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Rep. Ann M. Williams
Filed: 4/25/2023
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1 | | AMENDMENT TO SENATE BILL 1999
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2 | | AMENDMENT NO. ______. Amend Senate Bill 1999 by replacing |
3 | | everything after the enacting clause with the following:
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4 | | "Section 10. The Abandoned Newborn Infant Protection Act |
5 | | is amended by changing Sections 5, 10, 20, 22, 35, 37, 40, 45, |
6 | | 50, 55, 60, and 65 as follows:
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7 | | (325 ILCS 2/5)
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8 | | Sec. 5. Public policy. Illinois recognizes that newborn
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9 | | infants have been abandoned to the environment or to other
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10 | | circumstances that may be unsafe to the newborn infant. These
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11 | | circumstances have caused injury and death to newborn infants |
12 | | and
give rise to potential civil or criminal liability to |
13 | | parents who may be under
severe emotional distress.
It is |
14 | | recognized that establishing an adoption
plan is preferable to |
15 | | relinquishing a child using the procedures outlined in
this |
16 | | Act, but to reduce the
chance of injury to a newborn infant, |
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1 | | this Act provides a safer
alternative. This Act is intended to |
2 | | provide a mechanism for a newborn infant to be
relinquished to |
3 | | a safe environment and for the parents of the infant
to remain |
4 | | anonymous if they choose and to avoid civil or criminal |
5 | | liability for
the act of
relinquishing the infant. It is |
6 | | recognized that establishing an adoption
plan is preferable to |
7 | | relinquishing a child using the procedures outlined in
this |
8 | | Act, but to reduce the
chance of injury to a newborn infant, |
9 | | this Act provides a safer
alternative.
|
10 | | A public information campaign on this delicate issue shall |
11 | | be implemented to
encourage parents considering abandonment of |
12 | | their newborn child to relinquish
the child under the |
13 | | procedures outlined in this Act, to choose a traditional
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14 | | adoption plan, or to parent a child themselves rather than |
15 | | place the newborn
infant in harm's way.
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16 | | (Source: P.A. 92-408, eff. 8-17-01; 92-432, eff. 8-17-01 .)
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17 | | (325 ILCS 2/10)
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18 | | Sec. 10. Definitions. In this Act:
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19 | | "Abandon" has the same meaning as in the Abused and |
20 | | Neglected
Child Reporting Act.
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21 | | "Abused child" has the same meaning as in the Abused and |
22 | | Neglected
Child Reporting Act.
|
23 | | " Child welfare Child-placing agency" means an Illinois a |
24 | | licensed public or private agency
that receives a child for |
25 | | the purpose of placing or arranging
for the placement of the |
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1 | | child in a foster or pre-adoptive family home or
other |
2 | | facility for child care, apart from the custody of the child's
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3 | | parents.
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4 | | "Department" or "DCFS" means the Illinois Department of |
5 | | Children and
Family Services.
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6 | | "Emergency medical facility" means a freestanding |
7 | | emergency center or
trauma center, as defined in the Emergency |
8 | | Medical Services (EMS) Systems
Act.
|
9 | | "Emergency medical professional" includes licensed |
10 | | physicians, and any
emergency medical technician, emergency |
11 | | medical
technician-intermediate, advanced emergency medical |
12 | | technician, paramedic,
trauma nurse specialist, and |
13 | | pre-hospital registered nurse, as defined in the
Emergency |
14 | | Medical Services (EMS) Systems Act.
|
15 | | "Fire station" means a fire station within the State with |
16 | | at least one staff person.
|
17 | | "Hospital" has the same meaning as in the Hospital |
18 | | Licensing Act.
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19 | | "Legal custody" means the relationship created by a court |
20 | | order in
the best interest of a newborn infant that imposes on |
21 | | the infant's custodian
the responsibility of physical |
22 | | possession of the infant, the duty to
protect, train, and |
23 | | discipline the infant, and the duty to provide the infant
with |
24 | | food,
shelter, education, and medical care, except as these |
25 | | are limited by
parental rights and responsibilities.
|
26 | | "Neglected child" has the same meaning as in the Abused |
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1 | | and
Neglected Child Reporting Act.
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2 | | "Newborn infant" means a child who a licensed physician |
3 | | reasonably
believes is 30 days old or less at the time the |
4 | | child is
initially relinquished to a hospital, police station, |
5 | | fire station, or
emergency
medical facility, and who is not an |
6 | | abused or a neglected child.
|
7 | | "Parent" or "biological parent" or "birth parent" means a |
8 | | person who has established maternity or paternity of the |
9 | | newborn infant through genetic testing. |
10 | | "Police station" means a municipal police station, a |
11 | | county sheriff's
office, a campus police department located on |
12 | | any college or university owned or controlled by the State or |
13 | | any private college or private university that is not owned or |
14 | | controlled by the State when employees of the campus police |
15 | | department are present, or any of the district headquarters of |
16 | | the Illinois State Police.
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17 | | "Relinquish" means to bring a newborn infant, who a
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18 | | licensed physician reasonably believes is 30 days old or less,
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19 | | to a hospital, police station, fire station, or emergency |
20 | | medical facility
and
to leave the infant with personnel of the |
21 | | facility, if the person leaving the
infant does not express an |
22 | | intent to return for the
infant or states that he or she will |
23 | | not return for the infant.
In the case of a mother who gives |
24 | | birth to an infant in a hospital,
the mother's act of leaving |
25 | | that newborn infant at the
hospital (i) without expressing an |
26 | | intent to return for the infant or (ii)
stating that she will |
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1 | | not return for the infant is not a "relinquishment" under
this |
2 | | Act.
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3 | | "Temporary protective custody" means the temporary |
4 | | placement of
a newborn infant within a hospital or other |
5 | | medical facility out of the
custody of the infant's parent.
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6 | | (Source: P.A. 97-293, eff. 8-11-11; 98-973, eff. 8-15-14.)
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7 | | (325 ILCS 2/20)
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8 | | Sec. 20. Procedures with respect to relinquished newborn
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9 | | infants.
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10 | | (a) Hospitals. Every hospital must accept and
provide all |
11 | | necessary emergency services and care to a relinquished
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12 | | newborn infant, in accordance with this Act.
The hospital |
13 | | shall examine a relinquished newborn infant and perform tests
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14 | | that, based on reasonable medical judgment, are appropriate in |
15 | | evaluating
whether the relinquished newborn infant was abused |
16 | | or neglected.
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17 | | The act of relinquishing a newborn infant serves as |
18 | | implied
consent for the hospital and its medical personnel and |
19 | | physicians on
staff to treat and provide care for the
infant.
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20 | | The hospital shall be deemed to have temporary protective |
21 | | custody of a
relinquished newborn
infant until the infant is |
22 | | discharged to the custody of a
child welfare child-placing |
23 | | agency or the Department.
The hospital shall provide all |
24 | | available medical records and information to the Department |
25 | | and the child welfare agency that has accepted the referral of |
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1 | | the infant in accordance with Section 50.
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2 | | (b) Fire stations and emergency medical facilities. Every |
3 | | fire
station and emergency medical facility must accept and
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4 | | provide all necessary emergency services and care to a |
5 | | relinquished
newborn infant, in accordance with this Act.
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6 | | The act of relinquishing a newborn infant serves as |
7 | | implied
consent for the fire station or emergency medical |
8 | | facility and
its emergency medical professionals to treat and |
9 | | provide care for the
infant, to the extent that those |
10 | | emergency medical professionals are trained
to
provide those |
11 | | services.
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12 | | After the relinquishment of a newborn infant to a fire |
13 | | station or
emergency medical facility, the fire station or |
14 | | emergency medical
facility's personnel must arrange for the |
15 | | transportation of the
infant to the nearest hospital as soon |
16 | | as
transportation can be arranged.
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17 | | If the person who relinquished or a person claiming to be |
18 | | the parent of a newborn infant returns to reclaim the
infant |
19 | | child within 30 days 72 hours after the infant was |
20 | | relinquished relinquishing the child to a fire station or
|
21 | | emergency
medical facility, the fire station or emergency |
22 | | medical facility must inform
such person the parent of the |
23 | | name and location of the hospital to which the infant was
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24 | | transported.
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25 | | (c) Police stations. Every police station must accept a |
26 | | relinquished
newborn
infant, in accordance with this Act. |
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1 | | After the relinquishment of a newborn
infant to a
police |
2 | | station, the police station must arrange for the |
3 | | transportation of the
infant to the
nearest hospital as soon |
4 | | as transportation can be arranged.
The act of relinquishing a
|
5 | | newborn infant serves as implied consent for the hospital to |
6 | | which the infant
is
transported and that hospital's medical |
7 | | personnel and physicians on staff to
treat and
provide care |
8 | | for the infant.
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9 | | If the person who relinquished or a person claiming to be |
10 | | the parent of a newborn infant returns to reclaim the infant |
11 | | within 30 days 72
hours after
the infant was relinquished |
12 | | relinquishing the infant to a police station,
the police |
13 | | station must inform such person the parent of the
name and |
14 | | location of the hospital to which the infant was transported.
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15 | | (Source: P.A. 92-408, eff. 8-17-01; 92-432, eff. 8-17-01; |
16 | | 93-820, eff. 7-27-04 .)
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17 | | (325 ILCS 2/22) |
18 | | Sec. 22. Signage Signs . Every hospital, fire station, |
19 | | emergency medical facility, and police station that is |
20 | | required to accept a relinquished newborn infant in accordance |
21 | | with this Act must post, either by physical or electronic |
22 | | means, a sign in a conspicuous place on the exterior of the |
23 | | building housing the facility informing persons that a newborn |
24 | | infant may be relinquished at the facility in accordance with |
25 | | this Act. The Department shall prescribe specifications for |
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1 | | the signs and for their placement that will ensure statewide |
2 | | uniformity. |
3 | | This Section does not apply to a hospital, fire station, |
4 | | emergency medical facility, or police station that has a sign |
5 | | that is consistent with the requirements of this Section that |
6 | | is posted on the effective date of this amendatory Act of the |
7 | | 95th General Assembly.
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8 | | (Source: P.A. 102-4, eff. 4-27-21.) |
9 | | (325 ILCS 2/35)
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10 | | Sec. 35. Information for relinquishing person. |
11 | | (a) The A hospital, police
station, fire station,
or |
12 | | emergency
medical facility that receives a newborn infant |
13 | | relinquished in accordance with
this
Act shall must offer an |
14 | | information packet to the relinquishing person information |
15 | | about the relinquishment process and, either in writing or by |
16 | | referring such person to a website or other electronic |
17 | | resource, such information shall state if
possible, must |
18 | | clearly inform the relinquishing person that his or her
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19 | | acceptance of the
information is completely voluntary. The
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20 | | information packet must include all of
the following:
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21 | | (1) (Blank).
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22 | | (2) Written notice of the following:
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23 | | (A) No sooner than 60 days following the date of |
24 | | the
initial relinquishment of the infant to a |
25 | | hospital, police station,
fire station, or emergency |
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1 | | medical facility, the child welfare child-placing |
2 | | agency or the
Department will
commence proceedings for |
3 | | the termination of
parental rights and placement of |
4 | | the infant for
adoption.
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5 | | (B) Failure of a parent of the
infant to contact |
6 | | the Department and
petition for the return of custody |
7 | | of the
infant before termination of parental rights
|
8 | | bars any future action asserting legal rights
with |
9 | | respect to the infant.
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10 | | (3) A resource list of providers of counseling
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11 | | services including grief counseling, pregnancy counseling, |
12 | | and
counseling regarding adoption and other available |
13 | | options for placement of the
infant.
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14 | | Upon request of a parent, the Department of Public Health |
15 | | shall provide the
application forms for the Illinois Adoption |
16 | | Registry and Medical Information
Exchange.
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17 | | (b) The information offered packet given to a |
18 | | relinquishing person parent in accordance with this Act shall |
19 | | include, in addition to other information required under this |
20 | | Act, the following: |
21 | | (1) Information A brochure (with a self-mailer |
22 | | attached) that describes this Act and the rights of birth |
23 | | parents, including an option optional section for the |
24 | | parent to complete and mail to the Department of Children |
25 | | and Family Services a form , that shall ask for basic |
26 | | anonymous background information about the relinquished |
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1 | | child. This form brochure shall be maintained by the |
2 | | Department on its website. |
3 | | (2) Information about A brochure that describes the |
4 | | Illinois Adoption Registry, including a toll-free number |
5 | | and website information. This brochure shall be maintained |
6 | | on the Office of Vital Records website. |
7 | | (3) Information about a mother's A brochure describing |
8 | | postpartum health information for the mother . |
9 | | The information provided in writing or through electronic |
10 | | means packet shall be designed in coordination between the |
11 | | Office of Vital Records and the Department of Children and |
12 | | Family Services . The Failure to provide such information under |
13 | | this Section or the failure of the relinquishing person to |
14 | | accept such information shall not invalidate the |
15 | | relinquishment under this Act. , with the exception of the |
16 | | resource list of providers of counseling services and adoption |
17 | | agencies, which shall be provided by the hospital, fire |
18 | | station, police station, sheriff's office, or emergency |
19 | | medical facility. |
20 | | (Source: P.A. 96-1114, eff. 7-20-10; 97-333, eff. 8-12-11.)
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21 | | (325 ILCS 2/37) |
22 | | Sec. 37. Public disclosure of information prohibited. |
23 | | Emergency medical professionals, employees, or other persons |
24 | | engaged in the administration or operation of a fire station, |
25 | | police station, hospital, emergency medical facility, child |
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1 | | welfare child placing agency, or the Department where a |
2 | | newborn infant baby has been relinquished or transferred under |
3 | | this Act, are prohibited from publicly disclosing any |
4 | | information concerning the relinquishment of the infant and |
5 | | the individuals involved, except as otherwise provided by law.
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6 | | (Source: P.A. 95-549, eff. 6-1-08 .) |
7 | | (325 ILCS 2/40)
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8 | | Sec. 40. Reporting requirements.
|
9 | | (a) Within 12 hours after accepting a newborn infant
from |
10 | | a relinquishing person or from a police station, fire station, |
11 | | or
emergency medical
facility in accordance with this Act, a |
12 | | hospital must report to the
Department's State Central |
13 | | Registry for the purpose of transferring
physical custody of |
14 | | the infant from the hospital to either a
child welfare |
15 | | child-placing agency or the Department.
|
16 | | (b) Within 24 hours after receiving a report under |
17 | | subsection (a), the
Department must request assistance from |
18 | | law enforcement
officials to investigate the matter using the |
19 | | National Crime Information Center
to ensure that the |
20 | | relinquished newborn infant is not a missing
child.
|
21 | | (c) Once a hospital has made a report to the Department
|
22 | | under subsection (a), the
Department must
arrange for
a |
23 | | licensed child welfare child-placing agency to accept physical |
24 | | custody of the relinquished
newborn infant.
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25 | | (d) If a relinquished child is not a newborn infant as |
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1 | | defined
in this Act, the hospital and the Department must |
2 | | proceed as if the child is an
abused or neglected child.
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3 | | (Source: P.A. 92-408, eff. 8-17-01; 92-432, eff. 8-17-01; |
4 | | 93-820, eff. 7-27-04 .)
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5 | | (325 ILCS 2/45)
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6 | | Sec. 45. Medical assistance. Notwithstanding any other |
7 | | provision of
law, a newborn infant relinquished in accordance |
8 | | with this Act shall be deemed
eligible for medical assistance |
9 | | under
the Illinois Public Aid Code, and a hospital
providing |
10 | | medical services to such an infant shall be reimbursed for |
11 | | those
services in accordance with the payment
methodologies |
12 | | authorized under that
Code. In addition, for
any day that a |
13 | | hospital has custody of a newborn infant
relinquished in |
14 | | accordance with this Act and the infant does not require
|
15 | | medically necessary care, the hospital shall be reimbursed by |
16 | | the
Department of Healthcare and Family Services at the |
17 | | general acute care per diem rate, in accordance
with 89 Ill. |
18 | | Adm. Code 148.270(c). The hospital shall complete and submit |
19 | | an application for medical assistance provided under Article V |
20 | | of the Illinois Public Aid Code on behalf of the infant. The |
21 | | Department of Healthcare and Family Services may adopt rules |
22 | | in accordance with this Section.
|
23 | | (Source: P.A. 95-331, eff. 8-21-07.)
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24 | | (325 ILCS 2/50)
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1 | | Sec. 50. Child welfare Child-placing agency procedures.
|
2 | | (a) The Department's
State Central Registry must maintain |
3 | | a list of licensed child welfare child-placing
agencies |
4 | | willing to take legal custody of newborn infants relinquished
|
5 | | in accordance with this Act. The
child welfare child-placing |
6 | | agencies on the list must be contacted by the
Department on a |
7 | | rotating basis upon notice from a hospital
that a newborn |
8 | | infant has been
relinquished in accordance with this Act.
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9 | | (b) Upon notice from the Department that a newborn infant |
10 | | has
been relinquished in accordance with this Act, a child |
11 | | welfare child-placing
agency must accept the newborn infant if |
12 | | the agency has the accommodations to
do
so. The
child welfare |
13 | | child-placing agency must seek an order for legal custody of |
14 | | the
infant upon its acceptance of the infant.
|
15 | | (c) Within 3 business days after accepting the referral |
16 | | from the Department assuming physical custody of the infant ,
|
17 | | the child welfare child-placing agency shall file a
petition
|
18 | | for custody in the division of the
circuit court in which |
19 | | petitions for adoption would normally be
heard. The petition |
20 | | for custody shall allege that the newborn infant has been |
21 | | relinquished
in accordance with this Act and shall request |
22 | | state that the child welfare child-placing agency
be given the |
23 | | authority intends to place the infant in an adoptive home , |
24 | | foster home, child care facility, or other facility |
25 | | appropriate for the needs of the infant. No filing or |
26 | | appearance fees shall be charged to any petitioner .
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1 | | (d) If no licensed child welfare child-placing agency is |
2 | | able to accept the
relinquished newborn infant, then the |
3 | | Department must assume
responsibility for the infant as soon |
4 | | as practicable.
|
5 | | (e) A custody order issued under subsection (b) shall |
6 | | grant the child welfare agency the authority to make medical |
7 | | and health-related decisions for the infant. The order shall |
8 | | remain in
effect until a final adoption order based on the |
9 | | relinquished newborn
infant's best interests is issued in |
10 | | accordance with this Act and the Adoption
Act.
|
11 | | (f) When possible, the child welfare child-placing agency |
12 | | must place a
relinquished newborn infant in a prospective |
13 | | adoptive home.
|
14 | | (g) The Department or child welfare child-placing agency |
15 | | must initiate proceedings to (i)
terminate the parental rights |
16 | | of the relinquished newborn infant's
known or unknown parents, |
17 | | (ii) appoint a guardian for the infant, and
(iii) obtain |
18 | | consent to the infant's adoption in accordance with this
Act |
19 | | no sooner than 60 days following the date of the initial
|
20 | | relinquishment of the infant to the hospital, police station, |
21 | | fire station,
or
emergency medical facility.
|
22 | | (h) Before filing a petition for termination of parental
|
23 | | rights, the Department or child welfare child-placing agency |
24 | | must do the following:
|
25 | | (1) If the name of either the biological parent is |
26 | | known, search the Illinois Search its Putative Father |
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1 | | Registry for the purpose of
determining the identity and |
2 | | location of the putative father of
the relinquished |
3 | | newborn infant who is, or is expected to be, the
subject of |
4 | | an adoption proceeding, in order to provide notice of
the |
5 | | proceeding to the putative father. At least one search of |
6 | | the
Registry must be conducted, at least 30 days after the
|
7 | | relinquished newborn infant's estimated date of birth; |
8 | | earlier
searches may be conducted, however. Notice to any |
9 | | potential
putative father discovered in a search of the |
10 | | Registry according
to the estimated age of the |
11 | | relinquished newborn infant must be
in accordance with the |
12 | | Code of Civil Procedure or Section 12a of the Adoption |
13 | | Act.
If the names of all the alleged parents are unknown, |
14 | | then a search is not required under this Section.
|
15 | | (2) Verify with the Department that, in accordance |
16 | | with subsection (b) of Section 40, with law enforcement |
17 | | officials, using the National Crime
Information Center,
|
18 | | that the relinquished newborn infant is not a missing |
19 | | child.
|
20 | | (Source: P.A. 92-408, eff. 8-17-01; 92-432, eff. 8-17-01; |
21 | | 93-820, eff. 7-27-04 .)
|
22 | | (325 ILCS 2/55)
|
23 | | Sec. 55. Petition for return of custody.
|
24 | | (a) A parent or person claiming to be a parent of a newborn |
25 | | infant relinquished
in accordance with this Act may petition |
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1 | | for the return of custody of
the infant before the termination |
2 | | of parental
rights with respect to the infant.
|
3 | | (b) A parent of a newborn infant relinquished
in |
4 | | accordance with this Act may petition for the return of |
5 | | custody of
the infant by contacting the Department
for the |
6 | | purpose of obtaining the name of the child welfare |
7 | | child-placing agency with custody of the infant and the |
8 | | appropriate court in which the petition for return of custody |
9 | | of the infant must be filed, and then
filing
a petition for |
10 | | return of custody in the circuit court in which the
proceeding |
11 | | for the termination of parental rights is pending.
No filing |
12 | | fees or appearance fees shall be charged to any petitioner.
|
13 | | (c) (Blank). If a petition for the termination of parental |
14 | | rights has not
been filed by the Department or the |
15 | | child-placing agency, the parent of the
relinquished newborn |
16 | | infant must contact the Department, which must
notify the |
17 | | parent of the appropriate court in which
the petition for |
18 | | return of custody must be filed.
|
19 | | (d) The circuit court may hold the proceeding for the |
20 | | termination of
parental rights in abeyance for a period not to |
21 | | exceed 60 days from the date
that the petition for return of |
22 | | custody was filed without a
showing of good cause. During that |
23 | | period:
|
24 | | (1) The court shall order genetic testing to establish |
25 | | maternity
or
paternity, or both.
|
26 | | (2) The Department shall conduct a child protective |
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1 | | investigation and home
study to develop recommendations to |
2 | | the court.
|
3 | | (3) When indicated as a result of the Department's |
4 | | investigation and home
study, further proceedings under |
5 | | the Juvenile Court Act of 1987 as the court
determines |
6 | | appropriate, may be conducted. However,
relinquishment of
|
7 | | a newborn infant
in accordance with this Act does not |
8 | | render the infant abused,
neglected, or abandoned solely |
9 | | because the newborn infant was relinquished to a
hospital, |
10 | | police station, fire station, or emergency medical |
11 | | facility in
accordance with this
Act.
|
12 | | (4) The court shall appoint a guardian ad litem to |
13 | | represent the interests of the infant. |
14 | | (e) Failure to file a petition for the return of custody of |
15 | | a
relinquished newborn infant before the termination
of |
16 | | parental rights
bars any future action asserting legal rights |
17 | | with respect to the
infant unless the parent's act
of |
18 | | relinquishment that led to the termination of parental rights
|
19 | | involved fraud perpetrated against and not stemming from or |
20 | | involving
the parent of the newborn infant . No
action to void |
21 | | or revoke the termination of parental rights of a parent
of a |
22 | | newborn infant relinquished in accordance with
this Act, |
23 | | including an action based on fraud, may be commenced after 12
|
24 | | months after the date that the newborn infant was initially
|
25 | | relinquished to a hospital, police station, fire station, or |
26 | | emergency
medical
facility.
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1 | | (Source: P.A. 92-408, eff. 8-17-01; 92-432, eff. 8-17-01; |
2 | | 93-820, eff. 7-27-04 .)
|
3 | | (325 ILCS 2/60)
|
4 | | Sec. 60. Department's duties. The Department must |
5 | | implement a
public information program to promote safe |
6 | | placement alternatives for newborn
infants. The public |
7 | | information program must inform the public of the
following:
|
8 | | (1) The relinquishment alternative provided for in |
9 | | this
Act, which results in the adoption of a newborn |
10 | | infant relinquished under 30 7 days of age
and which
|
11 | | provides for the parent's
anonymity, if the parent so |
12 | | chooses.
|
13 | | (2) The alternative of adoption
through a public or |
14 | | private agency, in which the parent's identity may or may
|
15 | | not be known to the agency, but is kept anonymous from the |
16 | | adoptive parents, if
the birth parent so desires, and |
17 | | which allows the parent to be actively
involved in the |
18 | | child's adoption plan.
|
19 | | The public information program may include, but
need
not |
20 | | be limited to, the
following elements:
|
21 | | (i) Educational and informational materials in print, |
22 | | audio, video,
electronic or other media.
|
23 | | (ii) Establishment of a web site.
|
24 | | (iii) Public service announcements and advertisements.
|
25 | | (iv) Establishment of toll-free
telephone
hotlines to |
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1 | | provide information.
|
2 | | (Source: P.A. 94-941, eff. 6-26-06.)
|
3 | | (325 ILCS 2/65)
|
4 | | Sec. 65. Evaluation.
|
5 | | (a) The Department shall collect and analyze
information |
6 | | regarding the relinquishment of newborn infants and placement |
7 | | of
children under this Act. Police stations, fire stations, |
8 | | emergency medical
facilities, and
medical professionals |
9 | | accepting and providing services to a newborn infant
under |
10 | | this Act shall report to the Department data necessary for the |
11 | | Department
to evaluate and determine the effect of this Act in |
12 | | the prevention of injury
or death of newborn infants. Child |
13 | | welfare Child-placing agencies shall report to the
Department |
14 | | data necessary to evaluate and determine the effectiveness of |
15 | | these
agencies in providing child protective and child welfare |
16 | | services to newborn
infants relinquished under this Act.
|
17 | | (b) The information collected shall include,
but need not |
18 | | be limited to: the number of newborn infants relinquished; the |
19 | | category of the place of relinquishment (hospital, police |
20 | | station, fire station, or emergency medical facility); the
|
21 | | services provided to relinquished newborn infants; the outcome
|
22 | | of care for the relinquished newborn infants; the number and |
23 | | disposition of
cases of relinquished newborn infants subject |
24 | | to placement; the number of
children accepted and served by |
25 | | child welfare child-placing agencies; and the services
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1 | | provided by child welfare child-placing agencies and the |
2 | | disposition of the cases of the
children placed under this |
3 | | Act.
|
4 | | (c) The Department shall submit a report by
January 1, |
5 | | 2002, and on January 1 of each
year thereafter, to the Governor |
6 | | and General Assembly regarding the prevention
of injury or |
7 | | death of newborn infants and the effect of placements of |
8 | | children
under this Act. The report shall include, but need |
9 | | not be limited to, a
summary of
collected data, an analysis of |
10 | | the data and conclusions regarding the Act's
effectiveness, a |
11 | | determination whether the purposes of the Act are being
|
12 | | achieved,
and recommendations for changes that may be |
13 | | considered necessary to improve the
administration and |
14 | | enforcement of this Act.
|
15 | | (Source: P.A. 92-408, eff. 8-17-01; 92-432, eff. 8-17-01; |
16 | | 93-820, eff. 7-27-04 .)
|
17 | | Section 15. The Immunization Data Registry Act is amended |
18 | | by changing Section 20 as follows: |
19 | | (410 ILCS 527/20)
|
20 | | Sec. 20. Confidentiality of information; release of |
21 | | information; statistics;
panel on expanding access.
|
22 | | (a) Records maintained as part of the immunization data
|
23 | | registry are confidential.
|
24 | | (b) The Department may release an individual's |
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1 | | confidential
information to the individual or to the |
2 | | individual's parent or guardian
if the individual is less than |
3 | | 18 years of age.
|
4 | | (c) Subject to subsection (d) of this Section, the |
5 | | Department may release
information in the immunization data |
6 | | registry concerning an
individual to the following entities:
|
7 | | (1) The immunization data registry of another state.
|
8 | | (2) A health care provider or a health care provider's |
9 | | designee.
|
10 | | (3) A local health department.
|
11 | | (4) An elementary or secondary school that is attended |
12 | | by the
individual.
|
13 | | (5) A licensed child care center in
which the |
14 | | individual is enrolled.
|
15 | | (6) A licensed child welfare child-placing agency.
|
16 | | (7) A college or university that is
attended by the |
17 | | individual.
|
18 | | (8) The Department of Healthcare and Family Services |
19 | | or a managed care entity contracted with the Department of |
20 | | Healthcare and Family Services to coordinate the provision |
21 | | of medical care to enrollees of the medical assistance |
22 | | program. |
23 | | (d) Before immunization data may be released to an entity, |
24 | | the
entity must enter into an agreement with the Department |
25 | | that
provides that information that identifies a patient will |
26 | | not be released
to any other person without the written |
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1 | | consent of the patient.
|
2 | | (e) The Department may release summary statistics |
3 | | regarding
information in the immunization data registry if the |
4 | | summary
statistics do not reveal the identity of an |
5 | | individual.
|
6 | | (Source: P.A. 97-117, eff. 7-14-11; 98-651, eff. 6-16-14.) |
7 | | Section 20. The Illinois Parentage Act of 2015 is amended |
8 | | by changing Section 602 as follows: |
9 | | (750 ILCS 46/602) |
10 | | Sec. 602. Standing. A complaint to adjudicate parentage |
11 | | shall be verified, shall be designated a petition, and shall |
12 | | name the person or persons alleged to be the parent of the |
13 | | child. Subject to Article 3 and Sections 607, 608, and 609 of |
14 | | this Act, a proceeding to adjudicate parentage may be |
15 | | maintained by: |
16 | | (a) the child;
|
17 | | (b) the mother of the child;
|
18 | | (c) a pregnant woman; |
19 | | (d) a man presumed or alleging himself to be the |
20 | | parent of the child; |
21 | | (e) a woman presumed or alleging herself to be the |
22 | | parent of the child; |
23 | | (f) the support-enforcement agency or other |
24 | | governmental agency authorized by other law;
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1 | | (g) any person or public agency that has physical |
2 | | possession of or has custody of or has been allocated |
3 | | parental responsibilities for, is providing financial |
4 | | support to, or has provided financial support to the |
5 | | child; |
6 | | (h) the Department of Healthcare and Family Services |
7 | | if it is providing, or has provided, financial support to |
8 | | the child or if it is assisting with child support |
9 | | collections services; |
10 | | (i) an authorized adoption agency or licensed child |
11 | | welfare child-placing agency; |
12 | | (j) a representative authorized by law to act for an |
13 | | individual who would otherwise be entitled to maintain a |
14 | | proceeding but who is deceased, incapacitated, or a minor; |
15 | | or |
16 | | (k) an intended parent.
|
17 | | (Source: P.A. 99-85, eff. 1-1-16; 99-769, eff. 1-1-17 .) |
18 | | Section 25. The Adoption Act is amended by changing |
19 | | Sections 4.1 and 10 as follows:
|
20 | | (750 ILCS 50/4.1) (from Ch. 40, par. 1506)
|
21 | | Sec. 4.1. Adoption between multiple jurisdictions. It is |
22 | | the public policy of this State to promote child welfare in |
23 | | adoption between multiple jurisdictions by implementing |
24 | | standards that foster permanency for children in an |
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1 | | expeditious manner while considering the best interests of the |
2 | | child as paramount. Ensuring that standards for |
3 | | interjurisdictional adoption are clear and applied |
4 | | consistently, efficiently, and reasonably will promote the |
5 | | best interests of the child in finding a permanent home. |
6 | | (a) The Department of Children and Family Services shall |
7 | | promulgate rules regarding the approval and regulation of |
8 | | agencies providing, in this State, adoption services, as |
9 | | defined in Section 2.24 of the Child Care Act of 1969, which |
10 | | shall include, but not be limited to, a requirement that any |
11 | | agency shall be licensed in this State as a child welfare |
12 | | agency as defined in Section 2.08 of the Child Care Act of |
13 | | 1969. Any out-of-state agency, if not licensed in this State |
14 | | as a child welfare agency, must obtain the approval of the |
15 | | Department in order to act as a sending agency, as defined in |
16 | | Section 1 of the Interstate Compact on Placement of Children |
17 | | Act, seeking to place a child into this State through a |
18 | | placement subject to the Interstate Compact on the Placement |
19 | | of Children. An out-of-state agency, if not licensed in this |
20 | | State as a child welfare agency, is prohibited from providing |
21 | | in this State adoption services, as defined by Section 2.24 of |
22 | | the Child Care Act of 1969; shall comply with Section 12C-70 of |
23 | | the Criminal Code of 2012; and shall provide all of the |
24 | | following to the Department: |
25 | | (1) A copy of the agency's current license or other |
26 | | form of authorization from the approving authority in the |
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1 | | agency's state. If no license or authorization is issued, |
2 | | the agency must provide a reference statement, from the |
3 | | approving authority, stating that the agency is authorized |
4 | | to place children in foster care or adoption or both in its |
5 | | jurisdiction. |
6 | | (2) A description of the program, including home |
7 | | studies, placements, and supervisions, that the child |
8 | | welfare child placing agency conducts within its |
9 | | geographical area, and, if applicable, adoptive placements |
10 | | and the finalization of adoptions. The child welfare child |
11 | | placing agency must accept continued responsibility for |
12 | | placement planning and replacement if the placement fails. |
13 | | (3) Notification to the Department of any significant |
14 | | child welfare child placing agency changes after approval. |
15 | | (4) Any other information the Department may require. |
16 | | The rules shall also provide that any agency that places |
17 | | children for
adoption in this State may not, in any policy or |
18 | | practice relating to the
placement of children for adoption, |
19 | | discriminate against any child or
prospective adoptive parent |
20 | | on the basis of race.
|
21 | | (a-5) (Blank). |
22 | | (b) Interstate adoptions. |
23 | | (1) All interstate adoption placements under this Act |
24 | | shall comply with the Child Care Act of 1969 and the |
25 | | Interstate Compact on
the Placement of Children. The |
26 | | placement of children with relatives by the Department of |
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1 | | Children and Family Services shall also comply with |
2 | | subsection (b) of Section 7 of the Children and Family |
3 | | Services Act. The Department may promulgate rules to |
4 | | implement interstate adoption placements, including those |
5 | | requirements set forth in this Section. |
6 | | (2) If an adoption is finalized prior to bringing or |
7 | | sending a child to this State, compliance with the |
8 | | Interstate Compact on the Placement of Children is not |
9 | | required. |
10 | | (3) Approval requirements. The Department shall |
11 | | promulgate procedures for interstate adoption placements |
12 | | of children under this Act. No later than September 24, |
13 | | 2017 (30 days after the effective date of Public Act |
14 | | 100-344), the Department shall distribute a written list |
15 | | of all preadoption approval requirements to all Illinois |
16 | | licensed child welfare agencies performing adoption |
17 | | services, and all out-of-state agencies approved under |
18 | | this Section, and shall post the requirements on the |
19 | | Department's website. The Department may not require any |
20 | | further preadoption requirements other than those set |
21 | | forth in the procedures required under this paragraph. The |
22 | | procedures shall reflect the standard of review as stated |
23 | | in the Interstate Compact on the Placement of Children and |
24 | | approval shall be given by the Department if the placement |
25 | | appears not to be contrary to the best interests of the |
26 | | child.
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1 | | (4) Time for review and decision. In all cases where |
2 | | the child to be placed is not a youth in care in Illinois |
3 | | or any other state, a provisional or final approval for |
4 | | placement shall be provided in writing from the Department |
5 | | in accordance with the Interstate Compact on the Placement |
6 | | of Children. Approval or denial of the placement must be |
7 | | given by the Department as soon as practicable, but in no |
8 | | event more than 3 business days of the receipt of the |
9 | | completed referral packet by the Department's Interstate |
10 | | Compact Administrator. Receipt of the packet shall be |
11 | | evidenced by the packet's arrival at the address |
12 | | designated by the Department to receive such referrals. |
13 | | The written decision to approve or deny the placement |
14 | | shall be communicated in an expeditious manner, including, |
15 | | but not limited to, electronic means referenced in |
16 | | paragraph (b)(7) of this Section, and shall be provided to |
17 | | all Illinois licensed child welfare agencies involved in |
18 | | the placement, all out-of-state child placing agencies |
19 | | involved in the placement, and all attorneys representing |
20 | | the prospective adoptive parent or biological parent. If, |
21 | | during its initial review of the packet, the Department |
22 | | believes there are any incomplete or missing documents, or |
23 | | missing information, as required in paragraph (b)(3), the |
24 | | Department shall, as soon as practicable, but in no event |
25 | | more than 2 business days of receipt of the packet, |
26 | | communicate a list of any incomplete or missing documents |
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1 | | and information to all Illinois licensed child welfare |
2 | | agencies involved in the placement, all out-of-state child |
3 | | placing agencies involved in the placement, and all |
4 | | attorneys representing the adoptive parent or biological |
5 | | parent. This list shall be communicated in an expeditious |
6 | | manner, including, but not limited to, electronic means |
7 | | referenced in paragraph (b)(7) of this Section. |
8 | | (5) Denial of approval. In all cases where the child |
9 | | to be placed is not a youth in the care of any state, if |
10 | | the Department denies approval of an interstate placement, |
11 | | the written decision referenced in paragraph (b)(4) of |
12 | | this Section shall set forth the reason or reasons why the |
13 | | placement was not approved and shall reference which |
14 | | requirements under paragraph (b)(3) of this Section were |
15 | | not met. The written decision shall be communicated in an |
16 | | expeditious manner, including, but not limited to, |
17 | | electronic means referenced in paragraph (b)(7) of this |
18 | | Section, to all Illinois licensed child welfare agencies |
19 | | involved in the placement, all out-of-state child placing |
20 | | agencies involved in the placement, and all attorneys |
21 | | representing the prospective adoptive parent or biological |
22 | | parent. |
23 | | (6) Provisional approval. Nothing in paragraphs (b)(3) |
24 | | through (b)(5) of this Section shall preclude the |
25 | | Department from issuing provisional approval of the |
26 | | placement pending receipt of any missing or incomplete |
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1 | | documents or information. |
2 | | (7) Electronic communication. All communications |
3 | | concerning an interstate placement made between the |
4 | | Department and an Illinois licensed child welfare agency, |
5 | | an out-of-state child placing agency, and attorneys |
6 | | representing the prospective adoptive parent or biological |
7 | | parent, including the written communications referenced in |
8 | | this Section, may be made through any type of electronic |
9 | | means, including, but not limited to, electronic mail. |
10 | | (c) Intercountry adoptions. The adoption of a child, if |
11 | | the child is a habitual resident of a country other than the |
12 | | United States and the petitioner is a habitual resident of the |
13 | | United States, or, if the child is a habitual resident of the |
14 | | United States and the petitioner is a habitual resident of a |
15 | | country other than the United States, shall comply with the |
16 | | Intercountry Adoption Act of 2000, as amended, and the |
17 | | Immigration and Nationality Act, as amended. In the case of an |
18 | | intercountry adoption that requires oversight by the adoption |
19 | | services governed by the Intercountry Adoption Universal |
20 | | Accreditation Act of 2012, this State shall not impose any |
21 | | additional preadoption requirements.
|
22 | | (d) (Blank).
|
23 | | (e) Re-adoption after an intercountry adoption. |
24 | | (1) Any time after a minor child has been adopted in a |
25 | | foreign country and has immigrated to the United States, |
26 | | the adoptive parent or parents of the child may petition |
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1 | | the court for a judgment of adoption to re-adopt the child |
2 | | and confirm the foreign adoption decree. |
3 | | (2) The petitioner must submit to the court one or |
4 | | more of the following to verify the foreign adoption: |
5 | | (i) an immigrant visa for the child issued by |
6 | | United States Citizenship and Immigration Services of |
7 | | the U.S. Department of Homeland Security that was |
8 | | valid at the time of the child's immigration; |
9 | | (ii) a decree, judgment, certificate of adoption, |
10 | | adoption registration, or equivalent court order, |
11 | | entered or issued by a court of competent jurisdiction |
12 | | or administrative body outside the United States, |
13 | | establishing the relationship of parent and child by |
14 | | adoption; or |
15 | | (iii) such other evidence deemed satisfactory by |
16 | | the court. |
17 | | (3) The child's immigrant visa shall be prima facie |
18 | | proof that the adoption was established in accordance with |
19 | | the laws of the foreign jurisdiction and met United States |
20 | | requirements for immigration. |
21 | | (4) If the petitioner submits documentation that |
22 | | satisfies the requirements of paragraph (2), the court |
23 | | shall not appoint a guardian ad litem for the minor who is |
24 | | the subject of the proceeding, shall not require any |
25 | | further termination of parental rights of the child's |
26 | | biological parents, nor shall it require any home study, |
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1 | | investigation, post-placement visit, or background check |
2 | | of the petitioner. |
3 | | (5) The petition may include a request for change of |
4 | | the child's name and any other request for specific relief |
5 | | that is in the best interests of the child. The relief may |
6 | | include a request for a revised birth date for the child if |
7 | | supported by evidence from a medical or dental |
8 | | professional attesting to the appropriate age of the child |
9 | | or other collateral evidence. |
10 | | (6) Two adoptive parents who adopted a minor child |
11 | | together in a foreign country while married to one another |
12 | | may file a petition for adoption to re-adopt the child |
13 | | jointly, regardless of whether their marriage has been |
14 | | dissolved. If either parent whose marriage was dissolved |
15 | | has subsequently remarried or entered into a civil union |
16 | | with another person, the new spouse or civil union partner |
17 | | shall not join in the petition to re-adopt the child, |
18 | | unless the new spouse or civil union partner is seeking to |
19 | | adopt the child. If either adoptive parent does not join |
20 | | in the petition, he or she must be joined as a party |
21 | | defendant. The defendant parent's failure to participate |
22 | | in the re-adoption proceeding shall not affect the |
23 | | existing parental rights or obligations of the parent as |
24 | | they relate to the minor child, and the parent's name |
25 | | shall be placed on any subsequent birth record issued for |
26 | | the child as a result of the re-adoption proceeding. |
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1 | | (7) An adoptive parent who adopted a minor child in a |
2 | | foreign country as an unmarried person may file a petition |
3 | | for adoption to re-adopt the child as a sole petitioner, |
4 | | even if the adoptive parent has subsequently married or |
5 | | entered into a civil union. |
6 | | (8) If one of the adoptive parents who adopted a minor |
7 | | child dies prior to a re-adoption proceeding, the deceased |
8 | | parent's name shall be placed on any subsequent birth |
9 | | record issued for the child as a result of the re-adoption |
10 | | proceeding. |
11 | | (Source: P.A. 99-49, eff. 7-15-15; 100-344, eff. 8-25-17; |
12 | | 100-863, eff. 8-14-18.)
|
13 | | (750 ILCS 50/10) (from Ch. 40, par. 1512)
|
14 | | Sec. 10. Forms of consent and surrender; execution and
|
15 | | acknowledgment thereof. |
16 | | A. The form of consent required for the
adoption of a born |
17 | | child shall be substantially as follows:
|
18 | | FINAL AND IRREVOCABLE CONSENT TO ADOPTION
|
19 | | I, ...., (relationship, e.g., mother, father, relative, |
20 | | guardian)
of ...., a male or female (circle one) child, state:
|
21 | | That such child was born on .... at ....
|
22 | | That I reside at ...., County of .... and State of ....
|
23 | | That I am of the age of .... years.
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1 | | That I hereby enter my appearance in this proceeding and |
2 | | waive
service of summons on me.
|
3 | | That I hereby acknowledge that I have been provided with a |
4 | | copy of the Birth Parent Rights and Responsibilities-Private |
5 | | Form before signing this Consent and that I have had time to |
6 | | read, or have had read to me, this Form. I understand that if I |
7 | | do not receive any of the rights as described in this Form, it |
8 | | shall not constitute a basis to revoke this Final and |
9 | | Irrevocable Consent. |
10 | | That I do hereby consent and agree to the adoption of such |
11 | | child.
|
12 | | That I wish to and understand that by signing this consent |
13 | | I do
irrevocably and permanently give up all custody and other |
14 | | parental
rights I have to such child.
|
15 | | That I understand such child will be placed for adoption |
16 | | and that I
cannot under any circumstances, after signing this |
17 | | document, change my
mind and revoke or cancel this consent or |
18 | | obtain or recover custody or
any other rights over such child. |
19 | | That I have read and understand the
above and I am signing it |
20 | | as my free and voluntary act.
|
21 | | Dated (insert date).
|
22 | | .........................
|
23 | | If under Section 8 the consent of more than one person is |
24 | | required,
then each such person shall execute a separate |
25 | | consent.
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1 | | A-1. (1) The form of the Final and Irrevocable Consent to |
2 | | Adoption by a Specified Person or Persons: Non-DCFS Case set |
3 | | forth in this subsection A-1 is to be used by legal parents |
4 | | only. This form is not to be used in cases in which there is a |
5 | | pending petition under Section 2-13 of the Juvenile Court Act |
6 | | of 1987. |
7 | | (2) The form of the Final and Irrevocable Consent to |
8 | | Adoption by a Specified Person or Persons in a non-DCFS case |
9 | | shall have the caption of the proceeding in which it is to be |
10 | | filed and shall be substantially as follows: |
11 | | FINAL AND IRREVOCABLE CONSENT TO ADOPTION BY |
12 | | A SPECIFIED PERSON OR PERSONS; NON-DCFS CASE |
13 | | I, ...., (relationship, e.g., mother, father) of ...., a |
14 | | male or female (circle one) child, state: |
15 | | 1. That such child was born on ...., at ....., in the |
16 | | City/Town of ... and State of .... |
17 | | 2. That I reside at ...., County of .... and State of ...., |
18 | | my email address (if I have one) is .... my cell phone number |
19 | | where I can receive text messages (if I have one) is .... and |
20 | | my land line phone number (if I have one) is ...., and any |
21 | | other contact information is .... |
22 | | 3. That I am of the age of .... years. |
23 | | 4. That I hereby enter my appearance in this proceeding |
24 | | and waive service of summons on me. |
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1 | | 5. That I hereby acknowledge that I have been provided a |
2 | | copy of the Birth Parent Rights and Responsibilities-Private |
3 | | Form before signing this Consent and that I have had time to |
4 | | read, or have had read to me, this Form and that I understand |
5 | | the Rights and Responsibilities described in this Form. I |
6 | | understand that if I do not receive any of my rights as |
7 | | described in said Form, it shall not constitute a basis to |
8 | | revoke this Final and Irrevocable Consent to Adoption by a |
9 | | Specified Person. |
10 | | 6. That I do hereby consent and agree to the adoption of |
11 | | such child by .... (specified person or persons) only. If only |
12 | | first names are used for the specified person or persons, I |
13 | | voluntarily sign this specified consent form without |
14 | | disclosure to me of the last name of the specified person or |
15 | | persons. However, I understand that if I wish to know the last |
16 | | name of the specified person or persons, I may request it |
17 | | before signing the form. If I do not receive the last name, I |
18 | | may choose not to sign the specified consent form. |
19 | | 7. That I wish to and understand that upon signing this |
20 | | consent I do irrevocably and permanently give up all custody |
21 | | and other parental rights I have to such child if such child is |
22 | | adopted by .... (specified person or persons). I hereby |
23 | | transfer all of my rights to the custody, care and control of |
24 | | such child to ............................. (specified person |
25 | | or persons). |
26 | | 8. That I understand such child will be adopted by |
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1 | | ....................... (specified person or persons) and that |
2 | | I cannot under any circumstances, after signing this document, |
3 | | change my mind and revoke or cancel this consent or obtain or |
4 | | recover custody or any other rights over such child if |
5 | | ............................ (specified person or persons) |
6 | | adopt(s) such child; PROVIDED that each specified person has |
7 | | filed or shall file, within 60 days from the date hereof, a |
8 | | petition for the adoption of such child. |
9 | | 9. That if the specified person or persons designated |
10 | | herein do not file a petition for adoption within the |
11 | | time-frame specified above, or, if said petition for adoption |
12 | | is filed within the time-frame specified above but the |
13 | | adoption petition is dismissed with prejudice or the adoption |
14 | | proceeding is otherwise concluded without an order declaring |
15 | | the child to be the adopted child of the specified person or |
16 | | persons, then I understand that I will be sent written notice |
17 | | of such circumstances at the mailing address, at the email |
18 | | address, through a text message to my cell phone number, and to |
19 | | any other contact information I have provided in paragraph 2 |
20 | | within 5 business days of this occurrence. I understand that |
21 | | the notice will be directed to me using the contact |
22 | | information I have provided in this consent. I understand that |
23 | | I will have 15 business days from the date that the written |
24 | | notice is sent to me to respond in the manner described in the |
25 | | notice, within which time I may request the Court to declare |
26 | | this consent voidable and return the child to me. I further |
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1 | | understand that the Court will make the final decision of |
2 | | whether or not the child will be returned to me. If I do not |
3 | | make such request within 15 business days of the date the |
4 | | notice was sent, then I expressly waive any other notice or |
5 | | service of process in any legal proceeding regarding the |
6 | | child, including a legal proceeding for someone other than |
7 | | ..... (specified person or persons) to adopt the child, and |
8 | | that I will have no parental rights as to the child. The person |
9 | | sending the notice shall file an affidavit of notice as proof |
10 | | of the date sent. |
11 | | 10. That I expressly acknowledge that nothing in this |
12 | | Consent
impairs the validity and absolute finality of this
|
13 | | Consent under any circumstance other than those described in
|
14 | | paragraph 9 of this Consent. |
15 | | 11. That I understand that I have a remaining duty and
|
16 | | obligation to keep .............. (insert name and address of |
17 | | the attorney
for the specified person or persons) informed of |
18 | | my current
address or other preferred contact information |
19 | | until this adoption has been finalized. My failure to
do so may |
20 | | result in the termination of my parental rights and
the child |
21 | | being placed for adoption in another home. |
22 | | 12. That I do expressly waive any other notice or service |
23 | | of process in any of the legal proceedings for the adoption of |
24 | | the child as long as the adoption proceeding by the specified |
25 | | person or persons is pending. |
26 | | 13. That I have read and understand the above and I am |
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1 | | signing it as my free and voluntary act. |
2 | | 14. That I acknowledge that this consent is valid even if |
3 | | the specified person or persons separate or divorce or one of |
4 | | the specified persons dies prior to the entry of the final |
5 | | judgment for adoption. |
6 | | Dated (insert date). |
7 | | ............................................. |
8 | | Signature of parent. |
9 | | ............................................. |
10 | | Address of parent. |
11 | | ............................................. |
12 | | Phone number(s) of parent. |
13 | | ............................................. |
14 | | Personal email(s) of parent. |
15 | | ............................................. |
16 | | (3) The form of the certificate of acknowledgement for a |
17 | | Final and Irrevocable Consent for Adoption by a Specified |
18 | | Person or Persons: Non-DCFS Case shall be substantially as |
19 | | follows: |
20 | | STATE OF ..............)
|
21 | | ) SS.
|
22 | | COUNTY OF .............) |
23 | | I, .................... (Name of Judge or other person), |
24 | | ..................... (official title, name, and address), |
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1 | | certify that ............., personally known to me to be the |
2 | | same person whose name is subscribed to the foregoing Final |
3 | | and Irrevocable Consent for Adoption by a Specified Person or |
4 | | Persons; non-DCFS case, appeared before me this day in person |
5 | | and acknowledged that (she)(he) signed and delivered the |
6 | | consent as (her)(his) free and voluntary act, for the |
7 | | specified purpose. I am further satisfied that, before signing |
8 | | this Consent, ........ has read, or has had read to him or her, |
9 | | the Birth Parent Rights and Responsibilities-Private Form. |
10 | | A-2. Birth Parent Rights and Responsibilities-Private |
11 | | Form. The Birth Parent Rights and Responsibilities-Private |
12 | | Form must be read by, or have been read to, any person |
13 | | executing a Final and Irrevocable Consent to Adoption under |
14 | | subsection A, a Final and Irrevocable Consent to Adoption by a |
15 | | Specified Person or Persons: Non-DCFS Case under subsection |
16 | | A-1, or a Consent to Adoption of Unborn Child under subsection |
17 | | B prior to the execution of said Consent. The form of the Birth |
18 | | Parent Rights and Responsibilities-Private Form shall be |
19 | | substantially as follows: |
20 | | Birth Parent Rights and Responsibilities-Private Form |
21 | | THIS FORM DOES NOT CONSTITUTE LEGAL ADVICE. LEGAL ADVICE IS |
22 | | DEPENDENT ON THE SPECIFIC CIRCUMSTANCES OF EACH SITUATION AND |
23 | | JURISDICTION. THE INFORMATION IN THIS FORM CANNOT REPLACE THE |
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1 | | ADVICE OF AN ATTORNEY LICENSED IN YOUR STATE. |
2 | | As a birth parent in the State of Illinois, you have the |
3 | | right: |
4 | | 1. To have your own attorney represent you. The |
5 | | prospective adoptive parents may agree to pay for the cost of |
6 | | your attorney in a manner consistent with Illinois law, but |
7 | | they are not required to do so. |
8 | | 2. To be treated with dignity and respect at all times and |
9 | | to make decisions free from coercion and pressure. |
10 | | 3. To request to receive counseling before and after |
11 | | signing a Final and Irrevocable Consent to Adoption |
12 | | ("Consent"), a Final and Irrevocable Consent to Adoption by a |
13 | | Specified Person or Persons: Non-DCFS Case ("Specified |
14 | | Consent"), or a Consent to Adoption of Unborn Child ("Unborn |
15 | | Consent"). The prospective adoptive parents may agree to pay |
16 | | for the cost of counseling in a manner consistent with |
17 | | Illinois law, but they are not required to do so. |
18 | | 4. To ask to be involved in choosing your child's |
19 | | prospective adoptive parents and to ask to meet them. |
20 | | 5. To ask your child's prospective adoptive parents any |
21 | | questions that pertain to your decision to place your child |
22 | | with them. |
23 | | 6. To see your child before signing a Consent or Specified |
24 | | Consent if you are the custodial parent, and to request to see |
25 | | your child if you are not the custodial parent. |
26 | | 7. To request contact with your child and/or the child's |
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1 | | prospective adoptive parents, with the understanding that any |
2 | | promises regarding contact with your child or receipt of |
3 | | information about the child after signing a Consent, Specified |
4 | | Consent, or Unborn Consent cannot be enforced under Illinois |
5 | | law. |
6 | | 8. To receive copies of all documents that you sign and |
7 | | have those documents provided to you in your preferred |
8 | | language. |
9 | | 9. To request that your identifying information remain |
10 | | confidential, unless required otherwise by Illinois law or |
11 | | court order, and to voluntarily share your medical, |
12 | | background, and identifying information, including information |
13 | | on the original birth certificate of your child. This can be |
14 | | done through the Illinois Adoption Registry and Medical |
15 | | Information Exchange or through completing the Birth Parent |
16 | | Preference Form. Please visit http://dph.illinois.gov or |
17 | | www.newillinoisadoptionlaw.com. |
18 | | 10. To access the Confidential Intermediary Program which |
19 | | provides a way for a court appointed person to connect and/or |
20 | | exchange information between adoptees, adoptive parents and |
21 | | birth parents, and other biological family members, provided |
22 | | in most cases that mutual consent is given. Please visit |
23 | | www.ci-illinois.org or call (800) 526-9022(x29). |
24 | | 11. To work with an adoption agency or attorney of your |
25 | | choice, or change said agency or attorney, provided you |
26 | | promptly inform all of the parties currently involved. |
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1 | | 12. To receive, upon request, a written list of any |
2 | | promised support, financial or otherwise, from your attorney |
3 | | or the attorney for your child's prospective adoptive parents. |
4 | | 13. To delay signing a Consent, Specified Consent, or |
5 | | Unborn Consent if you are not ready to do so. |
6 | | 14. To decline to sign a Consent, Specified Consent, or |
7 | | Unborn Consent even if you have received financial support |
8 | | from the prospective adoptive parents. |
9 | | If you do not receive any of the rights described in this |
10 | | Form, it shall not be a basis to revoke a Consent, Specified |
11 | | Consent, or Unborn Consent. |
12 | | As a Birth Parent in the State of Illinois, you have the |
13 | | responsibility: |
14 | | 1. To carefully consider your reasons for choosing |
15 | | adoption. |
16 | | 2. (Birth mothers only) To accurately complete an |
17 | | Affidavit of Identification, which identifies the father of |
18 | | the child when known, with the understanding that a birth |
19 | | mother has a right to decline to identify the birth father. |
20 | | 3. To provide the necessary documentation regarding |
21 | | financial need to make an appropriate determination of |
22 | | reasonable pregnancy-related expenses. |
23 | | 4. To not accept financial support or reimbursement of |
24 | | pregnancy related expenses simultaneously from more than one |
25 | | source or if you are not pregnant, as doing so is a crime. |
26 | | 5. To voluntarily provide all known medical, background, |
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1 | | and family information about yourself and your immediate |
2 | | family to your child's prospective adoptive parents or their |
3 | | attorney. For the health of your child, you are strongly |
4 | | encouraged, but not required, to do so as set forth on the |
5 | | following form: |
6 | | Birth Parent Medical Information |
7 | | The purpose of this form is to gather your health history, |
8 | | genetic history, and social background information to share |
9 | | with the adoptive parents. It is important the adoptive family |
10 | | provide this information to the child's physician. It will |
11 | | become a part of the child's medical and family history. This |
12 | | form, in its entirety, will be given to the adoptive |
13 | | parent(s). |
14 | | The following information is true and complete to the best |
15 | | of my knowledge and belief. |
16 | | Birth parent name: |
17 | | ...................................... |
18 | | Signature: |
19 | | .............................................. |
20 | | Date: .................................................... |
21 | | YES or NO (circle one) I agree to release my full name on |
22 | | this form to the adoptive family. If NO is circled then the |
23 | | birth parent's name shall be redacted on this form. |
24 | | MOTHER'S PHYSICAL CHARACTERISTICS: |
25 | | Eyes: ... Hair: .... Complexion: .... Height: .... |
26 | | Weight: .... Body build: .....
Race: ..... |
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1 | | Nationality/Descent: ....... Blood type: .... Rh factor: .... |
2 | | Eye glasses or contact lenses? Yes /.../ No /.../ |
3 | | Right /.../ Left /.../ handed |
4 | | Age: .... or Date of birth: ..... Religion: ................. |
5 | | Please list your highest education level, occupation, |
6 | | hobbies, interests, and talents: |
7 | | ............................ |
8 | | Existence of any disabilities? Yes /.../ No /.../ |
9 | | If yes, explain: ............................................. |
10 | | If you have other children, list them below. Include any |
11 | | children previously placed for adoption. |
12 | | .................... |
13 | | Describe your relationship with the birth father: ....... |
14 | | FATHER'S PHYSICAL CHARACTERISTICS: |
15 | | Eyes: ... Hair: .... Complexion: .... Height: .... |
16 | | Weight: .... Body build: .....
Race: ..... |
17 | | Nationality/Descent: ....... Blood type: .... Rh factor: .... |
18 | | Eye glasses or contact lenses? Yes /.../ No /.../ |
19 | | Right /.../ Left /.../ handed |
20 | | Age: .... or Date of birth: ..... Religion: ................. |
21 | | Please list your highest education level, occupation, |
22 | | hobbies, interests, and talents: |
23 | | ............................ |
24 | | Existence of any disabilities? Yes /.../ No /.../ |
25 | | If yes, explain: ............................................. |
26 | | If you have other children, list them below. Include any |
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1 | | children previously placed for adoption. |
2 | | .................... |
3 | | PREGNANCY HISTORY INVOLVING THIS CHILD |
4 | | Month prenatal care began during this pregnancy: ......... |
5 | | Complications during pregnancy: Yes ... No ... If yes, |
6 | | explain: .................................................... |
7 | | ............................................................. |
8 | | MEDICATION AND OTHER SUBSTANCES USED DURING |
9 | | PREGNANCY OR YEAR PRIOR TO PREGNANCY |
|
10 | | | | | FREQUENCY/ | FREQUENCY/ | |
11 | | | | | AMOUNT | AMOUNT | |
12 | | | | | DURING | PRIOR TO | |
13 | | | YES | NO | PREGNANCY | PREGNANCY | |
14 | | Alcohol | /../ | /../ | ................. | ............... | |
15 | | Amphetamines | /../ | /../ | ................. | ............... | |
16 | | Barbiturates | /../ | /../ | ................. | ............... | |
17 | | Cocaine | /../ | /../ | ................. | ............... | |
18 | | Heroin | /../ | /../ | ................. | ............... | |
19 | | LSD | /../ | /../ | ................. | ............... | |
20 | | Marijuana | /../ | /../ | ................. | ............... | |
21 | | Caffeine | | | | | |
22 | | (Coffee, | | | | | |
23 | | tea, etc) | /../ | /../ | ................. | ............... | |
24 | | Prescription | | | | | |
25 | | drugs | /../ | /../ | ................. | ............... | |
26 | | Non- | | | | | |
|
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1 | | prescription | | | | | |
2 | | drugs | /../ | /../ | ................. | ............... | |
3 | | Other | /../ | /../ | ................. | ............... |
|
4 | | In addition to this form, a birth parent shall also be |
5 | | provided the forms for the Illinois Adoption Registry and |
6 | | Medical Information Exchange. |
7 | | B. The form of consent required for the adoption of an |
8 | | unborn child
shall be substantially as follows:
|
9 | | CONSENT TO ADOPTION OF UNBORN CHILD
|
10 | | I, ...., state:
|
11 | | That I am the father of a child expected to be born on or |
12 | | about ....
to .... (name of mother).
|
13 | | That I reside at .... County of ...., and State of .....
|
14 | | That I am of the age of .... years.
|
15 | | That I hereby enter my appearance in such adoption |
16 | | proceeding and
waive service of summons on me.
|
17 | | That I hereby acknowledge that I have been provided with a |
18 | | copy of the Birth Parent Rights and Responsibilities-Private |
19 | | Form before signing this Consent, and that I have had time to |
20 | | read, or have had read to me, this Form. I understand that if I |
21 | | do not receive any of the rights as described in this Form, it |
22 | | shall not constitute a basis to revoke this Consent to |
23 | | Adoption of Unborn Child. |
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1 | | That I do hereby consent and agree to the adoption of such |
2 | | child, and
that I have not previously executed a consent or |
3 | | surrender with respect
to such child.
|
4 | | That I wish to and do understand that by signing this |
5 | | consent I do
irrevocably and permanently give up all custody |
6 | | and other parental
rights I have to such child, except that I |
7 | | have the right to revoke this
consent by giving written notice |
8 | | of my revocation not later than 72
hours after the birth of the |
9 | | child.
|
10 | | That I understand such child will be placed for adoption |
11 | | and that,
except as hereinabove provided, I cannot under any |
12 | | circumstances, after
signing this document, change my mind and |
13 | | revoke or cancel this consent
or obtain or recover custody or |
14 | | any other rights over such child.
|
15 | | That I have read and understand the above and I am signing |
16 | | it as my
free and voluntary act.
|
17 | | Dated (insert date).
|
18 | | ........................
|
19 | | B-5. (1) The parent of a child may execute a consent to |
20 | | standby
adoption by a specified person or persons. A consent |
21 | | under this subsection B-5
shall be acknowledged by a parent |
22 | | pursuant to subsection H and subsection K of
this Section.
The |
23 | | form of consent required for the standby adoption of a born |
24 | | child
effective at a future date when the consenting
parent of |
25 | | the child dies or
requests that a final judgment of adoption be |
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1 | | entered shall be substantially as
follows:
|
2 | | FINAL AND IRREVOCABLE CONSENT
|
3 | | TO STANDBY ADOPTION
|
4 | | I, ..., (relationship, e.g. mother or father)
of ...., a |
5 | | male or female (circle one) child, state:
|
6 | | That the child was born on .... at .....
|
7 | | That I reside at ...., County of ...., and State of .....
|
8 | | That I am of the age of .... years.
|
9 | | That I hereby enter my appearance in this proceeding and |
10 | | waive service of
summons on me in this action only.
|
11 | | That I do hereby consent and
agree to the standby adoption |
12 | | of the child, and that I have not previously
executed a consent |
13 | | or surrender with respect to the child.
|
14 | | That I wish to and understand that by signing this consent |
15 | | I do irrevocably
and permanently give up all custody and other |
16 | | parental rights I have to the
child, effective upon
(my death) |
17 | | (the child's other parent's death) or upon (my) (the other
|
18 | | parent's) request for the entry of a final judgment for |
19 | | adoption if .....
(specified person or persons) adopt my |
20 | | child.
|
21 | | That I understand that until (I die) (the child's other |
22 | | parent dies), I
retain all legal rights and obligations |
23 | | concerning the child, but at that time,
I irrevocably give all |
24 | | custody and other parental rights to .... (specified
person or |
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1 | | persons).
|
2 | | I understand my child will be adopted by ....... |
3 | | (specified person or
persons) only and that I cannot, under |
4 | | any circumstances, after signing this
document, change my mind |
5 | | and revoke or cancel this consent or obtain or recover
custody |
6 | | or any other rights over my child if ..... (specified person or
|
7 | | persons) adopt my child.
|
8 | | I understand that this consent to standby adoption is |
9 | | valid only if the
petition for standby adoption is filed and |
10 | | that if ....... (specified person or
persons), for any reason, |
11 | | cannot or will not file a petition for standby
adoption or if |
12 | | his, her, or their petition for standby adoption is denied, |
13 | | then
this consent is void. I have the right to notice of any |
14 | | other proceeding that
could affect my parental rights.
|
15 | | That I have read and understand the above and I am signing |
16 | | it as my free and
voluntary act.
|
17 | | Dated (insert date).
|
18 | | ....................
|
19 | | If under Section 8 the consent of more than one person is |
20 | | required, then each
such
person shall execute a separate |
21 | | consent. A separate consent shall be executed
for each
child.
|
22 | | (2) If the parent consents to a standby adoption by 2 |
23 | | specified persons,
then the form shall contain 2 additional |
24 | | paragraphs in substantially the
following form:
|
25 | | If .... (specified persons) obtain a judgment of
|
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1 | | dissolution of
marriage before the judgment for adoption is |
2 | | entered, then .....
(specified person) shall adopt my child. I |
3 | | understand that I cannot change my
mind and revoke this |
4 | | consent or obtain or recover custody of my child if .....
|
5 | | (specified persons) obtain a judgment of dissolution of |
6 | | marriage and .....
(specified person) adopts my child. I |
7 | | understand that I cannot change my
mind and revoke this |
8 | | consent if ...... (specified persons) obtain a
judgment of |
9 | | dissolution of marriage before the adoption is final. I
|
10 | | understand that this consent to adoption has no effect on who |
11 | | will get custody
of my child if ..... (specified persons) |
12 | | obtain a judgment of dissolution
of marriage after the |
13 | | adoption is final. I understand that if either .....
|
14 | | (specified persons) dies before the petition to adopt my child |
15 | | is granted, then
the surviving person may adopt my child. I |
16 | | understand that I cannot change my
mind and revoke this |
17 | | consent or obtain or recover custody of my child if the
|
18 | | surviving person adopts my child.
|
19 | | A consent to standby adoption by specified persons on this |
20 | | form shall have no
effect on a court's determination of |
21 | | custody or visitation under the Illinois
Marriage and |
22 | | Dissolution
of Marriage Act if the marriage of the specified |
23 | | persons is dissolved before
the adoption is final.
|
24 | | (3) The form of the certificate of acknowledgement for a |
25 | | Final and
Irrevocable Consent for Standby Adoption shall be |
26 | | substantially as follows:
|
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1 | | STATE OF .....)
|
2 | | ) SS.
|
3 | | COUNTY OF ....)
|
4 | | I, ....... (name of Judge or other person) ..... (official |
5 | | title,
name, and address), certify that ......., personally |
6 | | known to me to be
the same person whose name is subscribed to |
7 | | the foregoing Final and Irrevocable
Consent to Standby |
8 | | Adoption, appeared before me this day in person and
|
9 | | acknowledged that (she) (he) signed and
delivered the consent |
10 | | as (her) (his) free and voluntary act, for the specified
|
11 | | purpose.
|
12 | | I have fully explained that this consent to adoption is |
13 | | valid only if the
petition to adopt is filed, and that if the |
14 | | specified person or persons, for
any reason, cannot or will |
15 | | not adopt the child or if the adoption petition is
denied, then |
16 | | this consent will be void. I have fully explained that if the
|
17 | | specified person or persons adopt the child, by signing this |
18 | | consent (she) (he)
is irrevocably and permanently |
19 | | relinquishing all parental rights to the child,
and (she) (he) |
20 | | has stated that such is (her) (his) intention and desire.
|
21 | | Dated (insert date).
|
22 | | Signature ..............................
|
23 | | (4) If a consent to standby adoption is executed in this |
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1 | | form,
the consent shall be valid only if the specified
person |
2 | | or persons adopt the child. The consent shall be void if:
|
3 | | (a) the specified person or persons do not file a |
4 | | petition for standby
adoption of the child; or
|
5 | | (b) a court denies the standby adoption petition.
|
6 | | The parent shall not need to take further action to revoke |
7 | | the consent if the
standby adoption by the specified person or |
8 | | persons does not occur,
notwithstanding the provisions of |
9 | | Section 11 of this Act.
|
10 | | C. The form of surrender to any agency given by a parent of |
11 | | a born
child who is to be subsequently placed for adoption |
12 | | shall be
substantially as follows and shall contain such other |
13 | | facts and
statements as the particular agency shall require.
|
14 | | FINAL AND IRREVOCABLE SURRENDER
|
15 | | FOR PURPOSES OF ADOPTION
|
16 | | I, .... (relationship, e.g., mother, father, relative, |
17 | | guardian) of
...., a male or female (circle one) child, state:
|
18 | | That such child was born on ...., at .....
|
19 | | That I reside at ...., County of ...., and State of .....
|
20 | | That I am of the age of .... years.
|
21 | | That I do hereby surrender and entrust the entire custody |
22 | | and control
of such child to the .... (the "Agency"), a |
23 | | (public) (licensed) child
welfare agency with its principal |
24 | | office in the City of ...., County of
.... and State of ...., |
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1 | | for the purpose of enabling it to care for and
supervise the |
2 | | care of such child, to place such child for adoption and
to |
3 | | consent to the legal adoption of such child.
|
4 | | That I hereby grant to the Agency full power and authority |
5 | | to place
such child with any person or persons it may in its |
6 | | sole discretion
select to become the adopting parent or |
7 | | parents and to consent to the
legal adoption of such child by |
8 | | such person or persons; and to take any
and all measures which, |
9 | | in the judgment of the Agency, may be for the
best interests of |
10 | | such child, including authorizing medical, surgical
and dental |
11 | | care and treatment including inoculation and anaesthesia for
|
12 | | such child.
|
13 | | That I wish to and understand that by signing this |
14 | | surrender I do
irrevocably and permanently give up all custody |
15 | | and other parental
rights I have to such child.
|
16 | | That I understand I cannot under any circumstances, after |
17 | | signing
this surrender, change my mind and revoke or cancel |
18 | | this surrender or
obtain or recover custody or any other |
19 | | rights over such child.
|
20 | | That I have read and understand the above and I am signing |
21 | | it as my
free and voluntary act.
|
22 | | Dated (insert date).
|
23 | | ........................
|
24 | | C-5. The form of a Final and Irrevocable Designated |
25 | | Surrender for Purposes of Adoption to any agency given by a |
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1 | | parent of a born child who is to be subsequently placed for |
2 | | adoption is to be used by legal parents only. The form shall be |
3 | | substantially as follows and shall contain such other facts |
4 | | and statements as the particular agency shall require: |
5 | | FINAL AND IRREVOCABLE DESIGNATED SURRENDER |
6 | | FOR PURPOSES OF ADOPTION |
7 | | I, .... (relationship, e.g., mother, father, relative, |
8 | | guardian) of ...., a male or female (circle one) child, state: |
9 | | 1. That such child was born on ...., at ..... |
10 | | 2. That I reside at ...., County of ...., and State of |
11 | | ....., my email address (if I have one) is .... my cell phone |
12 | | number where I can receive text messages (if I have one) is |
13 | | .... and my land line phone number (if I have one) is ...., and |
14 | | any other contact information is .... |
15 | | 3. That I am of the age of .... years. |
16 | | 4. That I do hereby surrender and entrust the entire |
17 | | custody and control of such child to the .... (the "Agency"), a |
18 | | (public) (licensed) child welfare agency with its principal |
19 | | office in the City of ...., County of .... and State of ...., |
20 | | for the purpose of enabling it to care for and supervise the |
21 | | care of such child, to place such child for adoption with |
22 | | ............................. (specified person or persons) |
23 | | and to consent to the legal adoption of such child and to take |
24 | | any and all measures which, in the judgment of the Agency, may |
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1 | | be for the best interests of such child, including authorizing |
2 | | medical, surgical and dental care and treatment including |
3 | | inoculation and anesthesia for such child. If only first names |
4 | | are used for the specified person or persons, I voluntarily |
5 | | sign this designated surrender without disclosure to me of the |
6 | | last name of the specified person or persons. However, I |
7 | | understand that if I wish to know the last name of the |
8 | | specified person or persons, I may request it before signing |
9 | | the form. If I do not receive the last name, I may choose not |
10 | | to sign the designated surrender form. |
11 | | 5. That I wish to and understand that by signing this |
12 | | surrender I do irrevocably and permanently give up all custody |
13 | | and other parental rights I have to such child. |
14 | | 6. That if the petition for adoption is not filed by the
|
15 | | specified person or persons designated herein or, if the
|
16 | | petition for adoption is filed but the adoption petition is
|
17 | | dismissed with prejudice or the adoption proceeding is
|
18 | | otherwise concluded without an order declaring the child to be
|
19 | | the adopted child of each specified person, then I understand |
20 | | that the Agency will send notice to me at the mailing address, |
21 | | at the email address, through a text message to my cell phone |
22 | | number provided in paragraph 2, and to any other contact |
23 | | information I have provided in paragraph 2 within 5 business |
24 | | days of this occurrence. The person sending the notice shall |
25 | | prepare an affidavit of notice. I understand that I will have |
26 | | 15 business days from the date that the written notice was sent |
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1 | | to respond, within which time I may choose to designate other |
2 | | adoptive parent(s). However, I acknowledge that
the Agency has |
3 | | full power and authority to place the child for adoption with
|
4 | | any person or persons it may in its sole discretion select to
|
5 | | become the adopting parent or parents and to consent to the
|
6 | | legal adoption of the child by such person or persons. |
7 | | 7. That I acknowledge that this surrender is valid even if |
8 | | the specified persons separate or divorce or one of the |
9 | | specified persons dies prior to the entry of the final |
10 | | judgment for adoption. |
11 | | 8. That I expressly acknowledge that the above paragraphs |
12 | | 6 and 7 do not impair the validity and absolute finality of |
13 | | this surrender under any circumstance. |
14 | | 9. That I understand that I have a remaining obligation to |
15 | | keep the Agency informed of my current contact information |
16 | | until the adoption of the child has been finalized if I wish to |
17 | | be notified in the event the adoption by the specified |
18 | | person(s) cannot proceed. |
19 | | 10. That I understand I cannot under any circumstances, |
20 | | after signing this surrender, change my mind and revoke or |
21 | | cancel this surrender or obtain or recover custody or any |
22 | | other rights over such child. |
23 | | 11. That I have read and understand the above and I am |
24 | | signing it as my free and voluntary act. |
25 | | Dated (insert date). |
26 | | .............................. |
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1 | | D. The form of surrender to an agency given by a parent of |
2 | | an unborn
child who is to be subsequently placed for adoption |
3 | | shall be
substantially as follows and shall contain such other |
4 | | facts and
statements as the particular agency shall require.
|
5 | | SURRENDER OF UNBORN CHILD FOR
|
6 | | PURPOSES OF ADOPTION
|
7 | | I, .... (father), state:
|
8 | | That I am the father of a child expected to be born on or |
9 | | about ....
to .... (name of mother).
|
10 | | That I reside at ...., County of ...., and State of .....
|
11 | | That I am of the age of .... years.
|
12 | | That I do hereby surrender and entrust the entire custody |
13 | | and control
of such child to the .... (the "Agency"), a |
14 | | (public) (licensed) child
welfare agency with its principal |
15 | | office in the City of ...., County of
.... and State of ...., |
16 | | for the purpose of enabling it to care for and
supervise the |
17 | | care of such child, to place such child for adoption and
to |
18 | | consent to the legal adoption of such child, and that I have |
19 | | not
previously executed a consent or surrender with respect to |
20 | | such child.
|
21 | | That I hereby grant to the Agency full power and authority |
22 | | to place
such child with any person or persons it may in its |
23 | | sole discretion
select to become the adopting parent or |
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1 | | parents and to consent to the
legal adoption of such child by |
2 | | such person or persons; and to take any
and all measures which, |
3 | | in the judgment of the Agency, may be for the
best interests of |
4 | | such child, including authorizing medical, surgical
and dental |
5 | | care and treatment, including inoculation and anaesthesia for
|
6 | | such child.
|
7 | | That I wish to and understand that by signing this |
8 | | surrender I do
irrevocably and permanently give up all custody |
9 | | and other parental
rights I have to such child.
|
10 | | That I understand I cannot under any circumstances, after |
11 | | signing
this surrender, change my mind and revoke or cancel |
12 | | this surrender or
obtain or recover custody or any other |
13 | | rights over such child, except
that I have the right to revoke |
14 | | this surrender by giving written notice
of my revocation not |
15 | | later than 72 hours after the birth of such child.
|
16 | | That I have read and understand the above and I am signing |
17 | | it as my
free and voluntary act.
|
18 | | Dated (insert date).
|
19 | | ........................
|
20 | | E. The form of consent required from the parents for the |
21 | | adoption of
an adult, when such adult elects to obtain such |
22 | | consent, shall be
substantially as follows:
|
23 | | CONSENT
|
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1 | | I, ...., (father) (mother) of ...., an adult, state:
|
2 | | That I reside at ...., County of .... and State of .....
|
3 | | That I do hereby consent and agree to the adoption of such |
4 | | adult by
.... and .....
|
5 | | Dated (insert date).
|
6 | | .........................
|
7 | | F. The form of consent required for the adoption of a child |
8 | | of the
age of 14 years or over, or of an adult, to be given by |
9 | | such person,
shall be substantially as follows:
|
10 | | CONSENT
|
11 | | I, ...., state:
|
12 | | That I reside at ...., County of .... and State of ..... |
13 | | That I am
of the age of .... years. That I hereby enter my |
14 | | appearance in this proceeding and waive service of summons on |
15 | | me. That I consent and agree to my adoption by
.... and .....
|
16 | | Dated (insert date).
|
17 | | ........................
|
18 | | G. The form of consent given by an agency to the adoption |
19 | | by
specified persons of a child previously surrendered to it |
20 | | shall set
forth that the agency has the authority to execute |
21 | | such consent. The
form of consent given by a guardian of the |
22 | | person of a child sought to
be adopted, appointed by a court of |
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1 | | competent jurisdiction, shall set
forth the facts of such |
2 | | appointment and the authority of the guardian to
execute such |
3 | | consent.
|
4 | | H. A consent (other than that given by an agency, or |
5 | | guardian of the
person of the child sought to be adopted who |
6 | | was appointed by a court of
competent jurisdiction) shall be |
7 | | acknowledged by a parent before a judge of a court of competent |
8 | | jurisdiction or, except as otherwise provided in
this Act, |
9 | | before a representative of an agency, or before a person, |
10 | | other than the attorney for the prospective adoptive parent or |
11 | | parents, designated by a court of competent
jurisdiction.
|
12 | | I. A surrender, or any other document equivalent to a |
13 | | surrender, by
which a child is surrendered to an agency shall |
14 | | be acknowledged by the
person signing such surrender, or other |
15 | | document, before a judge of a court of competent jurisdiction, |
16 | | or, except as otherwise provided in this Act, before a |
17 | | representative of an agency, or before a person designated by |
18 | | a court
of competent jurisdiction.
|
19 | | J. The form of the certificate of acknowledgment for a |
20 | | consent, a
surrender, or any other document equivalent to a |
21 | | surrender, shall be
substantially as follows:
|
22 | | STATE OF ....)
|
23 | | ) SS.
|
24 | | COUNTY OF ...)
|
25 | | I, .... (Name of judge or other person), .... (official |
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1 | | title, name and
location of court or status or position of |
2 | | other person),
certify that ...., personally known to me to be |
3 | | the same person whose
name is subscribed to the foregoing |
4 | | (consent) (surrender), appeared
before me this day in person |
5 | | and acknowledged that (she) (he) signed and
delivered such |
6 | | (consent) (surrender) as (her) (his) free and voluntary
act, |
7 | | for the specified purpose.
|
8 | | I have fully explained that by signing such (consent) |
9 | | (surrender)
(she) (he) is irrevocably relinquishing all |
10 | | parental rights to such
child or adult and (she) (he) has |
11 | | stated that such is (her) (his)
intention and desire. (Add if |
12 | | Consent only) I am further satisfied that, before signing this |
13 | | Consent, ........ has read, or has had read to him or her, the |
14 | | Birth Parent Rights and Responsibilities-Private Form.
|
15 | | Dated (insert date).
|
16 | | Signature ...............
|
17 | | K. When the execution of a consent or a surrender is |
18 | | acknowledged
before someone other than a judge,
such other |
19 | | person shall have his or her signature on the certificate
|
20 | | acknowledged before a notary public, in form substantially as |
21 | | follows:
|
22 | | STATE OF ....)
|
23 | | ) SS.
|
24 | | COUNTY OF ...)
|
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1 | | I, a Notary Public, in and for the County of ......, in the |
2 | | State of
......, certify that ...., personally known to me to |
3 | | be the
same person whose name is subscribed to the foregoing |
4 | | certificate of
acknowledgment, appeared before me in person |
5 | | and acknowledged that (she)
(he) signed such certificate as |
6 | | (her) (his) free and voluntary act and
that the statements |
7 | | made in the certificate are true.
|
8 | | Dated (insert date).
|
9 | | Signature ...................... Notary Public
|
10 | | (official seal)
|
11 | | There shall be attached a certificate of magistracy, or |
12 | | other
comparable proof of office of the notary public |
13 | | satisfactory to the
court, to a consent signed and |
14 | | acknowledged in another state.
|
15 | | L. A surrender or consent executed and acknowledged |
16 | | outside of this
State, either in accordance with the law of |
17 | | this State or in accordance
with the law of the place where |
18 | | executed, is valid.
|
19 | | M. Where a consent or a surrender is signed in a foreign |
20 | | country,
the execution of such consent shall be acknowledged |
21 | | or affirmed in a
manner conformable to the law and procedure of |
22 | | such country.
|
23 | | N. If the person signing a consent or surrender is in the |
24 | | military
service of the United States, the execution of such |
25 | | consent or surrender
may be acknowledged before a commissioned |
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1 | | officer and the signature of
such officer on such certificate |
2 | | shall be verified or acknowledged
before a notary public or by |
3 | | such other procedure as is then in effect
for such division or |
4 | | branch of the armed forces.
|
5 | | O. (1) The parent or parents of a child in whose interests |
6 | | a petition
under Section 2-13 of the Juvenile Court Act of 1987 |
7 | | is pending may, with the
approval of the designated |
8 | | representative of the Department of Children and
Family |
9 | | Services ("Department" or "DCFS"), execute a consent to |
10 | | adoption by a specified person or
persons:
|
11 | | (a) in whose physical custody the child has resided |
12 | | for at least 6
months;
or
|
13 | | (b) in whose physical custody at least one sibling of |
14 | | the child who is the
subject of this consent has resided |
15 | | for at least 6 months, and
the child who is
the subject of |
16 | | this consent is currently residing in this foster home; or
|
17 | | (c) in whose physical custody a child under one year |
18 | | of age has resided
for at least 3 months.
|
19 | | The court may waive the time frames in subdivisions (a), |
20 | | (b), and (c) for good cause shown if the court finds it to be |
21 | | in the child's best interests. |
22 | | A consent under this subsection O shall be acknowledged by |
23 | | a parent pursuant to
subsection H and subsection K of this |
24 | | Section.
|
25 | | (2) The final and irrevocable consent to adoption by a |
26 | | specified person or persons in a Department of Children and |
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1 | | Family Services (DCFS) case shall be substantially
as follows:
|
2 | | FINAL AND IRREVOCABLE CONSENT TO ADOPTION BY
|
3 | | A SPECIFIED PERSON OR PERSONS: DCFS CASE
|
4 | | I, ......................................, the |
5 | | .................. mother or
father (circle one) of a male or |
6 | | female (circle one) child, state:
|
7 | | 1. My child ............................ (name of |
8 | | child) was born on .....
(insert date) at |
9 | | .................... Hospital in the City/Town of |
10 | | ........., in
................ County, State of |
11 | | ...............
|
12 | | 2. I reside at ......................, County of |
13 | | ............. and
State of .............. |
14 | | Mail may also be sent to me at this address |
15 | | ............................, in care of |
16 | | ................. |
17 | | My home telephone number is ...................... |
18 | | My cell telephone number is ...................... |
19 | | My e-mail address is .................................
|
20 | | 3. I, ..........................., am .... years old.
|
21 | | 4. I enter my appearance in this action for my child to |
22 | | be adopted by the
person or persons specified herein by me |
23 | | and waive service of
summons on me in this action only.
|
24 | | 5. I hereby acknowledge that I have been provided a |
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1 | | copy of the Birth Parent Rights and Responsibilities in |
2 | | Illinois for Final and Irrevocable Consents to Adoption by |
3 | | a Specified Person or Persons for DCFS Cases before |
4 | | signing this Consent and that I have had time to read this |
5 | | form or have it read to me and that I understand the rights |
6 | | and responsibilities described in this form. I understand |
7 | | that if I do not receive any of my rights as described in |
8 | | the form, it shall not constitute a basis to revoke this |
9 | | Final and Irrevocable Consent to Adoption by a Specified |
10 | | Person or Persons. |
11 | | 6. I do hereby consent and agree to the adoption of |
12 | | such child by .......... (names of current foster |
13 | | parent(s) or caregiver(s), hereinafter referred to as the |
14 | | "specified person or persons") only. |
15 | | 7. I wish to sign this consent and I understand that by |
16 | | signing this consent I irrevocably and permanently give up |
17 | | all my parental rights I have to my child. |
18 | | 8. I understand that this consent allows my child to |
19 | | be adopted by the specified person or persons only and |
20 | | that I cannot under any circumstances after signing this |
21 | | document change my mind and revoke or cancel this consent. |
22 | | 9. I understand that this consent will be void if: |
23 | | (a) the Department places my child with someone |
24 | | other than the specified person or persons; or |
25 | | (b) a court denies the adoption petition for the |
26 | | specified person or persons to adopt my child; or |
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1 | | (c) the DCFS Guardianship Administrator refuses to |
2 | | consent to my child's adoption by the specified person |
3 | | or persons on the basis that the adoption is not in my |
4 | | child's best interests. |
5 | | I understand that if this consent is void I have |
6 | | parental rights to my child, subject to any applicable |
7 | | court orders including those entered under Article II of |
8 | | the Juvenile Court Act of 1987, unless and until I sign a |
9 | | new consent or surrender or my parental rights are |
10 | | involuntarily terminated. I understand that if this |
11 | | consent is void, my child may be adopted by someone other |
12 | | than the specified person or persons only if I sign a new |
13 | | consent or surrender, or my parental rights are |
14 | | involuntarily terminated. I understand that if this |
15 | | consent is void, the Department will notify me within 30 |
16 | | days using the addresses and telephone numbers I provided |
17 | | in paragraph 2 of this form. I understand that if I receive |
18 | | such a notice, it is very important that I contact the |
19 | | Department immediately, and preferably within 30 days, to |
20 | | have input into the plan for my child's future. |
21 | | 10. I understand that if a petition for adoption of my |
22 | | child is filed by someone other than the specified person |
23 | | or persons, the Department will notify me within 14 days |
24 | | after the Department becomes aware of the petition. The |
25 | | fact that someone other than the specified person or |
26 | | persons files a petition to adopt my child does not make |
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1 | | this consent void. |
2 | | 11. If a person other than the specified person or |
3 | | persons files a petition to adopt my child or if the |
4 | | consent is void under paragraph 9, the Department will |
5 | | send written notice to me using the mailing address and |
6 | | email address provided by me in paragraph 2 of this form. |
7 | | The Department will also contact me using the telephone |
8 | | numbers I provided in paragraph 2 of this form. It is very |
9 | | important that I let the Department know if any of my |
10 | | contact information changes. If I do not let the |
11 | | Department know if any of my contact information changes, |
12 | | I understand that I may not receive notification from the |
13 | | Department if this consent is void or if someone other |
14 | | than the specified person or persons files a petition to |
15 | | adopt my child. If any of my contact information changes, |
16 | | I should immediately notify: |
17 | | Caseworker's name and telephone number: |
18 | | ............................................................; |
19 | | Agency name, address, zip code, and telephone number: |
20 | | ............................................................; |
21 | | Supervisor's name and telephone number: |
22 | | ............................................................; |
23 | | DCFS Advocacy Office for Children and Families: |
24 | | 800-232-3798. |
25 | | 12. I expressly acknowledge that paragraph 9 (and |
26 | | paragraphs 8a and 8b, if applicable) do not impair the |
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1 | | validity and finality of this consent under any |
2 | | circumstances.
|
3 | | 13. I have read and understand the above and I am |
4 | | signing 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 |
10 | | in substantially the following form:
|
11 | | 8a. I understand that I cannot change my mind or |
12 | | revoke this consent or recover custody of my child on the |
13 | | basis that the specified persons divorce or are granted a |
14 | | dissolution of a civil union or that one of the specified |
15 | | persons has died.
|
16 | | 8b. I understand that if the specified persons get a |
17 | | divorce or are granted a dissolution of a civil union |
18 | | before the petition to adopt my child is granted, this |
19 | | consent remains valid only for ............... (name only |
20 | | one specified person) to adopt my child.
|
21 | | 8c. I understand that if either of the specified |
22 | | persons dies before the petition to adopt my child is |
23 | | granted, this consent remains valid for the surviving |
24 | | person to adopt my child. |
25 | | (4) The form of the certificate of acknowledgement for a |
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1 | | Final and
Irrevocable Consent for Adoption by a Specified |
2 | | Person or Persons: DCFS Case shall be
substantially as |
3 | | follows:
|
4 | | STATE OF ..............)
|
5 | | ) SS.
|
6 | | COUNTY OF .............)
|
7 | | I, .................... (Name of Judge or other person),
|
8 | | ..................... (official title, name, and address),
|
9 | | certify that ............., personally known to me to be the |
10 | | same person whose
name is subscribed to the foregoing Final |
11 | | and Irrevocable Consent for Adoption
by a Specified Person or |
12 | | Persons: DCFS Case, appeared before me this day
in person and |
13 | | acknowledged that (she)(he) signed and delivered the consent |
14 | | as
(her)(his) free and voluntary act, for the specified |
15 | | purpose.
|
16 | | I have fully explained that by signing this consent this |
17 | | parent is irrevocably
and permanently
relinquishing all |
18 | | parental rights to the child so that the child may be adopted |
19 | | by a specified person or persons, and this parent has stated |
20 | | that
such is (her)(his) intention and desire. I have fully |
21 | | explained that this consent is void only if:
|
22 | | (a) the placement is disrupted and the child is moved |
23 | | to a different placement; or |
24 | | (b) a court denies the petition for adoption; or |
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1 | | (c) the Department of Children and Family Services |
2 | | Guardianship Administrator refuses to consent to the |
3 | | child's adoption by a specified person or persons on the |
4 | | basis that the adoption is not in the child's best |
5 | | interests. |
6 | | Dated (insert date).
|
7 | | ...............................
|
8 | | Signature
|
9 | | (5) If a consent to adoption by a specified person or |
10 | | persons is executed in
this form, the following provisions |
11 | | shall apply. The consent shall be valid
only for the specified |
12 | | person or persons to adopt the child. The consent shall be void
|
13 | | if:
|
14 | | (a) the placement disrupts and the child is moved to |
15 | | another placement; or
|
16 | | (b) a court denies the petition for adoption; or
|
17 | | (c) the Department of Children and Family Services |
18 | | Guardianship
Administrator refuses to consent to the |
19 | | child's adoption by the specified person or persons on the |
20 | | basis that the adoption is not in the child's best |
21 | | interests.
|
22 | | If the consent is void under this Section, the parent |
23 | | shall not need to take further action to revoke the consent. No |
24 | | proceeding for termination of parental rights shall be brought |
25 | | unless the parent who executed the consent to adoption by a |
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1 | | specified person or persons has been notified of the |
2 | | proceedings pursuant to Section 7 of this Act or subsection |
3 | | (4) of Section 2-13 of the Juvenile Court Act of 1987.
|
4 | | (6) The Department of Children and Family Services is |
5 | | authorized
to promulgate rules necessary to implement this |
6 | | subsection O.
|
7 | | (7) (Blank).
|
8 | | (8) The Department of Children and Family Services shall |
9 | | promulgate a rule and procedures regarding Consents to |
10 | | Adoption by a Specified Person or Persons in DCFS cases. The |
11 | | rule and procedures shall provide for the development of the |
12 | | Birth Parent Rights and Responsibilities Form for DCFS
Cases. |
13 | | (9) A consent to adoption by specified persons on this
|
14 | | consent form shall have no effect on a court's determination |
15 | | of
custody or visitation under the Illinois Marriage and
|
16 | | Dissolution of Marriage Act or the Illinois Religious Freedom
|
17 | | Protection and Civil Union Act if the marriage or civil union |
18 | | of the
specified persons is dissolved after the adoption is |
19 | | final. |
20 | | P. If the person signing a consent is incarcerated or |
21 | | detained in a correctional facility, prison, jail, detention |
22 | | center, or other comparable institution, either in this State |
23 | | or any other jurisdiction, the execution of such consent may |
24 | | be acknowledged before social service personnel of such |
25 | | institution, or before a person designated by a court of |
26 | | competent jurisdiction. |
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1 | | Q. A consent may be acknowledged telephonically, via |
2 | | audiovisual connection, or other electronic means, provided |
3 | | that a court of competent jurisdiction has entered an order |
4 | | approving the execution of the consent in such manner and has |
5 | | designated an individual to be physically present with the |
6 | | parent executing such consent in order to verify the identity |
7 | | of the parent. |
8 | | R. An agency whose representative is acknowledging a |
9 | | consent pursuant to this Section shall be a public child |
10 | | welfare agency , or a child welfare agency , or a child placing |
11 | | agency that is authorized or licensed in the State or |
12 | | jurisdiction in which the consent is signed. |
13 | | S. The form of waiver by a putative or legal father of a |
14 | | born or unborn child shall be substantially as follows: |
15 | | FINAL AND IRREVOCABLE |
16 | | WAIVER OF PARENTAL RIGHTS OF PUTATIVE OR LEGAL FATHER |
17 | | I, ...................., state under oath or affirm as |
18 | | follows: |
19 | | 1. That the biological mother ............... has |
20 | | named me as a possible biological or
legal father of her |
21 | | minor child who was born, or is expected to be born on
|
22 | | ..........., ......, in the City/Town of........., State |
23 | | of ........... |
24 | | 2. That I understand that the biological mother |
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1 | | ............. intends to or has placed the child
for |
2 | | adoption. |
3 | | 3. That I reside at ................, in the City/Town |
4 | | of...........,
State of ................ |
5 | | 4. That I am ................ years of age and my date |
6 | | of birth is ..............., ............. |
7 | | 5. That I (select one): |
8 | | ..... am married to the biological mother. |
9 | | ..... am not married to the biological mother and |
10 | | have not been married to the biological
mother within |
11 | | 300 days before the child's birth or expected date of |
12 | | child's birth. |
13 | | ..... am not currently married to the biological |
14 | | mother, but was married to the biological
mother, |
15 | | within 300 days before the child's birth or expected |
16 | | date of child's birth. |
17 | | 6. That I (select one): |
18 | | ..... neither admit nor deny that I am the |
19 | | biological father of the child. |
20 | | ..... deny that I am the biological father of the |
21 | | child. |
22 | | 7. That I hereby agree to the termination of my |
23 | | parental rights, if any, without further notice to me
of |
24 | | any proceeding for the adoption of the minor child, even |
25 | | if I have taken any action to establish
parental rights or |
26 | | take any such action in the future including registering |
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1 | | with any putative father
registry. |
2 | | 8. That I understand that by signing this Waiver I do |
3 | | irrevocably and permanently give up all
custody and other |
4 | | parental rights I may have to such child. |
5 | | 9. That I understand that this Waiver is FINAL AND |
6 | | IRREVOCABLE and that I am permanently
barred from |
7 | | contesting any proceeding for the adoption of the child |
8 | | after I sign this Waiver. |
9 | | 10. That I waive any further service of summons or |
10 | | other pleadings in any proceeding to terminate
parental |
11 | | rights, if any to this child, or any proceeding for |
12 | | adoption of this child. |
13 | | 11. That I understand that if a final judgment or |
14 | | order of adoption for this child is not entered, then
any |
15 | | parental rights or responsibilities that I may have remain |
16 | | intact. |
17 | | 12. That I have read and understand the above and that |
18 | | I am signing it as my free and voluntary act. |
19 | | Dated: ..................., .............. |
20 | | ........................................... |
21 | | Signature |
22 | | OATH |
23 | | I have been duly sworn and I state under oath that I have read |
24 | | and understood this Final and Irrevocable
Waiver of Parental |
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1 | | Rights of Putative or Legal Father. The facts contained in it |
2 | | are true and correct to the
best of my knowledge. I have signed |
3 | | this document as my free and voluntary act in order to |
4 | | facilitate the
adoption of the child. |
5 | | .............................. |
6 | | Signature |
7 | | Signed and Sworn before me on |
8 | | this ............ day |
9 | | of ..........., 20.... |
10 | | ................... |
11 | | Notary Public |
12 | | (Source: P.A. 99-833, eff. 1-1-17; 100-1060, eff. 1-1-19 .)".
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