or requests that a final judgment of adoption be
entered shall be substantially as follows:
FINAL AND IRREVOCABLE CONSENT
TO STANDBY ADOPTION
    I, ..., (relationship, e.g. mother or father) of ...., a
..male child, state:
    That the child was born on .... at .....
    That I reside at ...., County of ...., and State of .....
    That I am of the age of .... years.
    That I hereby enter my appearance in this proceeding and
waive service of summons on me in this action only.
    That I do hereby consent and agree to the standby adoption
of the child, and that I have not previously executed a consent
or surrender with respect to the child.
    That I wish to and understand that by signing this consent
I do irrevocably and permanently give up all custody and other
parental rights I have to the child, effective upon (my death)
(the child's other parent's death) or upon (my) (the other
parent's) request for the entry of a final judgment for
adoption if ..... (specified person or persons) adopt my child.
    That I understand that until (I die) (the child's other
parent dies), I retain all legal rights and obligations
concerning the child, but at that time, I irrevocably give all
custody and other parental rights to .... (specified person or
persons).
    I understand my child will be adopted by ....... (specified
person or persons) only and that I cannot, under any
circumstances, after signing this document, change my mind and
revoke or cancel this consent or obtain or recover custody or
any other rights over my child if ..... (specified person or
persons) adopt my child.
    I understand that this consent to standby adoption is valid
only if the petition for standby adoption is filed and that if
....... (specified person or persons), for any reason, cannot
or will not file a petition for standby adoption or if his,
her, or their petition for standby adoption is denied, then
this consent is void. I have the right to notice of any other
proceeding that could affect my parental rights.
    That I have read and understand the above and I am signing
it as my free and voluntary act.
    Dated (insert date).
....................
 
    If under Section 8 the consent of more than one person is
required, then each such person shall execute a separate
consent. A separate consent shall be executed for each child.
    (2) If the parent consents to a standby adoption by 2
specified persons, then the form shall contain 2 additional
paragraphs in substantially the following form:
    If .... (specified persons) obtain a judgment of
dissolution of marriage before the judgment for adoption is
entered, then ..... (specified person) shall adopt my child. I
understand that I cannot change my mind and revoke this consent
or obtain or recover custody of my child if ..... (specified
persons) obtain a judgment of dissolution of marriage and .....
(specified person) adopts my child. I understand that I cannot
change my mind and revoke this consent if ...... (specified
persons) obtain a judgment of dissolution of marriage before
the adoption is final. I understand that this consent to
adoption has no effect on who will get custody of my child if
..... (specified persons) obtain a judgment of dissolution of
marriage after the adoption is final. I understand that if
either ..... (specified persons) dies before the petition to
adopt my child is granted, then the surviving person may adopt
my child. I understand that I cannot change my mind and revoke
this consent or obtain or recover custody of my child if the
surviving person adopts my child.
    A consent to standby adoption by specified persons on this
form shall have no effect on a court's determination of custody
or visitation under the Illinois Marriage and Dissolution of
Marriage Act if the marriage of the specified persons is
dissolved before the adoption is final.
    (3) The form of the certificate of acknowledgement for a
Final and Irrevocable Consent for Standby Adoption shall be
substantially as follows:
 
STATE OF .....)
              ) SS.
COUNTY OF ....)
 
    I, ....... (name of Judge or other person) ..... (official
title, name, and address), certify that ......., personally
known to me to be the same person whose name is subscribed to
the foregoing Final and Irrevocable Consent to Standby
Adoption, appeared before me this day in person and
acknowledged that (she) (he) signed and delivered the consent
as (her) (his) free and voluntary act, for the specified
purpose.
    I have fully explained that this consent to adoption is
valid only if the petition to adopt is filed, and that if the
specified person or persons, for any reason, cannot or will not
adopt the child or if the adoption petition is denied, then
this consent will be void. I have fully explained that if the
specified person or persons adopt the child, by signing this
consent (she) (he) is irrevocably and permanently
relinquishing all parental rights to the child, and (she) (he)
has stated that such is (her) (his) intention and desire.
    Dated (insert date).
    Signature ..............................
    (4) If a consent to standby adoption is executed in this
form, the consent shall be valid only if the specified person
or persons adopt the child. The consent shall be void if:
    (a) the specified person or persons do not file a petition
for standby adoption of the child; or
    (b) a court denies the standby adoption petition.
    The parent shall not need to take further action to revoke
the consent if the standby adoption by the specified person or
persons does not occur, notwithstanding the provisions of
Section 11 of this Act.
    C. The form of surrender to any agency given by a parent of
a born child who is to be subsequently placed for adoption
shall be substantially as follows and shall contain such other
facts and statements as the particular agency shall require.
FINAL AND IRREVOCABLE SURRENDER
FOR PURPOSES OF ADOPTION
    I, .... (relationship, e.g., mother, father, relative,
guardian) of ...., a ..male child, state:
    That such child was born on ...., at .....
    That I reside at ...., County of ...., and State of .....
    That I am of the age of .... years.
    That I do hereby surrender and entrust the entire custody
and control of such child to the .... (the "Agency"), a
(public) (licensed) child welfare agency with its principal
office in the City of ...., County of .... and State of ....,
for the purpose of enabling it to care for and supervise the
care of such child, to place such child for adoption and to
consent to the legal adoption of such child.
    That I hereby grant to the Agency full power and authority
to place such child with any person or persons it may in its
sole discretion select to become the adopting parent or parents
and to consent to the legal adoption of such child by such
person or persons; and to take any and all measures which, in
the judgment of the Agency, may be for the best interests of
such child, including authorizing medical, surgical and dental
care and treatment including inoculation and anaesthesia for
such child.
    That I wish to and understand that by signing this
surrender I do irrevocably and permanently give up all custody
and other parental rights I have to such child.
    That I understand I cannot under any circumstances, after
signing this surrender, change my mind and revoke or cancel
this surrender or obtain or recover custody or any other rights
over such child.
    That I have read and understand the above and I am signing
it as my free and voluntary act.
    Dated (insert date).
........................
    C-5. The form of a Final and Irrevocable Designated
Surrender for Purposes of Adoption to any agency given by a
parent of a born child who is to be subsequently placed for
adoption is to be used by legal parents only. The form shall be
substantially as follows and shall contain such other facts and
statements as the particular agency shall require:
FINAL AND IRREVOCABLE DESIGNATED SURRENDER
FOR PURPOSES OF ADOPTION
    I, .... (relationship, e.g., mother, father, relative,
guardian) of ...., a ..male child, state:
    1. That such child was born on ...., at .....
    2. That I reside at ...., County of ...., and State of
.....
    3. That I am of the age of .... years.
    4. That I do hereby surrender and entrust the entire
custody and control of such child to the .... (the "Agency"), a
(public) (licensed) child welfare agency with its principal
office in the City of ...., County of .... and State of ....,
for the purpose of enabling it to care for and supervise the
care of such child, to place such child for adoption with
............................. (specified person or persons)
and to consent to the legal adoption of such child and to take
any and all measures which, in the judgment of the Agency, may
be for the best interests of such child, including authorizing
medical, surgical and dental care and treatment including
inoculation and anesthesia for such child.
    5. That I wish to and understand that by signing this
surrender I do irrevocably and permanently give up all custody
and other parental rights I have to such child.
    6. That if the petition for adoption is not filed by the
specified person or persons designated herein or, if the
petition for adoption is filed but the adoption petition is
dismissed with prejudice or the adoption proceeding is
otherwise concluded without an order declaring the child to be
the adopted child of each specified person, then I understand
that the Agency will provide notice to me within 10 business
days and that such notice will be directed to me using the
contact information I have provided to the Agency. I understand
that I will have 10 business days from the date that the Agency
sends me its notice to respond, within which time I may choose
to designate other adoptive parent(s). However, I acknowledge
that the Agency has full power and authority to place the child
for adoption with any person or persons it may in its sole
discretion select to become the adopting parent or parents and
to consent to the legal adoption of the child by such person or
persons.
    7. That I acknowledge that this surrender is valid even if
the specified persons separate or divorce or one of the
specified persons dies prior to the entry of the final judgment
for adoption.
    8. That I expressly acknowledge that the above paragraphs 6
and 7 do not impair the validity and absolute finality of this
surrender under any circumstance.
    9. That I understand that I have a remaining obligation to
keep the Agency informed of my current contact information
until the adoption of the child has been finalized if I wish to
be notified in the event the adoption by the specified
person(s) cannot proceed.
    10. That I understand I cannot under any circumstances,
after signing this surrender, change my mind and revoke or
cancel this surrender or obtain or recover custody or any other
rights over such child.
    11. That I have read and understand the above and I am
signing it as my free and voluntary act.
    Dated (insert date).
..............................
    D. The form of surrender to an agency given by a parent of
an unborn child who is to be subsequently placed for adoption
shall be substantially as follows and shall contain such other
facts and statements as the particular agency shall require.
SURRENDER OF UNBORN CHILD FOR
PURPOSES OF ADOPTION
    I, .... (father), state:
    That I am the father of a child expected to be born on or
about .... to .... (name of mother).
    That I reside at ...., County of ...., and State of .....
    That I am of the age of .... years.
    That I do hereby surrender and entrust the entire custody
and control of such child to the .... (the "Agency"), a
(public) (licensed) child welfare agency with its principal
office in the City of ...., County of .... and State of ....,
for the purpose of enabling it to care for and supervise the
care of such child, to place such child for adoption and to
consent to the legal adoption of such child, and that I have
not previously executed a consent or surrender with respect to
such child.
    That I hereby grant to the Agency full power and authority
to place such child with any person or persons it may in its
sole discretion select to become the adopting parent or parents
and to consent to the legal adoption of such child by such
person or persons; and to take any and all measures which, in
the judgment of the Agency, may be for the best interests of
such child, including authorizing medical, surgical and dental
care and treatment, including inoculation and anaesthesia for
such child.
    That I wish to and understand that by signing this
surrender I do irrevocably and permanently give up all custody
and other parental rights I have to such child.
    That I understand I cannot under any circumstances, after
signing this surrender, change my mind and revoke or cancel
this surrender or obtain or recover custody or any other rights
over such child, except that I have the right to revoke this
surrender by giving written notice of my revocation not later
than 72 hours after the birth of such child.
    That I have read and understand the above and I am signing
it as my free and voluntary act.
    Dated (insert date).
........................
    E. The form of consent required from the parents for the
adoption of an adult, when such adult elects to obtain such
consent, shall be substantially as follows:
CONSENT
    I, ...., (father) (mother) of ...., an adult, state:
    That I reside at ...., County of .... and State of .....
    That I do hereby consent and agree to the adoption of such
adult by .... and .....
    Dated (insert date).
.........................
    F. The form of consent required for the adoption of a child
of the age of 14 years or over upwards, or of an adult, to be
given by such person, shall be substantially as follows:
CONSENT
    I, ...., state:
    That I reside at ...., County of .... and State of .....
That I am of the age of .... years. That I hereby enter my
appearance in this proceeding and waive service of summons on
me. That I consent and agree to my adoption by .... and .....
    Dated (insert date).
........................
    G. The form of consent given by an agency to the adoption
by specified persons of a child previously surrendered to it
shall set forth that the agency has the authority to execute
such consent. The form of consent given by a guardian of the
person of a child sought to be adopted, appointed by a court of
competent jurisdiction, shall set forth the facts of such
appointment and the authority of the guardian to execute such
consent.
    H. A consent (other than that given by an agency, or
guardian of the person of the child sought to be adopted who
was appointed by a court of competent jurisdiction) shall be
acknowledged by a parent before a judge of a court of competent
jurisdiction or, except as otherwise provided in this Act,
before a representative of an agency, or before a person, other
than the attorney for the prospective adoptive parent or
parents, designated by a court of competent jurisdiction.
    I. A surrender, or any other document equivalent to a
surrender, by which a child is surrendered to an agency shall
be acknowledged by the person signing such surrender, or other
document, before a judge of a court of competent jurisdiction,
or, except as otherwise provided in this Act, before a
representative of an agency, or before a person designated by a
court of competent jurisdiction.
    J. The form of the certificate of acknowledgment for a
consent, a surrender, or any other document equivalent to a
surrender, shall be substantially as follows:
STATE OF ....)
             ) SS.
COUNTY OF ...)
    I, .... (Name of judge or other person), .... (official
title, name and location of court or status or position of
other person), certify that ...., personally known to me to be
the same person whose name is subscribed to the foregoing
(consent) (surrender), appeared before me this day in person
and acknowledged that (she) (he) signed and delivered such
(consent) (surrender) as (her) (his) free and voluntary act,
for the specified purpose.
    I have fully explained that by signing such (consent)
(surrender) (she) (he) is irrevocably relinquishing all
parental rights to such child or adult and (she) (he) has
stated that such is (her) (his) intention and desire. (Add if
Consent only) I am further satisfied that, before signing this
Consent, ........ has read, or has had read to him or her, the
Birth Parent Rights and Responsibilities-Private Form.
    Dated (insert date).
    Signature ...............
    K. When the execution of a consent or a surrender is
acknowledged before someone other than a judge, such other
person shall have his or her signature on the certificate
acknowledged before a notary public, in form substantially as
follows:
STATE OF ....)
             ) SS.
COUNTY OF ...)
    I, a Notary Public, in and for the County of ......, in the
State of ......, certify that ...., personally known to me to
be the same person whose name is subscribed to the foregoing
certificate of acknowledgment, appeared before me in person and
acknowledged that (she) (he) signed such certificate as (her)
(his) free and voluntary act and that the statements made in
the certificate are true.
    Dated (insert date).
    
Signature ...................... Notary Public
(official seal)

 
    There shall be attached a certificate of magistracy, or
other comparable proof of office of the notary public
satisfactory to the court, to a consent signed and acknowledged
in another state.
    L. A surrender or consent executed and acknowledged outside
of this State, either in accordance with the law of this State
or in accordance with the law of the place where executed, is
valid.
    M. Where a consent or a surrender is signed in a foreign
country, the execution of such consent shall be acknowledged or
affirmed in a manner conformable to the law and procedure of
such country.
    N. If the person signing a consent or surrender is in the
military service of the United States, the execution of such
consent or surrender may be acknowledged before a commissioned
officer and the signature of such officer on such certificate
shall be verified or acknowledged before a notary public or by
such other procedure as is then in effect for such division or
branch of the armed forces.
    O. (1) The parent or parents of a child in whose interests
a petition under Section 2-13 of the Juvenile Court Act of 1987
is pending may, with the approval of the designated
representative of the Department of Children and Family
Services, execute a consent to adoption by a specified person
or persons:
        (a) in whose physical custody the child has resided for
    at least 6 months; or
        (b) in whose physical custody at least one sibling of
    the child who is the subject of this consent has resided
    for at least 6 months, and the child who is the subject of
    this consent is currently residing in this foster home; or
        (c) in whose physical custody a child under one year of
    age has resided for at least 3 months.
A consent under this subsection O shall be acknowledged by a
parent pursuant to subsection H and subsection K of this
Section.
    (2) The consent to adoption by a specified person or
persons shall have the caption of the proceeding in which it is
to be filed and shall be substantially as follows:
FINAL AND IRREVOCABLE CONSENT TO ADOPTION BY
A SPECIFIED PERSON OR PERSONS: DCFS CASE
    I, ......................................, the
.................. (mother or father) of a ....male child,
state:
         My child ............................ (name of child)
    was born on (insert date) at .................... Hospital
    in ................ County, State of ...............
         I reside at ......................, County of
    ............. and State of ..............
         I, ..........................., am .... years old.
         I enter my appearance in this action to adopt my child
    by the person or persons specified herein by me and waive
    service of summons on me in this action only.
         I consent to the adoption of my child by
    ............................. (specified person or
    persons) only.
         I wish to sign this consent and I understand that by
    signing this consent I irrevocably and permanently give up
    all parental rights I have to my child if my child is
    adopted by ............................. (specified person
    or persons).
         I understand my child will be adopted by
    ............................. (specified person or
    persons) only and that I cannot under any circumstances,
    after signing this document, change my mind and revoke or
    cancel this consent or obtain or recover custody or any
    other rights over my child if ............................
    (specified person or persons) adopt my child.
         I understand that this consent to adoption is valid
    only if the petition to adopt is filed within one year from
    the date that I sign it and that if .......................
    (specified person or persons), for any reason, cannot or
    will not file a petition to adopt my child within that one
    year period or if their adoption petition is denied, then
    this consent will be voidable after one year upon the
    timely filing of my motion. If I file this motion before
    the filing of the petition for adoption, I understand that
    the court shall revoke this specific consent. I have the
    right to notice of any other proceeding that could affect
    my parental rights, except for the proceeding for
    ............. (specified person or persons) to adopt my
    child.
         I have read and understand the above and I am signing
    it as my free and voluntary act.
        Dated (insert date).
        .............................................
        Signature of parent
    (3) If the parent consents to an adoption by 2 specified
persons, then the form shall contain 2 additional paragraphs in
substantially the following form:
         If ............... (specified persons) get a divorce
    before the petition to adopt my child is granted, then
    .......... (specified person) shall adopt my child. I
    understand that I cannot change my mind and revoke this
    consent or obtain or recover custody over my child if
    ............. (specified persons) divorce and
    ............. (specified person) adopts my child. I
    understand that I cannot change my mind and revoke this
    consent or obtain or recover custody over my child if
    ................. (specified persons) divorce after the
    adoption is final. I understand that this consent to
    adoption has no effect on who will get custody of my child
    if they divorce after the adoption is final.
         I understand that if either ...............
    (specified persons) dies before the petition to adopt my
    child is granted, then the surviving person can adopt my
    child. I understand that I cannot change my mind and revoke
    this consent or obtain or recover custody over my child if
    the surviving person adopts my child.
    A consent to adoption by specified persons on this form
shall have no effect on a court's determination of custody or
visitation under the Illinois Marriage and Dissolution of
Marriage Act if the marriage of the specified persons is
dissolved after the adoption is final.
    (4) The form of the certificate of acknowledgement for a
Final and Irrevocable Consent for Adoption by a Specified
Person or Persons: DCFS Case shall be substantially as follows:
 
STATE OF ..............)
                       ) SS.
COUNTY OF .............)
 
    I, .................... (Name of Judge or other person),
..................... (official title, name, and address),
certify that ............., personally known to me to be the
same person whose name is subscribed to the foregoing Final and
Irrevocable Consent for Adoption by a Specified Person or
Persons, appeared before me this day in person and acknowledged
that (she)(he) signed and delivered the consent as (her)(his)
free and voluntary act, for the specified purpose.
    I have fully explained that this consent to adoption is
valid only if the petition to adopt is filed within one year
from the date that it is signed, and that if the specified
person or persons, for any reason, cannot or will not adopt the
child or if the adoption petition is denied, then this consent
will be voidable after one year upon the timely filing of a
motion by the parent to revoke the consent. I explained that if
this motion is filed before the filing of the petition for
adoption, the court shall revoke this specific consent. I have
fully explained that if the specified person or persons adopt
the child, by signing this consent this parent is irrevocably
and permanently relinquishing all parental rights to the child,
and this parent has stated that such is (her)(his) intention
and desire.
    Dated (insert date).
    ...............................
    Signature
    (5) If a consent to adoption by a specified person or
persons is executed in this form, the following provisions
shall apply. The consent shall be valid only if that specified
person or persons adopt the child. The consent shall be
voidable after one year if:
        (a) the specified person or persons do not file a
    petition to adopt the child within one year after the
    consent is signed and the parent files a timely motion to
    revoke this consent. If this motion is filed before the
    filing of the petition for adoption the court shall revoke
    this consent; or
        (b) a court denies the adoption petition; or
        (c) the Department of Children and Family Services
    Guardianship Administrator determines that the specified
    person or persons will not or cannot complete the adoption,
    or in the best interests of the child should not adopt the
    child.
    Within 30 days of the consent becoming void, the Department
of Children and Family Services Guardianship Administrator
shall make good faith attempts to notify the parent in writing
and shall give written notice to the court and all additional
parties in writing that the adoption has not occurred or will
not occur and that the consent is void. If the adoption by a
specified person or persons does not occur, no proceeding for
termination of parental rights shall be brought unless the
biological parent who executed the consent to adoption by a
specified person or persons has been notified of the proceeding
pursuant to Section 7 of this Act or subsection (4) of Section
2-13 of the Juvenile Court Act of 1987. The parent shall not
need to take further action to revoke the consent if the
specified adoption does not occur, notwithstanding the
provisions of Section 11 of this Act.
    (6) The Department of Children and Family Services is
authorized to promulgate rules necessary to implement this
subsection O.
    (7) The Department shall collect and maintain data
concerning the efficacy of specific consents. This data shall
include the number of specific consents executed and their
outcomes, including but not limited to the number of children
adopted pursuant to the consents, the number of children for
whom adoptions are not completed, and the reason or reasons why
the adoptions are not completed.
    P. If the person signing a consent is incarcerated or
detained in a correctional facility, prison, jail, detention
center, or other comparable institution, either in this State
or any other jurisdiction, the execution of such consent may be
acknowledged before social service personnel of such
institution, or before a person designated by a court of
competent jurisdiction.
    Q. A consent may be acknowledged telephonically, via
audiovisual connection, or other electronic means, provided
that a court of competent jurisdiction has entered an order
approving the execution of the consent in such manner and has
designated an individual to be physically present with the
parent executing such consent in order to verify the identity
of the parent.
    R. An agency whose representative is acknowledging a
consent pursuant to this Section shall be a public child
welfare agency, or a child welfare agency, or a child placing
agency that is authorized or licensed in the State or
jurisdiction in which the consent is signed.
    S. The form of waiver by a putative or legal father of a
born or unborn child shall be substantially as follows:
 
FINAL AND IRREVOCABLE
WAIVER OF PARENTAL RIGHTS OF PUTATIVE OR LEGAL FATHER

 
    I, .................... , state under oath or affirm as
follows:
        1. That the biological mother ............... has
    named me as a possible biological or legal father of her
    minor child who was born, or is expected to be born on
    ..........., ......, in the City/Town of........., State
    of ...........
        2. That I understand that the biological mother
    ............. intends to or has placed the child for
    adoption.
        3. That I reside at ................, in the City/Town
    of..........., State of ................
        4. That I am ................ years of age and my date
    of birth is ..............., .............
        5. That I (select one):
            ..... am married to the biological mother.
            ..... am not married to the biological mother and
        have not been married to the biological mother within
        300 days before the child's birth or expected date of
        child's birth.
            ..... am not currently married to the biological
        mother, but was married to the biological mother,
        within 300 days before the child's birth or expected
        date of child's birth.
        6. That I (select one):
            ..... neither admit nor deny that I am the
        biological father of the child.
            ..... deny that I am the biological father of the
        child.
        7. That I hereby agree to the termination of my
    parental rights, if any, without further notice to me of
    any proceeding for the adoption of the minor child, even if
    I have taken any action to establish parental rights or
    take any such action in the future including registering
    with any putative father registry.
        8. That I understand that by signing this Waiver I do
    irrevocably and permanently give up all custody and other
    parental rights I may have to such child.
        9. That I understand that this Waiver is FINAL AND
    IRREVOCABLE and that I am permanently barred from
    contesting any proceeding for the adoption of the child
    after I sign this Waiver.
        10. That I waive any further service of summons or
    other pleadings in any proceeding to terminate parental
    rights, if any to this child, or any proceeding for
    adoption of this child.
        11. That I understand that if a final judgment or order
    of adoption for this child is not entered, then any
    parental rights or responsibilities that I may have remain
    intact.
        12. That I have read and understand the above and that
    I am signing it as my free and voluntary act.
 
    Dated: ................... , ..............
    ...........................................
    Signature
 
OATH
I have been duly sworn and I state under oath that I have read
and understood this Final and Irrevocable Waiver of Parental
Rights of Putative or Legal Father. The facts contained in it
are true and correct to the best of my knowledge. I have signed
this document as my free and voluntary act in order to
facilitate the adoption of the child.
 
..............................
Signature
 
Signed and Sworn before me on
this ............ day
of ..........., 20....
 
...................
Notary Public
(Source: P.A. 96-601, eff. 8-21-09; 96-1461, eff. 1-1-11;
97-493, eff. 8-22-11.)