Bill Text: IL HB1699 | 2011-2012 | 97th General Assembly | Amended
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Amends the Adoption Act. Provides that one of the statutory forms that is used for purposes of an agency adoption shall only be used by legal parents (instead of unspecified).
Spectrum: Partisan Bill (Democrat 2-0)
Status: (Passed) 2011-08-22 - Public Act . . . . . . . . . 97-0493 [HB1699 Detail]
Download: Illinois-2011-HB1699-Amended.html
Bill Title: Amends the Adoption Act. Provides that one of the statutory forms that is used for purposes of an agency adoption shall only be used by legal parents (instead of unspecified).
Spectrum: Partisan Bill (Democrat 2-0)
Status: (Passed) 2011-08-22 - Public Act . . . . . . . . . 97-0493 [HB1699 Detail]
Download: Illinois-2011-HB1699-Amended.html
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1 | AMENDMENT TO HOUSE BILL 1699
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2 | AMENDMENT NO. ______. Amend House Bill 1699 by replacing | ||||||
3 | everything after the enacting clause with the following:
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4 | "Section 5. The Adoption Act is amended by changing | ||||||
5 | Sections 5, 8, 9, 10, and 11 as follows:
| ||||||
6 | (750 ILCS 50/5) (from Ch. 40, par. 1507)
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7 | Sec. 5. Petition, contents, verification, filing.
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8 | A. A proceeding to adopt a child, other than a related | ||||||
9 | child, shall be
commenced by the filing of a petition within 30 | ||||||
10 | days after such child has
become available for adoption, | ||||||
11 | provided that such petition may be filed at
a later date by | ||||||
12 | leave of court upon a showing that the failure to file such
| ||||||
13 | petition within such 30 day period was not due to the | ||||||
14 | petitioners' culpable
negligence or their wilful disregard of | ||||||
15 | the provisions of this Section.
In the case of a child born | ||||||
16 | outside the United States or a territory
thereof, if the |
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1 | prospective adoptive parents of such child have been
appointed | ||||||
2 | guardians of such child by a court of competent jurisdiction in | ||||||
3 | a
country other than the United States or a territory thereof, | ||||||
4 | such parents
shall file a petition as provided in this Section | ||||||
5 | within 30 days after
entry of the child into the United States. | ||||||
6 | A petition to adopt an adult or a
related child may be filed at | ||||||
7 | any time. A petition for adoption may include
more than one | ||||||
8 | person sought to be adopted.
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9 | B. A petition to adopt a child other than a related child | ||||||
10 | shall state:
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11 | (a) The full names of the petitioners and, if minors, | ||||||
12 | their respective
ages;
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13 | (b) The place of residence of the petitioners and the | ||||||
14 | length of
residence of each in the State of Illinois | ||||||
15 | immediately preceding the filing
of the petition;
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16 | (c) When the petitioners acquired, or intend to | ||||||
17 | acquire, custody of the
child, and the name and address of | ||||||
18 | the persons or agency from whom the
child was or will be | ||||||
19 | received;
| ||||||
20 | (d) The name, the place and date of birth if known, and | ||||||
21 | the sex of the
child sought to be adopted;
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22 | (e) The relationship, if any, of the child to each | ||||||
23 | petitioner;
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24 | (f) The names, if known, and the place of residence, if | ||||||
25 | known, of the
parents; and whether such parents are minors, | ||||||
26 | or otherwise under any legal
disability. The names and |
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1 | addresses of the parents shall be omitted and
they shall | ||||||
2 | not be made parties defendant to the petition if (1) the | ||||||
3 | rights
of the parents have been terminated by a court of | ||||||
4 | competent jurisdiction,
or (2) if the child has been | ||||||
5 | surrendered to an agency, or (3) if the parent
or parents | ||||||
6 | have been served with the notice provided in Section 12a of | ||||||
7 | this
Act and said parent or parents have filed a disclaimer | ||||||
8 | of paternity as
therein provided or have failed to file | ||||||
9 | such declaration of paternity or a
request for notice as | ||||||
10 | provided in said Section , or (4) the parent is a putative | ||||||
11 | father or legal father of the child who has waived his | ||||||
12 | parental rights by signing a waiver as provided in | ||||||
13 | subsection S of Section 10 ;
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14 | (g) If it is alleged that the child has no living | ||||||
15 | parent, then the name
of the guardian, if any, of such | ||||||
16 | child and the court which appointed such
guardian;
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17 | (h) If it is alleged that the child has no living | ||||||
18 | parent and that no
guardian of such child is known to | ||||||
19 | petitioners, then the name of a near
relative, if known, | ||||||
20 | shall be set forth, or an allegation that no near
relative | ||||||
21 | is known and on due inquiry cannot be ascertained by | ||||||
22 | petitioners;
| ||||||
23 | (i) The name to be given the child or adult;
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24 | (j) That the person or agency, having authority to | ||||||
25 | consent under Section
8 of this Act, has consented, or has | ||||||
26 | indicated willingness to consent, to
the adoption of the |
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1 | child by the petitioners, or that the person having
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2 | authority to consent is an unfit person and the ground | ||||||
3 | therefor, or that no
consent is required under paragraph | ||||||
4 | (f) of Section 8 of this Act;
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5 | (k) Whatever orders, judgments or decrees have | ||||||
6 | heretofore been entered
by any court affecting (1) adoption | ||||||
7 | or custody of the child, or (2) the
adoptive, custodial or | ||||||
8 | parental rights of either petitioner, including the
prior | ||||||
9 | denial of any petition for adoption pertaining to such | ||||||
10 | child, or to
the petitioners, or either of them.
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11 | C. A petition to adopt a related child shall include the | ||||||
12 | information
specified in sub-paragraphs (a), (b), (d), (e), | ||||||
13 | (f), (i) and (k) of
paragraph B and a petition to adopt an | ||||||
14 | adult shall contain the information
required by sub-paragraphs | ||||||
15 | (a), (b) and (i) of paragraph B in addition to
the name, place, | ||||||
16 | date of birth and sex of such adult.
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17 | D. The petition shall be verified by the petitioners.
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18 | E. Upon the filing of the petition the petitioners shall | ||||||
19 | furnish the
Clerk of the Court in which the petition is pending | ||||||
20 | such information not
contained in such petition as shall be | ||||||
21 | necessary to enable the Clerk of
such Court to complete a | ||||||
22 | certificate of adoption as hereinafter provided.
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23 | F. A petition for standby adoption shall conform to the | ||||||
24 | requirements of
this Act with respect to petition contents, | ||||||
25 | verification, and filing. The
petition for standby adoption | ||||||
26 | shall also state the facts concerning the consent
of the |
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1 | child's parent to the standby adoption. A petition for
standby | ||||||
2 | adoption shall include the information in paragraph B if the | ||||||
3 | petitioner
seeks to adopt a child other than a related child. A | ||||||
4 | petition
for standby adoption shall include the information in | ||||||
5 | paragraph C if the
petitioner seeks to adopt a related child or | ||||||
6 | adult.
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7 | (Source: P.A. 91-357, eff. 7-29-99; 91-572, eff. 1-1-00.)
| ||||||
8 | (750 ILCS 50/8) (from Ch. 40, par. 1510)
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9 | Sec. 8. Consents to adoption and surrenders for purposes of
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10 | adoption.
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11 | (a) Except as hereinafter provided in this
Section consents | ||||||
12 | or surrenders shall be required in all cases, unless the
person | ||||||
13 | whose
consent or surrender would otherwise be required shall be | ||||||
14 | found by the
court:
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15 | (1) to be an unfit person
as defined in Section
1 of | ||||||
16 | this Act, by clear and convincing evidence; or
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17 | (2) not to be the biological or adoptive father of the | ||||||
18 | child; or
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19 | (3) to have waived his parental rights to the child | ||||||
20 | under Section 12a or
12.1 or subsection S of Section 10 of
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21 | this Act; or
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22 | (4) to be the parent of an adult
sought to be adopted; | ||||||
23 | or
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24 | (5) to be
the father of the child as a result of | ||||||
25 | criminal sexual abuse or assault as
defined under Article |
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1 | 12 of the Criminal Code of 1961; or
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2 | (6) to be the father of a child who: | ||||||
3 | (i) is a family member of the mother of the child, | ||||||
4 | and the mother is under the age of 18 at the time of | ||||||
5 | the child's conception; for purposes of this | ||||||
6 | subsection, a "family member" is a parent, | ||||||
7 | step-parent, grandparent, step-grandparent, sibling, | ||||||
8 | or cousin of the first degree, whether by whole blood, | ||||||
9 | half-blood, or adoption, as well as a person age 18 or | ||||||
10 | over at the time of the child's conception who has | ||||||
11 | resided in the household with the mother continuously | ||||||
12 | for at least one year; or | ||||||
13 | (ii) is at least 5 years older than the child's | ||||||
14 | mother, and the mother was under the age of 17 at the | ||||||
15 | time of the child's conception, unless the mother and | ||||||
16 | father voluntarily acknowledge the father's paternity | ||||||
17 | of the child by marrying or by establishing the | ||||||
18 | father's paternity by consent of the parties pursuant | ||||||
19 | to the Illinois Parentage Act of 1984 or pursuant to a | ||||||
20 | substantially similar statute in another state. | ||||||
21 | A criminal conviction of any offense pursuant to | ||||||
22 | Article 12 of the Criminal Code of 1961 is not required.
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23 | (b) Where consents are required in the case of an adoption
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24 | of a minor child, the consents of the following persons shall | ||||||
25 | be
sufficient:
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26 | (1) (A) The mother of the minor child; and
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1 | (B) The father of the minor child, if the father:
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2 | (i) was married to the mother on the date of | ||||||
3 | birth of the child or
within
300 days before the | ||||||
4 | birth of the child, except for a husband or former
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5 | husband who has been found by a court of competent | ||||||
6 | jurisdiction not to be the
biological father of the | ||||||
7 | child; or
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8 | (ii) is the father of the child under a | ||||||
9 | judgment for adoption, an
order of parentage, or an | ||||||
10 | acknowledgment of parentage or paternity pursuant
| ||||||
11 | to subsection (a) of Section 5 of the Illinois | ||||||
12 | Parentage Act of 1984; or
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13 | (iii) in the case of a child placed with the | ||||||
14 | adopting parents less
than
6 months after birth, | ||||||
15 | openly lived with the child, the child's | ||||||
16 | biological
mother, or
both,
and
held himself out to | ||||||
17 | be the child's biological father during the first | ||||||
18 | 30 days
following the birth of the child; or
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19 | (iv) in the case of a child placed with the | ||||||
20 | adopting parents less than
6
months after birth, | ||||||
21 | made a good faith effort to pay a reasonable amount | ||||||
22 | of the
expenses
related to the birth of the child | ||||||
23 | and to provide a reasonable amount for the
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24 | financial support of the child before the | ||||||
25 | expiration of 30 days following the
birth of the | ||||||
26 | child,
provided that the court may consider in its |
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1 | determination all
relevant circumstances, | ||||||
2 | including the financial condition of both | ||||||
3 | biological
parents; or
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4 | (v) in the case of a child placed with the | ||||||
5 | adopting parents
more
than 6 months after birth, | ||||||
6 | has maintained substantial and continuous or
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7 | repeated contact with the child as manifested by:
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8 | (I) the payment by the father
toward the support of | ||||||
9 | the child of a fair and reasonable sum, according | ||||||
10 | to the
father's means, and either (II) the father's | ||||||
11 | visiting the child at least
monthly
when | ||||||
12 | physically and financially able to do so and not | ||||||
13 | prevented from doing so
by the person or authorized | ||||||
14 | agency having lawful custody of the child, or (III)
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15 | the father's regular communication with the child | ||||||
16 | or with the person or agency
having the care or | ||||||
17 | custody of the child, when physically and | ||||||
18 | financially unable
to visit the child or prevented | ||||||
19 | from doing so by the person or authorized
agency | ||||||
20 | having lawful custody of the child. The subjective | ||||||
21 | intent of the
father,
whether expressed or | ||||||
22 | otherwise unsupported by evidence of acts | ||||||
23 | specified in
this sub-paragraph as manifesting | ||||||
24 | such intent, shall not preclude a
determination | ||||||
25 | that the father failed to maintain substantial and | ||||||
26 | continuous or
repeated contact with the child; or
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1 | (vi) in the case of a child placed with the | ||||||
2 | adopting parents more than
six
months after birth, | ||||||
3 | openly lived with the child for a period of six | ||||||
4 | months
within the one year period immediately | ||||||
5 | preceding the placement of the child for
adoption | ||||||
6 | and openly held himself out to be the father of the | ||||||
7 | child; or
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8 | (vii) has timely registered with Putative | ||||||
9 | Father Registry, as provided
in
Section 12.1 of | ||||||
10 | this Act,
and prior to the expiration of 30 days | ||||||
11 | from the date
of such registration, commenced | ||||||
12 | legal
proceedings to establish paternity under the | ||||||
13 | Illinois Parentage Act of 1984
or under the law of | ||||||
14 | the jurisdiction of the child's birth; or
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15 | (2) The legal guardian of the person of the child, if | ||||||
16 | there
is no surviving parent; or
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17 | (3) An agency, if the child has been surrendered for
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18 | adoption to such agency; or
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19 | (4) Any person or agency having legal custody of a | ||||||
20 | child by court order
if the parental rights of the parents | ||||||
21 | have been judicially terminated, and
the court having | ||||||
22 | jurisdiction of the guardianship of the child has | ||||||
23 | authorized
the consent to the adoption; or
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24 | (5) The execution and
verification of the petition by | ||||||
25 | any petitioner who is
also a parent of the child sought to | ||||||
26 | be adopted shall be sufficient evidence
of such parent's |
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1 | consent to the adoption.
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2 | (c) Where surrenders to an agency are required in the case | ||||||
3 | of a placement
for adoption of a minor child by an agency, the | ||||||
4 | surrenders of the following
persons shall be sufficient:
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5 | (1) (A) The mother of the minor child; and
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6 | (B) The father of the minor child, if the father:
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7 | (i) was married to the mother on the date of | ||||||
8 | birth of the child or
within 300 days before the | ||||||
9 | birth of the child, except for a husband or former
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10 | husband who has been found by a court of competent | ||||||
11 | jurisdiction not to be the
biological father of the | ||||||
12 | child; or
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13 | (ii) is the father of the child under a | ||||||
14 | judgment for adoption, an
order of parentage, or an | ||||||
15 | acknowledgment of parentage or paternity pursuant
| ||||||
16 | to subsection (a) of Section 5 of the Illinois | ||||||
17 | Parentage Act of 1984; or
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18 | (iii) in the case of a child placed with the | ||||||
19 | adopting parents less
than
6 months after birth, | ||||||
20 | openly lived with the child, the child's | ||||||
21 | biological
mother, or
both,
and
held himself out to | ||||||
22 | be the child's biological father during the first | ||||||
23 | 30 days
following the birth of a child; or
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24 | (iv) in the case of a child placed with the | ||||||
25 | adopting parents less than
6
months after birth, | ||||||
26 | made a good faith effort to pay a reasonable amount |
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1 | of the
expenses
related to the birth of the child | ||||||
2 | and to provide a reasonable amount for the
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3 | financial support of the child before
the | ||||||
4 | expiration of 30 days following the birth of
the
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5 | child,
provided that the court may consider in its | ||||||
6 | determination all relevant
circumstances, | ||||||
7 | including the financial condition of both | ||||||
8 | biological parents;
or
| ||||||
9 | (v) in the case of a child placed with the | ||||||
10 | adopting parents more than
six
months after birth, | ||||||
11 | has maintained substantial and continuous or | ||||||
12 | repeated
contact with the child as manifested by: | ||||||
13 | (I) the payment by the father toward
the support of | ||||||
14 | the child of a fair and reasonable sum, according | ||||||
15 | to the
father's means, and either (II) the father's | ||||||
16 | visiting the child at least
monthly when | ||||||
17 | physically and financially able to do so and not | ||||||
18 | prevented from
doing so by the person or authorized | ||||||
19 | agency having lawful custody of the child
or (III) | ||||||
20 | the father's regular communication with the child | ||||||
21 | or with the person
or agency having the care or | ||||||
22 | custody of the child, when physically and
| ||||||
23 | financially unable to visit the child or prevented | ||||||
24 | from doing so by the person
or authorized agency | ||||||
25 | having lawful custody of the child. The subjective
| ||||||
26 | intent of the father, whether expressed or |
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| |||||||
1 | otherwise, unsupported by evidence
of acts | ||||||
2 | specified in this sub-paragraph as manifesting | ||||||
3 | such intent, shall not
preclude a determination | ||||||
4 | that the father failed to maintain substantial and
| ||||||
5 | continuous or repeated contact with the child; or
| ||||||
6 | (vi) in the case of a child placed with the | ||||||
7 | adopting parents more than
six
months after birth, | ||||||
8 | openly lived with the child for a period of six | ||||||
9 | months
within the one year period immediately | ||||||
10 | preceding the placement of the child for
adoption | ||||||
11 | and openly held himself out to be the father of the | ||||||
12 | child; or
| ||||||
13 | (vii) has timely registered with the Putative | ||||||
14 | Father Registry, as
provided
in Section 12.1 of | ||||||
15 | this Act,
and prior to the expiration of 30 days | ||||||
16 | from the date
of such
registration, commenced | ||||||
17 | legal
proceedings to establish paternity under the | ||||||
18 | Illinois Parentage Act of 1984, or
under the law of | ||||||
19 | the jurisdiction of the child's birth.
| ||||||
20 | (d) In making a determination under subparagraphs (b)(1) | ||||||
21 | and (c)(1), no
showing shall be required of diligent efforts by | ||||||
22 | a person or agency to
encourage the father to perform the acts | ||||||
23 | specified therein.
| ||||||
24 | (e) In the case of the adoption of an adult, only the | ||||||
25 | consent of
such adult shall be required.
| ||||||
26 | (Source: P.A. 93-510, eff. 1-1-04; 94-530, eff. 1-1-06.)
|
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| |||||||
1 | (750 ILCS 50/9) (from Ch. 40, par. 1511)
| ||||||
2 | Sec. 9. Time for
signing a waiver, taking a consent , or | ||||||
3 | surrender.
| ||||||
4 | A. A consent or a surrender signed taken not less than 72 | ||||||
5 | hours after the birth
of the child is irrevocable except as | ||||||
6 | provided in Section 11 of this Act.
| ||||||
7 | B. No consent or surrender shall be signed taken within the | ||||||
8 | 72 hour period
immediately following the birth of the child.
| ||||||
9 | C. A consent or a surrender may be signed by taken from the | ||||||
10 | father prior to the
birth of the child. Such consent or | ||||||
11 | surrender shall be revoked if, within
72 hours after the birth | ||||||
12 | of the child, the father who gave such consent or
surrender, | ||||||
13 | notifies in writing the person, agency or court representative
| ||||||
14 | who acknowledged took the surrender or consent or any | ||||||
15 | individual representing or
connected with such person, agency | ||||||
16 | or court representative of the
revocation of the consent or | ||||||
17 | surrender.
| ||||||
18 | D. Any consent or surrender signed taken in accordance with | ||||||
19 | paragraph C above
which is not revoked within 72 hours after | ||||||
20 | the birth of the child is
irrevocable except as provided in | ||||||
21 | Section 11 of this Act.
| ||||||
22 | E. Consent may be given to a standby adoption by a parent
| ||||||
23 | whose
consent is required pursuant to Section 8 of this Act to | ||||||
24 | become effective when
the consenting parent of the child dies | ||||||
25 | or that parent requests that the final
judgment of
adoption be |
| |||||||
| |||||||
1 | entered.
| ||||||
2 | F. A waiver as provided in subsection S of Section 10 of | ||||||
3 | this Act may be signed by a putative father or legal father of | ||||||
4 | the child at any time prior to or after the birth of the child. | ||||||
5 | A waiver is irrevocable except as provided in Section 11 of | ||||||
6 | this Act. | ||||||
7 | (Source: P.A. 93-732, eff. 1-1-05.)
| ||||||
8 | (750 ILCS 50/10) (from Ch. 40, par. 1512)
| ||||||
9 | Sec. 10. Forms of consent and surrender; execution and
| ||||||
10 | acknowledgment thereof. | ||||||
11 | A. The form of consent required for the
adoption of a born | ||||||
12 | child shall be substantially as follows:
| ||||||
13 | FINAL AND IRREVOCABLE CONSENT TO ADOPTION
| ||||||
14 | I, ...., (relationship, e.g., mother, father, relative, | ||||||
15 | guardian)
of ...., a ..male child, state:
| ||||||
16 | That such child was born on .... at ....
| ||||||
17 | That I reside at ...., County of .... and State of ....
| ||||||
18 | That I am of the age of .... years.
| ||||||
19 | That I hereby enter my appearance in this proceeding and | ||||||
20 | waive
service of summons on me.
| ||||||
21 | That I hereby acknowledge that I have been provided with a | ||||||
22 | copy of the Birth Parent Rights and Responsibilities-Private | ||||||
23 | Form before signing this Consent and that I have had time to | ||||||
24 | read, or have had read to me, this Form. I understand that if I | ||||||
25 | do not receive any of the rights as described in this Form, it |
| |||||||
| |||||||
1 | shall not constitute a basis to revoke this Final and | ||||||
2 | Irrevocable Consent. | ||||||
3 | That I do hereby consent and agree to the adoption of such | ||||||
4 | child.
| ||||||
5 | That I wish to and understand that by signing this consent | ||||||
6 | I do
irrevocably and permanently give up all custody and other | ||||||
7 | parental
rights I have to such child.
| ||||||
8 | That I understand such child will be placed for adoption | ||||||
9 | and that I
cannot under any circumstances, after signing this | ||||||
10 | document, change my
mind and revoke or cancel this consent or | ||||||
11 | obtain or recover custody or
any other rights over such child. | ||||||
12 | That I have read and understand the
above and I am signing it | ||||||
13 | as my free and voluntary act.
| ||||||
14 | Dated (insert date).
| ||||||
15 | .........................
| ||||||
16 | If under Section 8 the consent of more than one person is | ||||||
17 | required,
then each such person shall execute a separate | ||||||
18 | consent.
| ||||||
19 | A-1. (1) The form of the Final and Irrevocable Consent to | ||||||
20 | Adoption by a Specified Person or Persons: Non-DCFS Case set | ||||||
21 | forth in this subsection A-1 is to be used by legal parents | ||||||
22 | only. This form is not to be used in cases in which there is a | ||||||
23 | pending petition under Section 2-13 of the Juvenile Court Act | ||||||
24 | of 1987. | ||||||
25 | (2) The form of the Final and Irrevocable Consent to |
| |||||||
| |||||||
1 | Adoption by a Specified Person or Persons in a non-DCFS case | ||||||
2 | shall have the caption of the proceeding in which it is to be | ||||||
3 | filed and shall be substantially as follows: | ||||||
4 | FINAL AND IRREVOCABLE CONSENT TO ADOPTION BY | ||||||
5 | A SPECIFIED PERSON OR PERSONS; NON-DCFS CASE | ||||||
6 | I, ...., (relationship, e.g., mother, father) of ...., a | ||||||
7 | ..male child, state: | ||||||
8 | 1. That such child was born on ...., at ....., City of ... | ||||||
9 | and State of .... | ||||||
10 | 2. That I reside at ...., County of .... and State of .... | ||||||
11 | 3. That I am of the age of .... years. | ||||||
12 | 4. That I hereby enter my appearance in this proceeding and | ||||||
13 | waive service of summons on me. | ||||||
14 | 5. That I hereby acknowledge that I have been provided a | ||||||
15 | copy of the Birth Parent Rights and Responsibilities-Private | ||||||
16 | Form before signing this Consent and that I have had time to | ||||||
17 | read, or have had read to me, this Form and that I understand | ||||||
18 | the Rights and Responsibilities described in this Form. I | ||||||
19 | understand that if I do not receive any of my rights as | ||||||
20 | described in said Form, it shall not constitute a basis to | ||||||
21 | revoke this Final and Irrevocable Consent to Adoption by a | ||||||
22 | Specified Person. | ||||||
23 | 6. That I do hereby consent and agree to the adoption of | ||||||
24 | such child by .... (specified persons) only. | ||||||
25 | 7. That I wish to and understand that upon signing this | ||||||
26 | consent I do irrevocably and permanently give up all custody |
| |||||||
| |||||||
1 | and other parental rights I have to such child if such child is | ||||||
2 | adopted by .... (specified person or persons). I hereby | ||||||
3 | transfer all of my rights to the custody, care and control of | ||||||
4 | such child to ............................. (specified person | ||||||
5 | or persons). | ||||||
6 | 8. That I understand such child will be adopted by | ||||||
7 | ....................... (specified person or persons) and that | ||||||
8 | I cannot under any circumstances, after signing this document, | ||||||
9 | change my mind and revoke or cancel this consent or obtain or | ||||||
10 | recover custody or any other rights over such child if | ||||||
11 | ............................ (specified person or persons) | ||||||
12 | adopt(s) such child; PROVIDED that each specified person has | ||||||
13 | filed or shall file, within 60 days from the date hereof, a | ||||||
14 | petition for the adoption of such child. | ||||||
15 | 9. That if the specified person or persons designated | ||||||
16 | herein do not file a petition for adoption within the | ||||||
17 | time-frame specified above, or, if said petition for adoption | ||||||
18 | is filed within the time-frame specified above but the adoption | ||||||
19 | petition is dismissed with prejudice or the adoption proceeding | ||||||
20 | is otherwise concluded without an order declaring the child to | ||||||
21 | be the adopted child of the specified person or persons, then I | ||||||
22 | understand that I will receive written notice of such | ||||||
23 | circumstances within 10 business days of their occurrence. I | ||||||
24 | understand that the notice will be directed to me using the | ||||||
25 | contact information I have provided in this consent. I | ||||||
26 | understand that I will have 10 business days from the date that |
| |||||||
| |||||||
1 | the written notice is sent to me to respond, within which time | ||||||
2 | I may request the Court to declare this consent voidable and | ||||||
3 | return the child to me. I further understand that the Court | ||||||
4 | will make the final decision of whether or not the child will | ||||||
5 | be returned to me. If I do not make such request within 10 | ||||||
6 | business days of the date of the notice, then I expressly waive | ||||||
7 | any other notice or service of process in any legal proceeding | ||||||
8 | for the adoption of the child. | ||||||
9 | 10. That I expressly acknowledge that nothing in this | ||||||
10 | Consent
impairs the validity and absolute finality of this
| ||||||
11 | Consent under any circumstance other than those described in
| ||||||
12 | paragraph 9 of this Consent. | ||||||
13 | 11. That I understand that I have a remaining duty and
| ||||||
14 | obligation to keep .............. (insert name and address of | ||||||
15 | the attorney
for the specified person or persons) informed of | ||||||
16 | my current
address or other preferred contact information until | ||||||
17 | this adoption has been finalized. My failure to
do so may | ||||||
18 | result in the termination of my parental rights and
the child | ||||||
19 | being placed for adoption in another home. | ||||||
20 | 12. That I do expressly waive any other notice or service | ||||||
21 | of process in any of the legal proceedings for the adoption of | ||||||
22 | the child as long as the adoption proceeding by the specified | ||||||
23 | person or persons is pending. | ||||||
24 | 13. That I have read and understand the above and I am | ||||||
25 | signing it as my free and voluntary act. | ||||||
26 | 14. That I acknowledge that this consent is valid even if |
| |||||||
| |||||||
1 | the specified person or persons separate or divorce or one of | ||||||
2 | the specified persons dies prior to the entry of the final | ||||||
3 | judgment for adoption. | ||||||
4 | Dated (insert date). | ||||||
5 | ............................................. | ||||||
6 | Signature of parent. | ||||||
7 | ............................................. | ||||||
8 | Address of parent. | ||||||
9 | ............................................. | ||||||
10 | Phone number(s) of parent. | ||||||
11 | ............................................. | ||||||
12 | Personal email(s) of parent. | ||||||
13 | ............................................. | ||||||
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 |
| |||||||
| |||||||
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. I am further satisfied that, before signing this | ||||||
5 | Consent, ........ has read, or has had read to him or her, the | ||||||
6 | Birth Parent Rights and Responsibilities-Private Form. | ||||||
7 | A-2. Birth Parent Rights and Responsibilities-Private | ||||||
8 | Form. The Birth Parent Rights and Responsibilities-Private | ||||||
9 | Form must be read by, or have been read to, any person | ||||||
10 | executing a Final and Irrevocable Consent to Adoption under | ||||||
11 | subsection A, a Final and Irrevocable Consent to Adoption by a | ||||||
12 | Specified Person or Persons: Non-DCFS Case under subsection | ||||||
13 | A-1, or a Consent to Adoption of Unborn Child under subsection | ||||||
14 | B prior to the execution of said Consent. The form of the Birth | ||||||
15 | Parent Rights and Responsibilities-Private Form shall be | ||||||
16 | substantially as follows: | ||||||
17 | Birth Parent Rights and Responsibilities-Private Form | ||||||
18 | As a birth parent in the State of Illinois, you have the | ||||||
19 | right: | ||||||
20 | 1. To have your own attorney represent you. The prospective | ||||||
21 | adoptive parents may agree to pay for the cost of your attorney | ||||||
22 | in a manner consistent with Illinois law, but they are not | ||||||
23 | required to do so. | ||||||
24 | 2. To be treated with dignity and respect at all times and | ||||||
25 | to make decisions free from coercion and pressure. | ||||||
26 | 3. To receive counseling before and after signing a Final |
| |||||||
| |||||||
1 | and Irrevocable Consent to Adoption ("Consent"), a Final and | ||||||
2 | Irrevocable Consent to Adoption by a Specified Person or | ||||||
3 | Persons: Non-DCFS Case ("Specified Consent"), or a Consent to | ||||||
4 | Adoption of Unborn Child ("Unborn Consent"). The prospective | ||||||
5 | adoptive parents may agree to pay for the cost of counseling in | ||||||
6 | a manner consistent with Illinois law, but they are not | ||||||
7 | required to do so. | ||||||
8 | 4. To ask to be involved in choosing your child's | ||||||
9 | prospective adoptive parents and to ask to meet them. | ||||||
10 | 5. To ask your child's prospective adoptive parents any | ||||||
11 | questions that pertain to your decision to place your child | ||||||
12 | with them. | ||||||
13 | 6. To see your child before signing a Consent or Specified | ||||||
14 | Consent. | ||||||
15 | 7. To request contact with your child and/or the child's | ||||||
16 | prospective adoptive parents, with the understanding that any | ||||||
17 | promises regarding contact with your child or receipt of | ||||||
18 | information about the child after signing a Consent, Specified | ||||||
19 | Consent, or Unborn Consent cannot be enforced under Illinois | ||||||
20 | law. | ||||||
21 | 8. To receive copies of all documents that you sign and | ||||||
22 | have those documents provided to you in your preferred | ||||||
23 | language. | ||||||
24 | 9. To request that your identifying information remain | ||||||
25 | confidential, unless required otherwise by Illinois law or | ||||||
26 | court order, and to register with the Illinois Adoption |
| |||||||
| |||||||
1 | Registry and Medical Information Exchange. | ||||||
2 | 10. To work with an adoption agency or attorney of your | ||||||
3 | choice, or change said agency or attorney, provided you | ||||||
4 | promptly inform all of the parties currently involved. | ||||||
5 | 11. To receive, upon request, a written list of any | ||||||
6 | promised support, financial or otherwise, from your attorney or | ||||||
7 | the attorney for your child's prospective adoptive parents. | ||||||
8 | 12. To delay signing a Consent, Specified Consent, or | ||||||
9 | Unborn Consent if you are not ready to do so. | ||||||
10 | 13. To decline to sign a Consent, Specified Consent, or | ||||||
11 | Unborn Consent even if you have received financial support from | ||||||
12 | the prospective adoptive parents. | ||||||
13 | If you do not receive any of the rights described in this | ||||||
14 | Form, it shall not be a basis to revoke a Consent, Specified | ||||||
15 | Consent, or Unborn Consent. | ||||||
16 | As a Birth Parent in the State of Illinois, you have the | ||||||
17 | responsibility: | ||||||
18 | 1. To carefully consider your reasons for choosing | ||||||
19 | adoption. | ||||||
20 | 2. To voluntarily provide all known medical, background, | ||||||
21 | and family information about yourself and your immediate family | ||||||
22 | to your child's prospective adoptive parents or their attorney. | ||||||
23 | For the health of your child, you are strongly encouraged, but | ||||||
24 | not required, to provide all known medical, background, and | ||||||
25 | family history information about yourself and your family to | ||||||
26 | your child's prospective adoptive parents or their attorney. |
| |||||||
| |||||||
1 | 3. (Birth mothers only) To accurately complete an Affidavit | ||||||
2 | of Identification, which identifies the father of the child | ||||||
3 | when known, with the understanding that a birth mother has a | ||||||
4 | right to decline to identify the birth father. | ||||||
5 | 4. To not accept financial support or reimbursement of | ||||||
6 | pregnancy related expenses simultaneously from more than one | ||||||
7 | source. | ||||||
8 | B. The form of consent required for the adoption of an | ||||||
9 | unborn child
shall be substantially as follows:
| ||||||
10 | CONSENT TO ADOPTION OF UNBORN CHILD
| ||||||
11 | I, ...., state:
| ||||||
12 | That I am the father of a child expected to be born on or | ||||||
13 | about ....
to .... (name of mother).
| ||||||
14 | That I reside at .... County of ...., and State of .....
| ||||||
15 | That I am of the age of .... years.
| ||||||
16 | That I hereby enter my appearance in such adoption | ||||||
17 | proceeding and
waive service of summons on me.
| ||||||
18 | That I hereby acknowledge that I have been provided with a | ||||||
19 | copy of the Birth Parent Rights and Responsibilities-Private | ||||||
20 | Form before signing this Consent, and that I have had time to | ||||||
21 | read, or have had read to me, this Form. I understand that if I | ||||||
22 | do not receive any of the rights as described in this Form, it | ||||||
23 | shall not constitute a basis to revoke this Consent to Adoption | ||||||
24 | of Unborn Child. | ||||||
25 | That I do hereby consent and agree to the adoption of such | ||||||
26 | child, and
that I have not previously executed a consent or |
| |||||||
| |||||||
1 | surrender with respect
to such child.
| ||||||
2 | That I wish to and do understand that by signing this | ||||||
3 | consent I do
irrevocably and permanently give up all custody | ||||||
4 | and other parental
rights I have to such child, except that I | ||||||
5 | have the right to revoke this
consent by giving written notice | ||||||
6 | of my revocation not later than 72
hours after the birth of the | ||||||
7 | child.
| ||||||
8 | That I understand such child will be placed for adoption | ||||||
9 | and that,
except as hereinabove provided, I cannot under any | ||||||
10 | circumstances, after
signing this document, change my mind and | ||||||
11 | revoke or cancel this consent
or obtain or recover custody or | ||||||
12 | any other rights over such child.
| ||||||
13 | That I have read and understand the above and I am signing | ||||||
14 | it as my
free and voluntary act.
| ||||||
15 | Dated (insert date).
| ||||||
16 | ........................
| ||||||
17 | B-5. (1) The parent of a child may execute a consent to | ||||||
18 | standby
adoption by a specified person or persons. A consent | ||||||
19 | under this subsection B-5
shall be acknowledged by a parent | ||||||
20 | pursuant to subsection H and subsection K of
this Section.
The | ||||||
21 | form of consent required for the standby adoption of a born | ||||||
22 | child
effective at a future date when the consenting
parent of | ||||||
23 | the child dies or
requests that a final judgment of adoption be | ||||||
24 | entered shall be substantially as
follows:
| ||||||
25 | FINAL AND IRREVOCABLE CONSENT
| ||||||
26 | TO STANDBY ADOPTION
|
| |||||||
| |||||||
1 | I, ..., (relationship, e.g. mother or father)
of ...., a | ||||||
2 | ..male child, state:
| ||||||
3 | That the child was born on .... at .....
| ||||||
4 | That I reside at ...., County of ...., and State of .....
| ||||||
5 | That I am of the age of .... years.
| ||||||
6 | That I hereby enter my appearance in this proceeding and | ||||||
7 | waive service of
summons on me in this action only.
| ||||||
8 | That I do hereby consent and
agree to the standby adoption | ||||||
9 | of the child, and that I have not previously
executed a consent | ||||||
10 | or surrender with respect to the child.
| ||||||
11 | That I wish to and understand that by signing this consent | ||||||
12 | I do irrevocably
and permanently give up all custody and other | ||||||
13 | parental rights I have to the
child, effective upon
(my death) | ||||||
14 | (the child's other parent's death) or upon (my) (the other
| ||||||
15 | parent's) request for the entry of a final judgment for | ||||||
16 | adoption if .....
(specified person or persons) adopt my child.
| ||||||
17 | That I understand that until (I die) (the child's other | ||||||
18 | parent dies), I
retain all legal rights and obligations | ||||||
19 | concerning the child, but at that time,
I irrevocably give all | ||||||
20 | custody and other parental rights to .... (specified
person or | ||||||
21 | persons).
| ||||||
22 | I understand my child will be adopted by ....... (specified | ||||||
23 | person or
persons) only and that I cannot, under any | ||||||
24 | circumstances, after signing this
document, change my mind and | ||||||
25 | revoke or cancel this consent or obtain or recover
custody or | ||||||
26 | any other rights over my child if ..... (specified person or
|
| |||||||
| |||||||
1 | persons) adopt my child.
| ||||||
2 | I understand that this consent to standby adoption is valid | ||||||
3 | only if the
petition for standby adoption is filed and that if | ||||||
4 | ....... (specified person or
persons), for any reason, cannot | ||||||
5 | or will not file a petition for standby
adoption or if his, | ||||||
6 | her, or their petition for standby adoption is denied, then
| ||||||
7 | this consent is void. I have the right to notice of any other | ||||||
8 | proceeding that
could affect my parental rights.
| ||||||
9 | That I have read and understand the above and I am signing | ||||||
10 | it as my free and
voluntary act.
| ||||||
11 | Dated (insert date).
| ||||||
12 | ....................
| ||||||
13 | If under Section 8 the consent of more than one person is | ||||||
14 | required, then each
such
person shall execute a separate | ||||||
15 | consent. A separate consent shall be executed
for each
child.
| ||||||
16 | (2) If the parent consents to a standby adoption by 2 | ||||||
17 | specified persons,
then the form shall contain 2 additional | ||||||
18 | paragraphs in substantially the
following form:
| ||||||
19 | If .... (specified persons) obtain a judgment of
| ||||||
20 | dissolution of
marriage before the judgment for adoption is | ||||||
21 | entered, then .....
(specified person) shall adopt my child. I | ||||||
22 | understand that I cannot change my
mind and revoke this consent | ||||||
23 | or obtain or recover custody of my child if .....
(specified | ||||||
24 | persons) obtain a judgment of dissolution of marriage and .....
| ||||||
25 | (specified person) adopts my child. I understand that I cannot |
| |||||||
| |||||||
1 | change my
mind and revoke this consent if ...... (specified | ||||||
2 | persons) obtain a
judgment of dissolution of marriage before | ||||||
3 | the adoption is final. I
understand that this consent to | ||||||
4 | adoption has no effect on who will get custody
of my child if | ||||||
5 | ..... (specified persons) obtain a judgment of dissolution
of | ||||||
6 | marriage after the adoption is final. I understand that if | ||||||
7 | either .....
(specified persons) dies before the petition to | ||||||
8 | adopt my child is granted, then
the surviving person may adopt | ||||||
9 | my child. I understand that I cannot change my
mind and revoke | ||||||
10 | this consent or obtain or recover custody of my child if the
| ||||||
11 | surviving person adopts my child.
| ||||||
12 | A consent to standby adoption by specified persons on this | ||||||
13 | form shall have no
effect on a court's determination of custody | ||||||
14 | or visitation under the Illinois
Marriage and Dissolution
of | ||||||
15 | Marriage Act if the marriage of the specified persons is | ||||||
16 | dissolved before
the adoption is final.
| ||||||
17 | (3) The form of the certificate of acknowledgement for a | ||||||
18 | Final and
Irrevocable Consent for Standby Adoption shall be | ||||||
19 | substantially as follows:
| ||||||
20 | STATE OF .....)
| ||||||
21 | ) SS.
| ||||||
22 | COUNTY OF ....)
| ||||||
23 | I, ....... (name of Judge or other person) ..... (official | ||||||
24 | title,
name, and address), certify that ......., personally |
| |||||||
| |||||||
1 | known to me to be
the same person whose name is subscribed to | ||||||
2 | the foregoing Final and Irrevocable
Consent to Standby | ||||||
3 | Adoption, appeared before me this day in person and
| ||||||
4 | acknowledged that (she) (he) signed and
delivered the consent | ||||||
5 | as (her) (his) free and voluntary act, for the specified
| ||||||
6 | purpose.
| ||||||
7 | I have fully explained that this consent to adoption is | ||||||
8 | valid only if the
petition to adopt is filed, and that if the | ||||||
9 | specified person or persons, for
any reason, cannot or will not | ||||||
10 | adopt the child or if the adoption petition is
denied, then | ||||||
11 | this consent will be void. I have fully explained that if the
| ||||||
12 | specified person or persons adopt the child, by signing this | ||||||
13 | consent (she) (he)
is irrevocably and permanently | ||||||
14 | relinquishing all parental rights to the child,
and (she) (he) | ||||||
15 | has stated that such is (her) (his) intention and desire.
| ||||||
16 | Dated (insert date).
| ||||||
17 | Signature ..............................
| ||||||
18 | (4) If a consent to standby adoption is executed in this | ||||||
19 | form,
the consent shall be valid only if the specified
person | ||||||
20 | or persons adopt the child. The consent shall be void if:
| ||||||
21 | (a) the specified person or persons do not file a petition | ||||||
22 | for standby
adoption of the child; or
| ||||||
23 | (b) a court denies the standby adoption petition.
| ||||||
24 | The parent shall not need to take further action to revoke | ||||||
25 | the consent if the
standby adoption by the specified person or | ||||||
26 | persons does not occur,
notwithstanding the provisions of |
| |||||||
| |||||||
1 | Section 11 of this Act.
| ||||||
2 | C. The form of surrender to any agency given by a parent of | ||||||
3 | a born
child who is to be subsequently placed for adoption | ||||||
4 | shall be
substantially as follows and shall contain such other | ||||||
5 | facts and
statements as the particular agency shall require.
| ||||||
6 | FINAL AND IRREVOCABLE SURRENDER
| ||||||
7 | FOR PURPOSES OF ADOPTION
| ||||||
8 | I, .... (relationship, e.g., mother, father, relative, | ||||||
9 | guardian) of
...., a ..male child, state:
| ||||||
10 | That such child was born on ...., at .....
| ||||||
11 | That I reside at ...., County of ...., and State of .....
| ||||||
12 | That I am of the age of .... years.
| ||||||
13 | That I do hereby surrender and entrust the entire custody | ||||||
14 | and control
of such child to the .... (the "Agency"), a | ||||||
15 | (public) (licensed) child
welfare agency with its principal | ||||||
16 | office in the City of ...., County of
.... and State of ...., | ||||||
17 | for the purpose of enabling it to care for and
supervise the | ||||||
18 | care of such child, to place such child for adoption and
to | ||||||
19 | consent to the legal adoption of such child.
| ||||||
20 | That I hereby grant to the Agency full power and authority | ||||||
21 | to place
such child with any person or persons it may in its | ||||||
22 | sole discretion
select to become the adopting parent or parents | ||||||
23 | and to consent to the
legal adoption of such child by such | ||||||
24 | person or persons; and to take any
and all measures which, in | ||||||
25 | the judgment of the Agency, may be for the
best interests of | ||||||
26 | such child, including authorizing medical, surgical
and dental |
| |||||||
| |||||||
1 | care and treatment including inoculation and anaesthesia for
| ||||||
2 | such child.
| ||||||
3 | That I wish to and understand that by signing this | ||||||
4 | surrender I do
irrevocably and permanently give up all custody | ||||||
5 | and other parental
rights I have to such child.
| ||||||
6 | That I understand I cannot under any circumstances, after | ||||||
7 | signing
this surrender, change my mind and revoke or cancel | ||||||
8 | this surrender or
obtain or recover custody or any other rights | ||||||
9 | over such child.
| ||||||
10 | That I have read and understand the above and I am signing | ||||||
11 | it as my
free and voluntary act.
| ||||||
12 | Dated (insert date).
| ||||||
13 | ........................
| ||||||
14 | C-5. The form of a Final and Irrevocable Designated | ||||||
15 | Surrender for Purposes of Adoption to any agency given by a | ||||||
16 | parent of a born child who is to be subsequently placed for | ||||||
17 | adoption is to be used by legal parents only. The form shall be | ||||||
18 | substantially as follows and shall contain such other facts and | ||||||
19 | statements as the particular agency shall require: | ||||||
20 | FINAL AND IRREVOCABLE DESIGNATED SURRENDER | ||||||
21 | FOR PURPOSES OF ADOPTION | ||||||
22 | I, .... (relationship, e.g., mother, father, relative, | ||||||
23 | guardian) of ...., a ..male child, state: | ||||||
24 | 1. That such child was born on ...., at ..... | ||||||
25 | 2. That I reside at ...., County of ...., and State of | ||||||
26 | ..... |
| |||||||
| |||||||
1 | 3. That I am of the age of .... years. | ||||||
2 | 4. That I do hereby surrender and entrust the entire | ||||||
3 | custody and control of such child to the .... (the "Agency"), a | ||||||
4 | (public) (licensed) child welfare agency with its principal | ||||||
5 | office in the City of ...., County of .... and State of ...., | ||||||
6 | for the purpose of enabling it to care for and supervise the | ||||||
7 | care of such child, to place such child for adoption with | ||||||
8 | ............................. (specified person or persons) | ||||||
9 | and to consent to the legal adoption of such child and to take | ||||||
10 | any and all measures which, in the judgment of the Agency, may | ||||||
11 | be for the best interests of such child, including authorizing | ||||||
12 | medical, surgical and dental care and treatment including | ||||||
13 | inoculation and anesthesia for such child. | ||||||
14 | 5. That I wish to and understand that by signing this | ||||||
15 | surrender I do irrevocably and permanently give up all custody | ||||||
16 | and other parental rights I have to such child. | ||||||
17 | 6. That if the petition for adoption is not filed by the
| ||||||
18 | specified person or persons designated herein or, if the
| ||||||
19 | petition for adoption is filed but the adoption petition is
| ||||||
20 | dismissed with prejudice or the adoption proceeding is
| ||||||
21 | otherwise concluded without an order declaring the child to be
| ||||||
22 | the adopted child of each specified person, then I understand | ||||||
23 | that the Agency will provide notice to me within 10 business | ||||||
24 | days and that such notice will be directed to me using the | ||||||
25 | contact information I have provided to the Agency. I understand | ||||||
26 | that I will have 10 business days from the date that the Agency |
| |||||||
| |||||||
1 | sends me its notice to respond, within which time I may choose | ||||||
2 | to designate other adoptive parent(s). However, I acknowledge | ||||||
3 | that
the Agency has full power and authority to place the child | ||||||
4 | for adoption with
any person or persons it may in its sole | ||||||
5 | discretion select to
become the adopting parent or parents and | ||||||
6 | to consent to the
legal adoption of the child by such person or | ||||||
7 | persons. | ||||||
8 | 7. That I acknowledge that this surrender is valid even if | ||||||
9 | the specified persons separate or divorce or one of the | ||||||
10 | specified persons dies prior to the entry of the final judgment | ||||||
11 | for adoption. | ||||||
12 | 8. That I expressly acknowledge that the above paragraphs 6 | ||||||
13 | and 7 do not impair the validity and absolute finality of this | ||||||
14 | surrender under any circumstance. | ||||||
15 | 9. That I understand that I have a remaining obligation to | ||||||
16 | keep the Agency informed of my current contact information | ||||||
17 | until the adoption of the child has been finalized if I wish to | ||||||
18 | be notified in the event the adoption by the specified | ||||||
19 | person(s) cannot proceed. | ||||||
20 | 10. That I understand I cannot under any circumstances, | ||||||
21 | after signing this surrender, change my mind and revoke or | ||||||
22 | cancel this surrender or obtain or recover custody or any other | ||||||
23 | rights over such child. | ||||||
24 | 11. That I have read and understand the above and I am | ||||||
25 | signing it as my free and voluntary act. | ||||||
26 | Dated (insert date). |
| |||||||
| |||||||
1 | .............................. | ||||||
2 | D. The form of surrender to an agency given by a parent of | ||||||
3 | an unborn
child who is to be subsequently placed for adoption | ||||||
4 | shall be
substantially as follows and shall contain such other | ||||||
5 | facts and
statements as the particular agency shall require.
| ||||||
6 | SURRENDER OF UNBORN CHILD FOR
| ||||||
7 | PURPOSES OF ADOPTION
| ||||||
8 | I, .... (father), state:
| ||||||
9 | That I am the father of a child expected to be born on or | ||||||
10 | about ....
to .... (name of mother).
| ||||||
11 | That I reside at ...., County of ...., and State of .....
| ||||||
12 | That I am of the age of .... years.
| ||||||
13 | That I do hereby surrender and entrust the entire custody | ||||||
14 | and control
of such child to the .... (the "Agency"), a | ||||||
15 | (public) (licensed) child
welfare agency with its principal | ||||||
16 | office in the City of ...., County of
.... and State of ...., | ||||||
17 | for the purpose of enabling it to care for and
supervise the | ||||||
18 | care of such child, to place such child for adoption and
to | ||||||
19 | consent to the legal adoption of such child, and that I have | ||||||
20 | not
previously executed a consent or surrender with respect to | ||||||
21 | such child.
| ||||||
22 | That I hereby grant to the Agency full power and authority | ||||||
23 | to place
such child with any person or persons it may in its | ||||||
24 | sole discretion
select to become the adopting parent or parents | ||||||
25 | and to consent to the
legal adoption of such child by such | ||||||
26 | person or persons; and to take any
and all measures which, in |
| |||||||
| |||||||
1 | the judgment of the Agency, may be for the
best interests of | ||||||
2 | such child, including authorizing medical, surgical
and dental | ||||||
3 | care and treatment, including inoculation and anaesthesia for
| ||||||
4 | such child.
| ||||||
5 | That I wish to and understand that by signing this | ||||||
6 | surrender I do
irrevocably and permanently give up all custody | ||||||
7 | and other parental
rights I have to such child.
| ||||||
8 | That I understand I cannot under any circumstances, after | ||||||
9 | signing
this surrender, change my mind and revoke or cancel | ||||||
10 | this surrender or
obtain or recover custody or any other rights | ||||||
11 | over such child, except
that I have the right to revoke this | ||||||
12 | surrender by giving written notice
of my revocation not later | ||||||
13 | than 72 hours after the birth of such child.
| ||||||
14 | That I have read and understand the above and I am signing | ||||||
15 | it as my
free and voluntary act.
| ||||||
16 | Dated (insert date).
| ||||||
17 | ........................
| ||||||
18 | E. The form of consent required from the parents for the | ||||||
19 | adoption of
an adult, when such adult elects to obtain such | ||||||
20 | consent, shall be
substantially as follows:
| ||||||
21 | CONSENT
| ||||||
22 | I, ...., (father) (mother) of ...., an adult, state:
| ||||||
23 | That I reside at ...., County of .... and State of .....
| ||||||
24 | That I do hereby consent and agree to the adoption of such | ||||||
25 | adult by
.... and .....
| ||||||
26 | Dated (insert date).
|
| |||||||
| |||||||
1 | .........................
| ||||||
2 | F. The form of consent required for the adoption of a child | ||||||
3 | of the
age of 14 years or upwards, or of an adult, to be given | ||||||
4 | by such person,
shall be substantially as follows:
| ||||||
5 | CONSENT
| ||||||
6 | I, ...., state:
| ||||||
7 | That I reside at ...., County of .... and State of ..... | ||||||
8 | That I am
of the age of .... years. That I consent and agree to | ||||||
9 | my adoption by
.... and .....
| ||||||
10 | Dated (insert date).
| ||||||
11 | ........................
| ||||||
12 | G. The form of consent given by an agency to the adoption | ||||||
13 | by
specified persons of a child previously surrendered to it | ||||||
14 | shall set
forth that the agency has the authority to execute | ||||||
15 | such consent. The
form of consent given by a guardian of the | ||||||
16 | person of a child sought to
be adopted, appointed by a court of | ||||||
17 | competent jurisdiction, shall set
forth the facts of such | ||||||
18 | appointment and the authority of the guardian to
execute such | ||||||
19 | consent.
| ||||||
20 | H. A consent (other than that given by an agency, or | ||||||
21 | guardian of the
person of the child sought to be adopted who | ||||||
22 | was appointed by a court of
competent jurisdiction) shall be | ||||||
23 | acknowledged by a parent before a judge of a court of competent | ||||||
24 | jurisdiction or, except as otherwise provided in
this Act, | ||||||
25 | before a representative of an agency, or before a person, other | ||||||
26 | than the attorney for the prospective adoptive parent or |
| |||||||
| |||||||
1 | parents, designated by a court of competent
jurisdiction.
| ||||||
2 | I. A surrender, or any other document equivalent to a | ||||||
3 | surrender, by
which a child is surrendered to an agency shall | ||||||
4 | be acknowledged by the
person signing such surrender, or other | ||||||
5 | document, before a judge of a court of competent jurisdiction, | ||||||
6 | or, except as otherwise provided in this Act, before a | ||||||
7 | representative of an agency, or before a person designated by a | ||||||
8 | court
of competent jurisdiction.
| ||||||
9 | J. The form of the certificate of acknowledgment for a | ||||||
10 | consent, a
surrender, or any other document equivalent to a | ||||||
11 | surrender, shall be
substantially as follows:
| ||||||
12 | STATE OF ....)
| ||||||
13 | ) SS.
| ||||||
14 | COUNTY OF ...)
| ||||||
15 | I, .... (Name of judge or other person), .... (official | ||||||
16 | title, name and
location of court or status or position of | ||||||
17 | other person),
certify that ...., personally known to me to be | ||||||
18 | the same person whose
name is subscribed to the foregoing | ||||||
19 | (consent) (surrender), appeared
before me this day in person | ||||||
20 | and acknowledged that (she) (he) signed and
delivered such | ||||||
21 | (consent) (surrender) as (her) (his) free and voluntary
act, | ||||||
22 | for the specified purpose.
| ||||||
23 | I have fully explained that by signing such (consent) | ||||||
24 | (surrender)
(she) (he) is irrevocably relinquishing all | ||||||
25 | parental rights to such
child or adult and (she) (he) has | ||||||
26 | stated that such is (her) (his)
intention and desire. (Add if |
| |||||||
| |||||||
1 | Consent only) I am further satisfied that, before signing this | ||||||
2 | Consent, ........ has read, or has had read to him or her, the | ||||||
3 | Birth Parent Rights and Responsibilities-Private Form.
| ||||||
4 | Dated (insert date).
| ||||||
5 | Signature ...............
| ||||||
6 | K. When the execution of a consent or a surrender is | ||||||
7 | acknowledged
before someone other than a judge,
such other | ||||||
8 | person shall have his or her signature on the certificate
| ||||||
9 | acknowledged before a notary public, in form substantially as | ||||||
10 | follows:
| ||||||
11 | STATE OF ....)
| ||||||
12 | ) SS.
| ||||||
13 | COUNTY OF ...)
| ||||||
14 | I, a Notary Public, in and for the County of ......, in the | ||||||
15 | State of
......, certify that ...., personally known to me to | ||||||
16 | be the
same person whose name is subscribed to the foregoing | ||||||
17 | certificate of
acknowledgment, appeared before me in person and | ||||||
18 | acknowledged that (she)
(he) signed such certificate as (her) | ||||||
19 | (his) free and voluntary act and
that the statements made in | ||||||
20 | the certificate are true.
| ||||||
21 | Dated (insert date).
| ||||||
22 | Signature ...................... Notary Public
| ||||||
23 | (official seal)
| ||||||
24 | There shall be attached a certificate of magistracy, or | ||||||
25 | other
comparable proof of office of the notary public |
| |||||||
| |||||||
1 | satisfactory to the
court, to a consent signed and acknowledged | ||||||
2 | in another state.
| ||||||
3 | L. A surrender or consent executed and acknowledged outside | ||||||
4 | of this
State, either in accordance with the law of this State | ||||||
5 | or in accordance
with the law of the place where executed, is | ||||||
6 | valid.
| ||||||
7 | M. Where a consent or a surrender is signed in a foreign | ||||||
8 | country,
the execution of such consent shall be acknowledged or | ||||||
9 | affirmed in a
manner conformable to the law and procedure of | ||||||
10 | such country.
| ||||||
11 | N. If the person signing a consent or surrender is in the | ||||||
12 | military
service of the United States, the execution of such | ||||||
13 | consent or surrender
may be acknowledged before a commissioned | ||||||
14 | officer and the signature of
such officer on such certificate | ||||||
15 | shall be verified or acknowledged
before a notary public or by | ||||||
16 | such other procedure as is then in effect
for such division or | ||||||
17 | branch of the armed forces.
| ||||||
18 | O. (1) The parent or parents of a child in whose interests | ||||||
19 | a petition
under Section 2-13 of the Juvenile Court Act of 1987 | ||||||
20 | is pending may, with the
approval of the designated | ||||||
21 | representative of the Department of Children and
Family | ||||||
22 | Services, execute a consent to adoption by a specified person | ||||||
23 | or
persons:
| ||||||
24 | (a) in whose physical custody the child has resided for | ||||||
25 | at least 6
months;
or
| ||||||
26 | (b) in whose physical custody at least one sibling of |
| |||||||
| |||||||
1 | the child who is the
subject of this consent has resided | ||||||
2 | for at least 6 months, and
the child who is
the subject of | ||||||
3 | this consent is currently residing in this foster home; or
| ||||||
4 | (c) in whose physical custody a child under one year of | ||||||
5 | age has resided
for at least 3 months.
| ||||||
6 | A consent under this subsection O shall be acknowledged by a | ||||||
7 | parent pursuant to
subsection H and subsection K of this | ||||||
8 | Section.
| ||||||
9 | (2) The consent to adoption by a specified person or | ||||||
10 | persons shall have the
caption of the proceeding in which it is | ||||||
11 | to be filed and shall be substantially
as follows:
| ||||||
12 | FINAL AND IRREVOCABLE CONSENT TO ADOPTION BY
| ||||||
13 | A SPECIFIED PERSON OR PERSONS: DCFS CASE
| ||||||
14 | I, ......................................, the | ||||||
15 | .................. (mother or
father) of a ....male child, | ||||||
16 | state:
| ||||||
17 | My child ............................ (name of child) | ||||||
18 | was born on
(insert date) at .................... Hospital | ||||||
19 | in
................ County, State of ...............
| ||||||
20 | I reside at ......................, County of | ||||||
21 | ............. and
State of ..............
| ||||||
22 | I, ..........................., am .... years old.
| ||||||
23 | I enter my appearance in this action to adopt my child | ||||||
24 | by the
person or persons specified herein by me and waive | ||||||
25 | service of
summons on me in this action only.
| ||||||
26 | I consent to the adoption of my child by
|
| |||||||
| |||||||
1 | .............................
(specified person or | ||||||
2 | persons) only.
| ||||||
3 | I wish to sign this consent and I understand that by | ||||||
4 | signing this
consent I irrevocably and permanently give up | ||||||
5 | all parental rights I have to my
child if my child is | ||||||
6 | adopted by ............................. (specified person
| ||||||
7 | or persons).
| ||||||
8 | I understand my child will be adopted by | ||||||
9 | .............................
(specified person or | ||||||
10 | persons) only and that I cannot under any circumstances,
| ||||||
11 | after signing this document, change my mind and revoke or | ||||||
12 | cancel this consent
or obtain or recover custody or any | ||||||
13 | other rights over my child if
............................ | ||||||
14 | (specified person or persons) adopt my child.
| ||||||
15 | I understand that this consent to adoption is valid | ||||||
16 | only if the
petition to adopt is filed within one year from | ||||||
17 | the date that I sign it and
that if ....................... | ||||||
18 | (specified person or persons), for any reason,
cannot or | ||||||
19 | will not file a petition to adopt my child within that one | ||||||
20 | year
period or if their adoption petition is denied, then | ||||||
21 | this consent will be
voidable after one year upon the | ||||||
22 | timely filing of my motion. If I file this
motion before | ||||||
23 | the filing of the petition for adoption, I understand that | ||||||
24 | the
court shall revoke this specific consent.
I have the | ||||||
25 | right to notice of any other proceeding that could affect | ||||||
26 | my
parental rights, except for the proceeding for |
| |||||||
| |||||||
1 | ............. (specified person
or persons) to adopt my | ||||||
2 | child.
| ||||||
3 | I have read and understand the above and I am signing | ||||||
4 | it as my free
and voluntary act.
| ||||||
5 | Dated (insert date).
| ||||||
6 | .............................................
| ||||||
7 | Signature of parent
| ||||||
8 | (3) If the parent consents to an adoption by 2 specified | ||||||
9 | persons, then the
form shall contain 2 additional paragraphs in | ||||||
10 | substantially the following form:
| ||||||
11 | If ............... (specified persons) get a divorce
| ||||||
12 | before the petition to adopt my child is granted, then | ||||||
13 | ..........
(specified person) shall adopt my child. I | ||||||
14 | understand that I
cannot change my mind and revoke this | ||||||
15 | consent or obtain or
recover custody over my child if | ||||||
16 | ............. (specified persons)
divorce and | ||||||
17 | ............. (specified person) adopts my
child. I | ||||||
18 | understand that I cannot change my mind and revoke
this | ||||||
19 | consent or obtain or recover custody over my child if
| ||||||
20 | ................. (specified persons) divorce after the
| ||||||
21 | adoption is final. I understand that this consent to | ||||||
22 | adoption
has no effect on who will get custody of my child | ||||||
23 | if they
divorce after the adoption is final.
| ||||||
24 | I understand that if either ...............
| ||||||
25 | (specified persons) dies before the petition to adopt
my | ||||||
26 | child is granted, then the surviving person can adopt my |
| |||||||
| |||||||
1 | child. I
understand that I cannot change my mind and revoke | ||||||
2 | this consent
or obtain or recover custody over my child if | ||||||
3 | the surviving
person adopts my child.
| ||||||
4 | A consent to adoption by specified persons on this form | ||||||
5 | shall
have no effect on a court's determination of custody or | ||||||
6 | visitation
under the Illinois Marriage and Dissolution of | ||||||
7 | Marriage Act if the
marriage of the
specified persons is | ||||||
8 | dissolved after the adoption is final.
| ||||||
9 | (4) The form of the certificate of acknowledgement for a | ||||||
10 | Final and
Irrevocable Consent for Adoption by a Specified | ||||||
11 | Person or Persons: DCFS Case shall be
substantially as follows:
| ||||||
12 | STATE OF ..............)
| ||||||
13 | ) SS.
| ||||||
14 | COUNTY OF .............)
| ||||||
15 | I, .................... (Name of Judge or other person),
| ||||||
16 | ..................... (official title, name, and address),
| ||||||
17 | certify that ............., personally known to me to be the | ||||||
18 | same person whose
name is subscribed to the foregoing Final and | ||||||
19 | Irrevocable Consent for Adoption
by a Specified Person or | ||||||
20 | Persons, appeared before me this day
in person and acknowledged | ||||||
21 | that (she)(he) signed and delivered the consent as
(her)(his) | ||||||
22 | free and voluntary act, for the specified purpose.
| ||||||
23 | I have fully explained that this consent to adoption is | ||||||
24 | valid only if the
petition to adopt is filed within one year |
| |||||||
| |||||||
1 | from the date that it is signed, and
that if the specified | ||||||
2 | person or persons, for any reason, cannot or will not
adopt the | ||||||
3 | child or if the adoption petition is denied, then this consent | ||||||
4 | will
be voidable after one year upon the timely filing of a | ||||||
5 | motion by the parent
to revoke the consent. I explained that if | ||||||
6 | this motion is filed before the
filing of the petition for | ||||||
7 | adoption, the court shall revoke this specific
consent. I have | ||||||
8 | fully explained that if the specified person or
persons adopt
| ||||||
9 | the child, by signing this consent this parent is irrevocably
| ||||||
10 | and permanently
relinquishing all parental rights to the child, | ||||||
11 | and this parent has stated that
such is (her)(his) intention | ||||||
12 | and desire.
| ||||||
13 | Dated (insert date).
| ||||||
14 | ...............................
| ||||||
15 | Signature
| ||||||
16 | (5) If a consent to adoption by a specified person or | ||||||
17 | persons is executed in
this form, the following provisions | ||||||
18 | shall apply. The consent shall be valid
only if that specified | ||||||
19 | person or persons adopt the child. The consent shall be
| ||||||
20 | voidable after one year if:
| ||||||
21 | (a) the specified person or persons do not file a | ||||||
22 | petition to adopt the
child within one year after the | ||||||
23 | consent is signed and the parent files a
timely motion to | ||||||
24 | revoke this consent. If this motion is filed before the
| ||||||
25 | filing of the petition for adoption the court shall revoke | ||||||
26 | this consent; or
|
| |||||||
| |||||||
1 | (b) a court denies the adoption petition; or
| ||||||
2 | (c) the Department of Children and Family Services | ||||||
3 | Guardianship
Administrator determines that the specified | ||||||
4 | person or persons will not or
cannot complete the adoption, | ||||||
5 | or in the best interests of the child should not
adopt the | ||||||
6 | child.
| ||||||
7 | Within 30 days of the consent becoming void, the Department | ||||||
8 | of Children and
Family Services Guardianship Administrator | ||||||
9 | shall make good faith attempts to
notify the parent in writing | ||||||
10 | and shall give written notice to the court and all
additional | ||||||
11 | parties in writing that the adoption has not occurred or will | ||||||
12 | not
occur and that the consent is void. If the adoption by a | ||||||
13 | specified person or
persons does not occur, no proceeding for | ||||||
14 | termination of parental rights shall
be brought unless the | ||||||
15 | biological parent who executed the consent to adoption by
a | ||||||
16 | specified person or persons has been notified of the proceeding | ||||||
17 | pursuant to
Section 7 of this Act or subsection (4) of Section | ||||||
18 | 2-13 of the Juvenile Court
Act of 1987. The parent shall not | ||||||
19 | need to take further action to revoke the
consent if the | ||||||
20 | specified adoption does not occur, notwithstanding the
| ||||||
21 | provisions of Section 11 of this Act.
| ||||||
22 | (6) The Department of Children and Family Services is | ||||||
23 | authorized
to promulgate rules necessary to implement this | ||||||
24 | subsection O.
| ||||||
25 | (7) The Department shall collect and maintain data | ||||||
26 | concerning the efficacy
of specific consents. This data shall |
| |||||||
| |||||||
1 | include the number of specific consents
executed and their | ||||||
2 | outcomes, including but not limited to the number of
children | ||||||
3 | adopted pursuant to the consents, the number of children for | ||||||
4 | whom
adoptions are not completed, and the reason or reasons why | ||||||
5 | the adoptions are
not completed.
| ||||||
6 | P. If the person signing a consent is incarcerated or | ||||||
7 | detained in a correctional facility, prison, jail, detention | ||||||
8 | center, or other comparable institution, either in this State | ||||||
9 | or any other jurisdiction, the execution of such consent may be | ||||||
10 | acknowledged before social service personnel of such | ||||||
11 | institution, or before a person designated by a court of | ||||||
12 | competent jurisdiction. | ||||||
13 | Q. A consent may be acknowledged telephonically, via | ||||||
14 | audiovisual connection, or other electronic means, provided | ||||||
15 | that a court of competent jurisdiction has entered an order | ||||||
16 | approving the execution of the consent in such manner and has | ||||||
17 | designated an individual to be physically present with the | ||||||
18 | parent executing such consent in order to verify the identity | ||||||
19 | of the parent. | ||||||
20 | R. An agency whose representative is acknowledging a | ||||||
21 | consent pursuant to this Section shall be a public child | ||||||
22 | welfare agency, or a child welfare agency, or a child placing | ||||||
23 | agency that is authorized or licensed in the State or | ||||||
24 | jurisdiction in which the consent is signed. | ||||||
25 | S. The form of waiver by a putative or legal father of a | ||||||
26 | born or unborn child shall be substantially as follows:
|
| |||||||
| |||||||
1 | FINAL AND IRREVOCABLE | ||||||
2 | WAIVER OF PARENTAL RIGHTS OF PUTATIVE OR LEGAL FATHER | ||||||
3 | I, .................... , state under oath or affirm as | ||||||
4 | follows: | ||||||
5 | 1. That the biological mother ............... has | ||||||
6 | named me as a possible biological or
legal father of her | ||||||
7 | minor child who was born, or is expected to be born on
| ||||||
8 | ..........., ......, in the City/Town of........., State | ||||||
9 | of ........... | ||||||
10 | 2. That I understand that the biological mother | ||||||
11 | ............. intends to or has placed the child
for | ||||||
12 | adoption. | ||||||
13 | 3. That I reside at ................, in the City/Town | ||||||
14 | of...........,
State of ................ | ||||||
15 | 4. That I am ................ years of age and my date | ||||||
16 | of birth is ..............., ............. | ||||||
17 | 5. That I (select one): | ||||||
18 | ..... am married to the biological mother. | ||||||
19 | ..... am not married to the biological mother and | ||||||
20 | have not been married to the biological
mother within | ||||||
21 | 300 days before the child's birth or expected date of | ||||||
22 | child's birth. | ||||||
23 | ..... am not currently married to the biological | ||||||
24 | mother, but was married to the biological
mother, |
| |||||||
| |||||||
1 | within 300 days before the child's birth or expected | ||||||
2 | date of child's birth. | ||||||
3 | 6. That I (select one): | ||||||
4 | ..... neither admit nor deny that I am the | ||||||
5 | biological father of the child. | ||||||
6 | ..... deny that I am the biological father of the | ||||||
7 | child. | ||||||
8 | 7. That I hereby agree to the termination of my | ||||||
9 | parental rights, if any, without further notice to me
of | ||||||
10 | any proceeding for the adoption of the minor child, even if | ||||||
11 | I have taken any action to establish
parental rights or | ||||||
12 | take any such action in the future including registering | ||||||
13 | with any putative father
registry. | ||||||
14 | 8. That I understand that by signing this Waiver I do | ||||||
15 | irrevocably and permanently give up all
custody and other | ||||||
16 | parental rights I may have to such child. | ||||||
17 | 9. That I understand that this Waiver is FINAL AND | ||||||
18 | IRREVOCABLE and that I am permanently
barred from | ||||||
19 | contesting any proceeding for the adoption of the child | ||||||
20 | after I sign this Waiver. | ||||||
21 | 10. That I waive any further service of summons or | ||||||
22 | other pleadings in any proceeding to terminate
parental | ||||||
23 | rights, if any to this child, or any proceeding for | ||||||
24 | adoption of this child. | ||||||
25 | 11. That I understand that if a final judgment or order | ||||||
26 | of adoption for this child is not entered, then
any |
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1 | parental rights or responsibilities that I may have remain | ||||||
2 | intact. | ||||||
3 | 12. That I have read and understand the above and that | ||||||
4 | I am signing it as my free and voluntary act.
| ||||||
5 | Dated: ................... , .............. | ||||||
6 | ........................................... | ||||||
7 | Signature
| ||||||
8 | OATH | ||||||
9 | I have been duly sworn and I state under oath that I have read | ||||||
10 | and understood this Final and Irrevocable
Waiver of Parental | ||||||
11 | Rights of Putative or Legal Father. The facts contained in it | ||||||
12 | are true and correct to the
best of my knowledge. I have signed | ||||||
13 | this document as my free and voluntary act in order to | ||||||
14 | facilitate the
adoption of the child.
| ||||||
15 | .............................. | ||||||
16 | Signature
| ||||||
17 | Signed and Sworn before me on | ||||||
18 | this ............ day | ||||||
19 | of ..........., 20....
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20 | ................... | ||||||
21 | Notary Public |
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1 | (Source: P.A. 96-601, eff. 8-21-09; 96-1461, eff. 1-1-11.)
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2 | (750 ILCS 50/11) (from Ch. 40, par. 1513)
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3 | Sec. 11. Consents, surrenders, waivers, irrevocability.
| ||||||
4 | (a) A consent to adoption or standby adoption by a parent, | ||||||
5 | including a
minor, executed and
acknowledged in accordance with | ||||||
6 | the provisions of Section 10 8 of this Act, or
a surrender of a | ||||||
7 | child by a parent, including a minor, to an agency for the
| ||||||
8 | purpose of adoption shall be irrevocable unless it shall have | ||||||
9 | been obtained
by fraud or duress on the part of the person | ||||||
10 | before whom such consent,
surrender, or other document | ||||||
11 | equivalent to a surrender is acknowledged
pursuant to the | ||||||
12 | provisions of Section 10 of this Act or on the part of the
| ||||||
13 | adopting parents or their agents and a court of competent | ||||||
14 | jurisdiction
shall so find. No action to void or revoke a | ||||||
15 | consent to or surrender for
adoption, including an action based | ||||||
16 | on fraud or duress, may be commenced
after 12 months from the | ||||||
17 | date the consent or surrender was executed.
The consent or | ||||||
18 | surrender of a parent who is a minor shall
not be voidable | ||||||
19 | because of such minority.
| ||||||
20 | (a-1) A waiver signed by a putative or legal father, | ||||||
21 | including a minor, executed and acknowledged in accordance with | ||||||
22 | Section 10 of this Act, shall be irrevocable unless it shall | ||||||
23 | have been obtained by fraud or duress on the part of the | ||||||
24 | adopting parents or their agents and a court of competent | ||||||
25 | jurisdiction shall so find. No action to void a waiver may be |
| |||||||
| |||||||
1 | commenced after 12 months from the date the waiver was | ||||||
2 | executed. The waiver of a putative or legal father who is a | ||||||
3 | minor shall not be voidable because of such minority. | ||||||
4 | (b) The petitioners in an adoption proceeding are entitled | ||||||
5 | to rely upon a
sworn statement of the biological mother of the | ||||||
6 | child to be adopted identifying
the father of her child. The | ||||||
7 | affidavit shall be conclusive evidence as to the
biological | ||||||
8 | mother regarding the facts stated therein, and shall create a
| ||||||
9 | rebuttable presumption of truth as to the biological father | ||||||
10 | only. Except as
provided in Section 11 of this Act, the | ||||||
11 | biological mother of the child shall be
permanently barred from | ||||||
12 | attacking the proceeding thereafter. The biological
mother | ||||||
13 | shall execute such affidavit in writing and under oath. The | ||||||
14 | affidavit
shall be executed by the biological mother before or | ||||||
15 | at the time of execution
of the consent or surrender, and shall | ||||||
16 | be retained by the court and be a part
of the Court's files. | ||||||
17 | The form of affidavit shall be substantially as follows:
| ||||||
18 | AFFIDAVIT OF IDENTIFICATION
| ||||||
19 | I, ................., the mother of a (male or female) | ||||||
20 | child, state under
oath or affirm as follows:
| ||||||
21 | (1) That the child was born, or is expected to be born, on | ||||||
22 | (insert
date), at ......................., in
the State of | ||||||
23 | ...................
| ||||||
24 | (2) That I reside at .................., in the City or | ||||||
25 | Village of
..........., State of ...................
| ||||||
26 | (3) That I am of the age of ....... years.
|
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| |||||||
1 | (4) That I acknowledge that I have been asked to identify | ||||||
2 | the father of my
child.
| ||||||
3 | (5) (CHECK ONE)
| ||||||
4 | .... I know and am identifying the biological father.
| ||||||
5 | .... I do not know the identity of the biological father.
| ||||||
6 | .... I am unwilling to identify the biological father.
| ||||||
7 | (6A) If I know and am identifying the father:
| ||||||
8 | That the name of the biological father is | ||||||
9 | ....................; his last
known home address is | ||||||
10 | ............; his last known work address is
| ||||||
11 | ....................; and he is ..... years of age; or he is | ||||||
12 | deceased, having
died on (insert date) at
.............., in | ||||||
13 | the State of ..................
| ||||||
14 | (6B) If I do not know the identity of the biological | ||||||
15 | father:
| ||||||
16 | I do not know who the biological father is; the following | ||||||
17 | is
an explanation of why I am unable to identify him:
| ||||||
18 | .............................................................
| ||||||
19 | .............................................................
| ||||||
20 | ..............................................................
| ||||||
21 | (6C) If I am unwilling to identify the biological father:
| ||||||
22 | I do not wish to name the biological father of the child | ||||||
23 | for the following
reasons:
| ||||||
24 | .............................................................
| ||||||
25 | .............................................................
| ||||||
26 | .............................................................
|
| |||||||
| |||||||
1 | (7) The physical description of the biological father is:
.
| ||||||
2 | .............................................................
| ||||||
3 | .............................................................
| ||||||
4 | (8) I reaffirm that the information contained in paragraphs | ||||||
5 | 5, 6, and 7,
inclusive, is true and correct.
| ||||||
6 | (9) I have been informed and understand that if I am | ||||||
7 | unwilling, refuse to
identify, or misidentify the biological | ||||||
8 | father of the child, absent fraud
or duress, I am permanently | ||||||
9 | barred from attacking the proceedings for the
adoption of the | ||||||
10 | child at any time after I sign a final and irrevocable
consent | ||||||
11 | to adoption or surrender for purposes of adoption.
| ||||||
12 | (10) I have read this Affidavit and have had the | ||||||
13 | opportunity to review and
question it; it was explained to me | ||||||
14 | by ............................; and I am
signing it as my free | ||||||
15 | and voluntary act and understand the contents and the
results | ||||||
16 | of signing it.
| ||||||
17 | Dated (insert date).
| ||||||
18 | ...................................
| ||||||
19 | Signature
| ||||||
20 | Under penalties as provided by law under Section 1-109 of | ||||||
21 | the Code
of Civil Procedure, the undersigned certifies that the | ||||||
22 | statements set
forth in this Affidavit are true and correct.
| ||||||
23 | ...................................
| ||||||
24 | Signature
| ||||||
25 | (Source: P.A. 91-357, eff. 7-29-99; 91-572, eff. 1-1-00 .)
|
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1 | Section 99. Effective date. This Act takes effect upon | ||||||
2 | becoming law.".
|