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1 | | branch of the United
States armed services. |
2 | | "Department" means Department of Children and Family |
3 | | Services. |
4 | | "Local law enforcement agency" means the police of a city, |
5 | | town,
village or other incorporated area or the sheriff of an |
6 | | unincorporated
area or any sworn officer of the Illinois |
7 | | Department of State Police. |
8 | | "Abused child"
means a child whose parent or immediate |
9 | | family
member,
or any person responsible for the child's |
10 | | welfare, or any individual
residing in the same home as the |
11 | | child, or a paramour of the child's parent: |
12 | | (a) inflicts, causes to be inflicted, or allows to be
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13 | | inflicted upon
such child physical injury, by other than |
14 | | accidental means, which causes
death, disfigurement, |
15 | | impairment of physical or
emotional health, or loss or |
16 | | impairment of any bodily function; |
17 | | (b) creates a substantial risk of physical injury to |
18 | | such
child by
other than accidental means which would be |
19 | | likely to cause death,
disfigurement, impairment of |
20 | | physical or emotional health, or loss or
impairment of any |
21 | | bodily function; |
22 | | (c) commits or allows to be committed any sex offense |
23 | | against
such child,
as such sex offenses are defined in the |
24 | | Criminal Code of 1961, as amended, or in the Wrongs to |
25 | | Children Act,
and extending those definitions of sex |
26 | | offenses to include children under
18 years of age; |
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1 | | (d) commits or allows to be committed an act or acts of
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2 | | torture upon
such child; |
3 | | (e) inflicts excessive corporal punishment; |
4 | | (f) commits or allows to be committed
the offense of
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5 | | female
genital mutilation, as defined in Section 12-34 of |
6 | | the Criminal Code of
1961, against the child; |
7 | | (g) causes to be sold, transferred, distributed, or |
8 | | given to
such child
under 18 years of age, a controlled |
9 | | substance as defined in Section 102 of the
Illinois |
10 | | Controlled Substances Act in violation of Article IV of the |
11 | | Illinois
Controlled Substances Act or in violation of the |
12 | | Methamphetamine Control and Community Protection Act, |
13 | | except for controlled substances that are prescribed
in |
14 | | accordance with Article III of the Illinois Controlled |
15 | | Substances Act and
are dispensed to such child in a manner |
16 | | that substantially complies with the
prescription; or |
17 | | (h) commits or allows to be committed the offense of |
18 | | involuntary servitude, involuntary sexual servitude of a |
19 | | minor, or trafficking in persons for forced labor or |
20 | | services as defined in Section 10-9 of the Criminal Code of |
21 | | 1961 against the child. |
22 | | A child shall not be considered abused for the sole reason |
23 | | that the child
has been relinquished in accordance with the |
24 | | Abandoned Newborn Infant
Protection Act. |
25 | | "Neglected child" means any child who is not receiving the |
26 | | proper or
necessary nourishment or medically indicated |
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1 | | treatment including food or care
not provided solely on the |
2 | | basis of the present or anticipated mental or
physical |
3 | | impairment as determined by a physician acting alone or in
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4 | | consultation with other physicians or otherwise is not |
5 | | receiving the proper or
necessary support or medical or other |
6 | | remedial care recognized under State law
as necessary for a |
7 | | child's well-being, or other care necessary for his or her
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8 | | well-being, including adequate food, clothing and shelter; or |
9 | | who is abandoned
by his or her parents or other person |
10 | | responsible for the child's welfare
without a proper plan of |
11 | | care; or who has been provided with interim crisis intervention |
12 | | services under
Section 3-5 of
the Juvenile Court Act of 1987 |
13 | | and whose parent, guardian, or custodian refuses to
permit
the |
14 | | child to return home and no other living arrangement agreeable
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15 | | to the parent, guardian, or custodian can be made, and the |
16 | | parent, guardian, or custodian has not made any other |
17 | | appropriate living arrangement for the child; or who is a |
18 | | newborn infant whose blood, urine,
or meconium
contains any |
19 | | amount of a controlled substance as defined in subsection (f) |
20 | | of
Section 102 of the Illinois Controlled Substances Act or a |
21 | | metabolite thereof,
with the exception of a controlled |
22 | | substance or metabolite thereof whose
presence in the newborn |
23 | | infant is the result of medical treatment administered
to the |
24 | | mother or the newborn infant. A child shall not be considered |
25 | | neglected
for the sole reason that the child's parent or other |
26 | | person responsible for his
or her welfare has left the child in |
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1 | | the care of an adult relative for any
period of time. A child |
2 | | shall not be considered neglected for the sole reason
that the |
3 | | child has been relinquished in accordance with the Abandoned |
4 | | Newborn
Infant Protection Act. A child shall not be considered |
5 | | neglected or abused
for the
sole reason that such child's |
6 | | parent or other person responsible for his or her
welfare |
7 | | depends upon spiritual means through prayer alone for the |
8 | | treatment or
cure of disease or remedial care as provided under |
9 | | Section 4 of this Act. A
child shall not be considered |
10 | | neglected or abused solely because the child is
not attending |
11 | | school in accordance with the requirements of Article 26 of The
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12 | | School Code, as amended. |
13 | | "Child Protective Service Unit" means certain specialized |
14 | | State employees of
the Department assigned by the Director to |
15 | | perform the duties and
responsibilities as provided under |
16 | | Section 7.2 of this Act. |
17 | | "Person responsible for the child's welfare" means the |
18 | | child's parent;
guardian; foster parent; relative caregiver; |
19 | | any person responsible for the
child's welfare in a public or |
20 | | private residential agency or institution; any
person |
21 | | responsible for the child's welfare within a public or private |
22 | | profit or
not for profit child care facility; or any other |
23 | | person responsible for the
child's welfare at the time of the |
24 | | alleged abuse or neglect, including any person that is the |
25 | | custodian of a child under 18 years of age who commits or |
26 | | allows to be committed, against the child, the offense of |
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1 | | involuntary servitude, involuntary sexual servitude of a |
2 | | minor, or trafficking in persons for forced labor or services, |
3 | | as provided in Section 10-9 of the Criminal Code of 1961, or |
4 | | any person who
came to know the child through an official |
5 | | capacity or position of trust,
including but not limited to |
6 | | health care professionals, educational personnel,
recreational |
7 | | supervisors, members of the clergy, and volunteers or
support |
8 | | personnel in any setting
where children may be subject to abuse |
9 | | or neglect. |
10 | | "Temporary protective custody" means custody within a |
11 | | hospital or
other medical facility or a place previously |
12 | | designated for such custody
by the Department, subject to |
13 | | review by the Court, including a licensed
foster home, group |
14 | | home, or other institution; but such place shall not
be a jail |
15 | | or other place for the detention of criminal or juvenile |
16 | | offenders. |
17 | | "An unfounded report" means any report made under this Act |
18 | | for which
it is determined after an investigation that no |
19 | | credible evidence of
abuse or neglect exists. |
20 | | "An indicated report" means a report made under this Act if |
21 | | an
investigation determines that credible evidence of the |
22 | | alleged
abuse or neglect exists. |
23 | | "An undetermined report" means any report made under this |
24 | | Act in
which it was not possible to initiate or complete an |
25 | | investigation on
the basis of information provided to the |
26 | | Department. |
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1 | | "Subject of report" means any child reported to the central |
2 | | register
of child abuse and neglect established under Section |
3 | | 7.7 of this Act as an alleged victim of child abuse or neglect |
4 | | and
the parent or guardian of the alleged victim or other |
5 | | person responsible for the alleged victim's welfare who is |
6 | | named in the report or added to the report as an alleged |
7 | | perpetrator of child abuse or neglect. |
8 | | "Perpetrator" means a person who, as a result of |
9 | | investigation, has
been determined by the Department to have |
10 | | caused child abuse or neglect. |
11 | | "Member of the clergy" means a clergyman or practitioner of |
12 | | any religious
denomination accredited by the religious body to |
13 | | which he or she belongs. |
14 | | (Source: P.A. 96-1196, eff. 1-1-11; 96-1446, eff. 8-20-10; |
15 | | 96-1464, eff. 8-20-10; 97-333, eff. 8-12-11.) |
16 | | Section 10. The Adoption Act is amended by changing |
17 | | Sections 10 and 18.3a and by adding Section 18.08 as follows:
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18 | | (750 ILCS 50/10) (from Ch. 40, par. 1512)
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19 | | Sec. 10. Forms of consent and surrender; execution and
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20 | | acknowledgment thereof. |
21 | | A. The form of consent required for the
adoption of a born |
22 | | child shall be substantially as follows:
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23 | | FINAL AND IRREVOCABLE CONSENT TO ADOPTION
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24 | | I, ...., (relationship, e.g., mother, father, relative, |
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1 | | guardian)
of ...., a ..male child, state:
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2 | | That such child was born on .... at ....
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3 | | That I reside at ...., County of .... and State of ....
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4 | | That I am of the age of .... years.
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5 | | That I hereby enter my appearance in this proceeding and |
6 | | waive
service of summons on me.
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7 | | That I hereby acknowledge that I have been provided with a |
8 | | copy of the Birth Parent Rights and Responsibilities-Private |
9 | | Form before signing this Consent and that I have had time to |
10 | | read, or have had read to me, this Form. I understand that if I |
11 | | do not receive any of the rights as described in this Form, it |
12 | | shall not constitute a basis to revoke this Final and |
13 | | Irrevocable Consent. |
14 | | That I do hereby consent and agree to the adoption of such |
15 | | child.
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16 | | That I wish to and understand that by signing this consent |
17 | | I do
irrevocably and permanently give up all custody and other |
18 | | parental
rights I have to such child.
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19 | | That I understand such child will be placed for adoption |
20 | | and that I
cannot under any circumstances, after signing this |
21 | | document, change my
mind and revoke or cancel this consent or |
22 | | obtain or recover custody or
any other rights over such child. |
23 | | That I have read and understand the
above and I am signing it |
24 | | as my free and voluntary act.
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25 | | Dated (insert date).
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26 | | .........................
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1 | | If under Section 8 the consent of more than one person is |
2 | | required,
then each such person shall execute a separate |
3 | | consent.
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4 | | A-1. (1) The form of the Final and Irrevocable Consent to |
5 | | Adoption by a Specified Person or Persons: Non-DCFS Case set |
6 | | forth in this subsection A-1 is to be used by legal parents |
7 | | only. This form is not to be used in cases in which there is a |
8 | | pending petition under Section 2-13 of the Juvenile Court Act |
9 | | of 1987. |
10 | | (2) The form of the Final and Irrevocable Consent to |
11 | | Adoption by a Specified Person or Persons in a non-DCFS case |
12 | | shall have the caption of the proceeding in which it is to be |
13 | | filed and shall be substantially as follows: |
14 | | FINAL AND IRREVOCABLE CONSENT TO ADOPTION BY |
15 | | A SPECIFIED PERSON OR PERSONS; NON-DCFS CASE |
16 | | I, ...., (relationship, e.g., mother, father) of ...., a |
17 | | ..male child, state: |
18 | | 1. That such child was born on ...., at ....., City of ... |
19 | | and State of .... |
20 | | 2. That I reside at ...., County of .... and State of .... |
21 | | 3. That I am of the age of .... years. |
22 | | 4. That I hereby enter my appearance in this proceeding and |
23 | | waive service of summons on me. |
24 | | 5. That I hereby acknowledge that I have been provided a |
25 | | copy of the Birth Parent Rights and Responsibilities-Private |
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1 | | Form before signing this Consent and that I have had time to |
2 | | read, or have had read to me, this Form and that I understand |
3 | | the Rights and Responsibilities described in this Form. I |
4 | | understand that if I do not receive any of my rights as |
5 | | described in said Form, it shall not constitute a basis to |
6 | | revoke this Final and Irrevocable Consent to Adoption by a |
7 | | Specified Person. |
8 | | 6. That I do hereby consent and agree to the adoption of |
9 | | such child by .... (specified persons) only. |
10 | | 7. That I wish to and understand that upon signing this |
11 | | consent I do irrevocably and permanently give up all custody |
12 | | and other parental rights I have to such child if such child is |
13 | | adopted by .... (specified person or persons). I hereby |
14 | | transfer all of my rights to the custody, care and control of |
15 | | such child to ............................. (specified person |
16 | | or persons). |
17 | | 8. That I understand such child will be adopted by |
18 | | ....................... (specified person or persons) and that |
19 | | I cannot under any circumstances, after signing this document, |
20 | | change my mind and revoke or cancel this consent or obtain or |
21 | | recover custody or any other rights over such child if |
22 | | ............................ (specified person or persons) |
23 | | adopt(s) such child; PROVIDED that each specified person has |
24 | | filed or shall file, within 60 days from the date hereof, a |
25 | | petition for the adoption of such child. |
26 | | 9. That if the specified person or persons designated |
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1 | | herein do not file a petition for adoption within the |
2 | | time-frame specified above, or, if said petition for adoption |
3 | | is filed within the time-frame specified above but the adoption |
4 | | petition is dismissed with prejudice or the adoption proceeding |
5 | | is otherwise concluded without an order declaring the child to |
6 | | be the adopted child of the specified person or persons, then I |
7 | | understand that I will receive written notice of such |
8 | | circumstances within 10 business days of their occurrence. I |
9 | | understand that the notice will be directed to me using the |
10 | | contact information I have provided in this consent. I |
11 | | understand that I will have 10 business days from the date that |
12 | | the written notice is sent to me to respond, within which time |
13 | | I may request the Court to declare this consent voidable and |
14 | | return the child to me. I further understand that the Court |
15 | | will make the final decision of whether or not the child will |
16 | | be returned to me. If I do not make such request within 10 |
17 | | business days of the date of the notice, then I expressly waive |
18 | | any other notice or service of process in any legal proceeding |
19 | | for the adoption of the child. |
20 | | 10. That I expressly acknowledge that nothing in this |
21 | | Consent
impairs the validity and absolute finality of this
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22 | | Consent under any circumstance other than those described in
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23 | | paragraph 9 of this Consent. |
24 | | 11. That I understand that I have a remaining duty and
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25 | | obligation to keep .............. (insert name and address of |
26 | | the attorney
for the specified person or persons) informed of |
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1 | | my current
address or other preferred contact information until |
2 | | this adoption has been finalized. My failure to
do so may |
3 | | result in the termination of my parental rights and
the child |
4 | | being placed for adoption in another home. |
5 | | 12. That I do expressly waive any other notice or service |
6 | | of process in any of the legal proceedings for the adoption of |
7 | | the child as long as the adoption proceeding by the specified |
8 | | person or persons is pending. |
9 | | 13. That I have read and understand the above and I am |
10 | | signing it as my free and voluntary act. |
11 | | 14. That I acknowledge that this consent is valid even if |
12 | | the specified person or persons separate or divorce or one of |
13 | | the specified persons dies prior to the entry of the final |
14 | | judgment for adoption. |
15 | | Dated (insert date). |
16 | | ............................................. |
17 | | Signature of parent. |
18 | | ............................................. |
19 | | Address of parent. |
20 | | ............................................. |
21 | | Phone number(s) of parent. |
22 | | ............................................. |
23 | | Personal email(s) of parent. |
24 | | ............................................. |
25 | | (3) The form of the certificate of acknowledgement for a |
26 | | Final and Irrevocable Consent for Adoption by a Specified |
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1 | | Person or Persons: Non-DCFS Case shall be substantially as |
2 | | follows: |
3 | | STATE OF ..............)
|
4 | | ) SS.
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5 | | COUNTY OF .............) |
6 | | I, .................... (Name of Judge or other person), |
7 | | ..................... (official title, name, and address), |
8 | | certify that ............., personally known to me to be the |
9 | | same person whose name is subscribed to the foregoing Final and |
10 | | Irrevocable Consent for Adoption by a Specified Person or |
11 | | Persons; non-DCFS case, appeared before me this day in person |
12 | | and acknowledged that (she)(he) signed and delivered the |
13 | | consent as (her)(his) free and voluntary act, for the specified |
14 | | purpose. I am further satisfied that, before signing this |
15 | | Consent, ........ has read, or has had read to him or her, the |
16 | | Birth Parent Rights and Responsibilities-Private Form. |
17 | | A-2. Birth Parent Rights and Responsibilities-Private |
18 | | Form. The Birth Parent Rights and Responsibilities-Private |
19 | | Form must be read by, or have been read to, any person |
20 | | executing a Final and Irrevocable Consent to Adoption under |
21 | | subsection A, a Final and Irrevocable Consent to Adoption by a |
22 | | Specified Person or Persons: Non-DCFS Case under subsection |
23 | | A-1, or a Consent to Adoption of Unborn Child under subsection |
24 | | B prior to the execution of said Consent. The form of the Birth |
25 | | Parent Rights and Responsibilities-Private Form shall be |
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1 | | substantially as follows: |
2 | | Birth Parent Rights and Responsibilities-Private Form |
3 | | As a birth parent in the State of Illinois, you have the |
4 | | right: |
5 | | 1. To have your own attorney represent you. The prospective |
6 | | adoptive parents may agree to pay for the cost of your attorney |
7 | | in a manner consistent with Illinois law, but they are not |
8 | | required to do so. |
9 | | 2. To be treated with dignity and respect at all times and |
10 | | to make decisions free from coercion and pressure. |
11 | | 3. To receive counseling before and after signing a Final |
12 | | and Irrevocable Consent to Adoption ("Consent"), a Final and |
13 | | Irrevocable Consent to Adoption by a Specified Person or |
14 | | Persons: Non-DCFS Case ("Specified Consent"), or a Consent to |
15 | | Adoption of Unborn Child ("Unborn Consent"). The prospective |
16 | | adoptive parents may agree to pay for the cost of counseling in |
17 | | a manner consistent with Illinois law, but they are not |
18 | | required to do so. |
19 | | 4. To ask to be involved in choosing your child's |
20 | | prospective adoptive parents and to ask to meet them. |
21 | | 5. To ask your child's prospective adoptive parents any |
22 | | questions that pertain to your decision to place your child |
23 | | with them. |
24 | | 6. To see your child before signing a Consent or Specified |
25 | | Consent. |
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 register with the Illinois Adoption |
12 | | Registry and Medical Information Exchange. |
13 | | 10. To work with an adoption agency or attorney of your |
14 | | choice, or change said agency or attorney, provided you |
15 | | promptly inform all of the parties currently involved. |
16 | | 11. To receive, upon request, a written list of any |
17 | | promised support, financial or otherwise, from your attorney or |
18 | | the attorney for your child's prospective adoptive parents. |
19 | | 12. To delay signing a Consent, Specified Consent, or |
20 | | Unborn Consent if you are not ready to do so. |
21 | | 13. To decline to sign a Consent, Specified Consent, or |
22 | | Unborn Consent even if you have received financial support from |
23 | | the prospective adoptive parents. |
24 | | If you do not receive any of the rights described in this |
25 | | Form, it shall not be a basis to revoke a Consent, Specified |
26 | | Consent, or Unborn Consent. |
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1 | | As a Birth Parent in the State of Illinois, you have the |
2 | | responsibility: |
3 | | 1. To carefully consider your reasons for choosing |
4 | | adoption. |
5 | | 2. To voluntarily provide all known medical, background, |
6 | | and family information about yourself and your immediate family |
7 | | to your child's prospective adoptive parents or their attorney. |
8 | | For the health of your child, you are strongly encouraged, but |
9 | | not required, to provide all known medical, background, and |
10 | | family history information about yourself and your family to |
11 | | your child's prospective adoptive parents or their attorney. |
12 | | 3. (Birth mothers only) To accurately complete an Affidavit |
13 | | of Identification, which identifies the father of the child |
14 | | when known, with the understanding that a birth mother has a |
15 | | right to decline to identify the birth father. |
16 | | 4. To not accept financial support or reimbursement of |
17 | | pregnancy related expenses simultaneously from more than one |
18 | | source. |
19 | | B. The form of consent required for the adoption of an |
20 | | unborn child
shall be substantially as follows:
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21 | | CONSENT TO ADOPTION OF UNBORN CHILD
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22 | | I, ...., state:
|
23 | | That I am the father of a child expected to be born on or |
24 | | about ....
to .... (name of mother).
|
25 | | That I reside at .... County of ...., and State of .....
|
26 | | That I am of the age of .... years.
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1 | | That I hereby enter my appearance in such adoption |
2 | | proceeding and
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 Consent to Adoption |
9 | | of Unborn Child. |
10 | | That I do hereby consent and agree to the adoption of such |
11 | | child, and
that I have not previously executed a consent or |
12 | | surrender with respect
to such child.
|
13 | | That I wish to and do understand that by signing this |
14 | | consent I do
irrevocably and permanently give up all custody |
15 | | and other parental
rights I have to such child, except that I |
16 | | have the right to revoke this
consent by giving written notice |
17 | | of my revocation not later than 72
hours after the birth of the |
18 | | child.
|
19 | | That I understand such child will be placed for adoption |
20 | | and that,
except as hereinabove provided, I cannot under any |
21 | | circumstances, after
signing this document, change my mind and |
22 | | revoke or cancel this consent
or obtain or recover custody or |
23 | | any other rights over such child.
|
24 | | That I have read and understand the above and I am signing |
25 | | it as my
free and voluntary act.
|
26 | | Dated (insert date).
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1 | | ........................
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2 | | B-5. (1) The parent of a child may execute a consent to |
3 | | standby
adoption by a specified person or persons. A consent |
4 | | under this subsection B-5
shall be acknowledged by a parent |
5 | | pursuant to subsection H and subsection K of
this Section.
The |
6 | | form of consent required for the standby adoption of a born |
7 | | child
effective at a future date when the consenting
parent of |
8 | | the child dies or
requests that a final judgment of adoption be |
9 | | entered shall be substantially as
follows:
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10 | | FINAL AND IRREVOCABLE CONSENT
|
11 | | TO STANDBY ADOPTION
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12 | | I, ..., (relationship, e.g. mother or father)
of ...., a |
13 | | ..male child, state:
|
14 | | That the child was born on .... at .....
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15 | | That I reside at ...., County of ...., and State of .....
|
16 | | That I am of the age of .... years.
|
17 | | That I hereby enter my appearance in this proceeding and |
18 | | waive service of
summons on me in this action only.
|
19 | | That I do hereby consent and
agree to the standby adoption |
20 | | of the child, and that I have not previously
executed a consent |
21 | | or surrender with respect to the child.
|
22 | | That I wish to and understand that by signing this consent |
23 | | I do irrevocably
and permanently give up all custody and other |
24 | | parental rights I have to the
child, effective upon
(my death) |
25 | | (the child's other parent's death) or upon (my) (the other
|
26 | | parent's) request for the entry of a final judgment for |
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1 | | adoption if .....
(specified person or persons) adopt my child.
|
2 | | That I understand that until (I die) (the child's other |
3 | | parent dies), I
retain all legal rights and obligations |
4 | | concerning the child, but at that time,
I irrevocably give all |
5 | | custody and other parental rights to .... (specified
person or |
6 | | persons).
|
7 | | I understand my child will be adopted by ....... (specified |
8 | | person or
persons) only and that I cannot, under any |
9 | | circumstances, after signing this
document, change my mind and |
10 | | revoke or cancel this consent or obtain or recover
custody or |
11 | | any other rights over my child if ..... (specified person or
|
12 | | persons) adopt my child.
|
13 | | I understand that this consent to standby adoption is valid |
14 | | only if the
petition for standby adoption is filed and that if |
15 | | ....... (specified person or
persons), for any reason, cannot |
16 | | or will not file a petition for standby
adoption or if his, |
17 | | her, or their petition for standby adoption is denied, then
|
18 | | this consent is void. I have the right to notice of any other |
19 | | proceeding that
could affect my parental rights.
|
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 | | If under Section 8 the consent of more than one person is |
25 | | required, then each
such
person shall execute a separate |
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1 | | consent. A separate consent shall be executed
for each
child.
|
2 | | (2) If the parent consents to a standby adoption by 2 |
3 | | specified persons,
then the form shall contain 2 additional |
4 | | paragraphs in substantially the
following form:
|
5 | | If .... (specified persons) obtain a judgment of
|
6 | | dissolution of
marriage before the judgment for adoption is |
7 | | entered, then .....
(specified person) shall adopt my child. I |
8 | | understand that I cannot change my
mind and revoke this consent |
9 | | or obtain or recover custody of my child if .....
(specified |
10 | | persons) obtain a judgment of dissolution of marriage and .....
|
11 | | (specified person) adopts my child. I understand that I cannot |
12 | | change my
mind and revoke this consent if ...... (specified |
13 | | persons) obtain a
judgment of dissolution of marriage before |
14 | | the adoption is final. I
understand that this consent to |
15 | | adoption has no effect on who will get custody
of my child if |
16 | | ..... (specified persons) obtain a judgment of dissolution
of |
17 | | marriage after the adoption is final. I understand that if |
18 | | either .....
(specified persons) dies before the petition to |
19 | | adopt my child is granted, then
the surviving person may adopt |
20 | | my child. I understand that I cannot change my
mind and revoke |
21 | | this consent or obtain or recover custody of my child if the
|
22 | | surviving person adopts my child.
|
23 | | A consent to standby adoption by specified persons on this |
24 | | form shall have no
effect on a court's determination of custody |
25 | | or visitation under the Illinois
Marriage and Dissolution
of |
26 | | Marriage Act if the marriage of the specified persons is |
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1 | | dissolved before
the adoption is final.
|
2 | | (3) The form of the certificate of acknowledgement for a |
3 | | Final and
Irrevocable Consent for Standby Adoption shall be |
4 | | substantially as follows:
|
5 | | STATE OF .....)
|
6 | | ) SS.
|
7 | | COUNTY OF ....)
|
8 | | I, ....... (name of Judge or other person) ..... (official |
9 | | title,
name, and address), certify that ......., personally |
10 | | known to me to be
the same person whose name is subscribed to |
11 | | the foregoing Final and Irrevocable
Consent to Standby |
12 | | Adoption, 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 this consent to adoption is |
17 | | valid only if the
petition to adopt is filed, and that if the |
18 | | specified person or persons, for
any reason, cannot or will not |
19 | | adopt the child or if the adoption petition is
denied, then |
20 | | this consent will be void. I have fully explained that if the
|
21 | | specified person or persons adopt the child, by signing this |
22 | | consent (she) (he)
is irrevocably and permanently |
23 | | relinquishing all parental rights to the child,
and (she) (he) |
24 | | has stated that such is (her) (his) intention and desire.
|
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1 | | Dated (insert date).
|
2 | | Signature ..............................
|
3 | | (4) If a consent to standby adoption is executed in this |
4 | | form,
the consent shall be valid only if the specified
person |
5 | | or persons adopt the child. The consent shall be void if:
|
6 | | (a) the specified person or persons do not file a petition |
7 | | for standby
adoption of the child; or
|
8 | | (b) a court denies the standby adoption petition.
|
9 | | The parent shall not need to take further action to revoke |
10 | | the consent if the
standby adoption by the specified person or |
11 | | persons does not occur,
notwithstanding the provisions of |
12 | | Section 11 of this Act.
|
13 | | C. The form of surrender to any agency given by a parent of |
14 | | a born
child who is to be subsequently placed for adoption |
15 | | shall be
substantially as follows and shall contain such other |
16 | | facts and
statements as the particular agency shall require.
|
17 | | FINAL AND IRREVOCABLE SURRENDER
|
18 | | FOR PURPOSES OF ADOPTION
|
19 | | I, .... (relationship, e.g., mother, father, relative, |
20 | | guardian) of
...., a ..male 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.
|
24 | | That I do hereby surrender and entrust the entire custody |
25 | | and control
of such child to the .... (the "Agency"), a |
26 | | (public) (licensed) child
welfare agency with its principal |
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1 | | office in the City of ...., County of
.... and State of ...., |
2 | | for the purpose of enabling it to care for and
supervise the |
3 | | care of such child, to place such child for adoption and
to |
4 | | consent to the legal adoption of such child.
|
5 | | That I hereby grant to the Agency full power and authority |
6 | | to place
such child with any person or persons it may in its |
7 | | sole discretion
select to become the adopting parent or parents |
8 | | and to consent to the
legal adoption of such child by such |
9 | | person or persons; and to take any
and all measures which, in |
10 | | the judgment of the Agency, may be for the
best interests of |
11 | | such child, including authorizing medical, surgical
and dental |
12 | | care and treatment including inoculation and anaesthesia for
|
13 | | such child.
|
14 | | That I wish to and understand that by signing this |
15 | | surrender I do
irrevocably and permanently give up all custody |
16 | | and other parental
rights I have to such child.
|
17 | | That I understand I cannot under any circumstances, after |
18 | | signing
this surrender, change my mind and revoke or cancel |
19 | | this surrender or
obtain or recover custody or any other rights |
20 | | over such child.
|
21 | | That I have read and understand the above and I am signing |
22 | | it as my
free and voluntary act.
|
23 | | Dated (insert date).
|
24 | | ........................
|
25 | | C-5. The form of a Final and Irrevocable Designated |
26 | | 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 and |
4 | | 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 child, state: |
9 | | 1. That such child was born on ...., at ..... |
10 | | 2. That I reside at ...., County of ...., and State of |
11 | | ..... |
12 | | 3. That I am of the age of .... years. |
13 | | 4. That I do hereby surrender and entrust the entire |
14 | | custody and control of such child to the .... (the "Agency"), a |
15 | | (public) (licensed) child welfare agency with its principal |
16 | | office in the City of ...., County of .... and State of ...., |
17 | | for the purpose of enabling it to care for and supervise the |
18 | | care of such child, to place such child for adoption with |
19 | | ............................. (specified person or persons) |
20 | | and to consent to the legal adoption of such child and to take |
21 | | any and all measures which, in the judgment of the Agency, may |
22 | | be for the best interests of such child, including authorizing |
23 | | medical, surgical and dental care and treatment including |
24 | | inoculation and anesthesia for such child. |
25 | | 5. That I wish to and understand that by signing this |
26 | | surrender I do irrevocably and permanently give up all custody |
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1 | | and other parental rights I have to such child. |
2 | | 6. That if the petition for adoption is not filed by the
|
3 | | specified person or persons designated herein or, if the
|
4 | | petition for adoption is filed but the adoption petition is
|
5 | | dismissed with prejudice or the adoption proceeding is
|
6 | | otherwise concluded without an order declaring the child to be
|
7 | | the adopted child of each specified person, then I understand |
8 | | that the Agency will provide notice to me within 10 business |
9 | | days and that such notice will be directed to me using the |
10 | | contact information I have provided to the Agency. I understand |
11 | | that I will have 10 business days from the date that the Agency |
12 | | sends me its notice to respond, within which time I may choose |
13 | | to designate other adoptive parent(s). However, I acknowledge |
14 | | that
the Agency has full power and authority to place the child |
15 | | for adoption with
any person or persons it may in its sole |
16 | | discretion select to
become the adopting parent or parents and |
17 | | to consent to the
legal adoption of the child by such person or |
18 | | persons. |
19 | | 7. That I acknowledge that this surrender is valid even if |
20 | | the specified persons separate or divorce or one of the |
21 | | specified persons dies prior to the entry of the final judgment |
22 | | for adoption. |
23 | | 8. That I expressly acknowledge that the above paragraphs 6 |
24 | | and 7 do not impair the validity and absolute finality of this |
25 | | surrender under any circumstance. |
26 | | 9. That I understand that I have a remaining obligation to |
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1 | | keep the Agency informed of my current contact information |
2 | | until the adoption of the child has been finalized if I wish to |
3 | | be notified in the event the adoption by the specified |
4 | | person(s) cannot proceed. |
5 | | 10. That I understand I cannot under any circumstances, |
6 | | after signing this surrender, change my mind and revoke or |
7 | | cancel this surrender or obtain or recover custody or any other |
8 | | rights over such child. |
9 | | 11. That I have read and understand the above and I am |
10 | | signing it as my free and voluntary act. |
11 | | Dated (insert date). |
12 | | .............................. |
13 | | D. The form of surrender to an agency given by a parent of |
14 | | an unborn
child who is to be subsequently placed for adoption |
15 | | shall be
substantially as follows and shall contain such other |
16 | | facts and
statements as the particular agency shall require.
|
17 | | SURRENDER OF UNBORN CHILD FOR
|
18 | | PURPOSES OF ADOPTION
|
19 | | I, .... (father), state:
|
20 | | That I am the father of a child expected to be born on or |
21 | | about ....
to .... (name of mother).
|
22 | | That I reside at ...., County of ...., and State of .....
|
23 | | That I am of the age of .... years.
|
24 | | That I do hereby surrender and entrust the entire custody |
25 | | and control
of such child to the .... (the "Agency"), a |
26 | | (public) (licensed) child
welfare agency with its principal |
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1 | | office in the City of ...., County of
.... and State of ...., |
2 | | for the purpose of enabling it to care for and
supervise the |
3 | | care of such child, to place such child for adoption and
to |
4 | | consent to the legal adoption of such child, and that I have |
5 | | not
previously executed a consent or surrender with respect to |
6 | | such child.
|
7 | | That I hereby grant to the Agency full power and authority |
8 | | to place
such child with any person or persons it may in its |
9 | | sole discretion
select to become the adopting parent or parents |
10 | | and to consent to the
legal adoption of such child by such |
11 | | person or persons; and to take any
and all measures which, in |
12 | | the judgment of the Agency, may be for the
best interests of |
13 | | such child, including authorizing medical, surgical
and dental |
14 | | care and treatment, including inoculation and anaesthesia for
|
15 | | such child.
|
16 | | That I wish to and understand that by signing this |
17 | | surrender I do
irrevocably and permanently give up all custody |
18 | | and other parental
rights I have to such child.
|
19 | | That I understand I cannot under any circumstances, after |
20 | | signing
this surrender, change my mind and revoke or cancel |
21 | | this surrender or
obtain or recover custody or any other rights |
22 | | over such child, except
that I have the right to revoke this |
23 | | surrender by giving written notice
of my revocation not later |
24 | | than 72 hours after the birth of such child.
|
25 | | That I have read and understand the above and I am signing |
26 | | it as my
free and voluntary act.
|
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1 | | Dated (insert date).
|
2 | | ........................
|
3 | | E. The form of consent required from the parents for the |
4 | | adoption of
an adult, when such adult elects to obtain such |
5 | | consent, shall be
substantially as follows:
|
6 | | CONSENT
|
7 | | I, ...., (father) (mother) of ...., an adult, state:
|
8 | | That I reside at ...., County of .... and State of .....
|
9 | | That I do hereby consent and agree to the adoption of such |
10 | | adult by
.... and .....
|
11 | | Dated (insert date).
|
12 | | .........................
|
13 | | F. The form of consent required for the adoption of a child |
14 | | of the
age of 14 years or upwards, or of an adult, to be given |
15 | | by such person,
shall be substantially as follows:
|
16 | | CONSENT
|
17 | | I, ...., state:
|
18 | | That I reside at ...., County of .... and State of ..... |
19 | | That I am
of the age of .... years. That I consent and agree to |
20 | | my adoption by
.... and .....
|
21 | | Dated (insert date).
|
22 | | ........................
|
23 | | G. The form of consent given by an agency to the adoption |
24 | | by
specified persons of a child previously surrendered to it |
25 | | shall set
forth that the agency has the authority to execute |
26 | | such consent. The
form of consent given by a guardian of the |
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1 | | person of a child sought to
be adopted, appointed by a court of |
2 | | competent jurisdiction, shall set
forth the facts of such |
3 | | appointment and the authority of the guardian to
execute such |
4 | | consent.
|
5 | | H. A consent (other than that given by an agency, or |
6 | | guardian of the
person of the child sought to be adopted who |
7 | | was appointed by a court of
competent jurisdiction) shall be |
8 | | acknowledged by a parent before a judge of a court of competent |
9 | | jurisdiction or, except as otherwise provided in
this Act, |
10 | | before a representative of an agency, or before a person, other |
11 | | than the attorney for the prospective adoptive parent or |
12 | | parents, designated by a court of competent
jurisdiction.
|
13 | | I. A surrender, or any other document equivalent to a |
14 | | surrender, by
which a child is surrendered to an agency shall |
15 | | be acknowledged by the
person signing such surrender, or other |
16 | | document, before a judge of a court of competent jurisdiction, |
17 | | or, except as otherwise provided in this Act, before a |
18 | | representative of an agency, or before a person designated by a |
19 | | court
of competent jurisdiction.
|
20 | | J. The form of the certificate of acknowledgment for a |
21 | | consent, a
surrender, or any other document equivalent to a |
22 | | surrender, shall be
substantially as follows:
|
23 | | STATE OF ....)
|
24 | | ) SS.
|
25 | | COUNTY OF ...)
|
26 | | 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 ...)
|
25 | | I, a Notary Public, in and for the County of ......, in the |
26 | | State of
......, certify that ...., personally known to me to |
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1 | | be the
same person whose name is subscribed to the foregoing |
2 | | certificate of
acknowledgment, appeared before me in person and |
3 | | acknowledged that (she)
(he) signed such certificate as (her) |
4 | | (his) free and voluntary act and
that the statements made in |
5 | | the certificate are true.
|
6 | | Dated (insert date).
|
7 | | Signature ...................... Notary Public
|
8 | | (official seal)
|
9 | | There shall be attached a certificate of magistracy, or |
10 | | other
comparable proof of office of the notary public |
11 | | satisfactory to the
court, to a consent signed and acknowledged |
12 | | in another state.
|
13 | | L. A surrender or consent executed and acknowledged outside |
14 | | of this
State, either in accordance with the law of this State |
15 | | or in accordance
with the law of the place where executed, is |
16 | | valid.
|
17 | | M. Where a consent or a surrender is signed in a foreign |
18 | | country,
the execution of such consent shall be acknowledged or |
19 | | affirmed in a
manner conformable to the law and procedure of |
20 | | such country.
|
21 | | N. If the person signing a consent or surrender is in the |
22 | | military
service of the United States, the execution of such |
23 | | consent or surrender
may be acknowledged before a commissioned |
24 | | officer and the signature of
such officer on such certificate |
25 | | shall be verified or acknowledged
before a notary public or by |
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1 | | such other procedure as is then in effect
for such division or |
2 | | branch of the armed forces.
|
3 | | O. (1) The parent or parents of a child in whose interests |
4 | | a petition
under Section 2-13 of the Juvenile Court Act of 1987 |
5 | | is pending may, with the
approval of the designated |
6 | | representative of the Department of Children and
Family |
7 | | Services ("Department" or "DCFS") , execute a consent to |
8 | | adoption by a specified person or
persons:
|
9 | | (a) in whose physical custody the child has resided for |
10 | | at least 6
months;
or
|
11 | | (b) in whose physical custody at least one sibling of |
12 | | the child who is the
subject of this consent has resided |
13 | | for at least 6 months, and
the child who is
the subject of |
14 | | this consent is currently residing in this foster home; or
|
15 | | (c) in whose physical custody a child under one year of |
16 | | age has resided
for at least 3 months.
|
17 | | The court may waive the time frames in subdivisions (a), (b), |
18 | | and (c) for good cause shown if the court finds it to be in the |
19 | | child's best interests. |
20 | | A consent under this subsection O shall be acknowledged by a |
21 | | parent pursuant to
subsection H and subsection K of this |
22 | | Section.
|
23 | | (2) The final and irrevocable consent to adoption by a |
24 | | specified person or persons in a Department of Children and |
25 | | Family Services (DCFS) case consent to adoption by a specified |
26 | | person or persons shall have the
caption of the proceeding in |
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1 | | which it is to be filed and 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) of a ....male child, |
6 | | state:
|
7 | | 1. My child ............................ (name of |
8 | | child) was born on
(insert date) at .................... |
9 | | Hospital in the municipality of ........., in
|
10 | | ................ County, State of ...............
|
11 | | 2. I reside at ......................, County of |
12 | | ............. and
State of .............. |
13 | | Mail may also be sent to me at this address |
14 | | ............................, in care of ................. |
15 | | My home telephone number is .......................... |
16 | | My cell telephone number is .......................... |
17 | | My e-mail address is .................................
|
18 | | 3. I, ..........................., am .... years old.
|
19 | | 4. I enter my appearance in this action for my child to |
20 | | be adopted to adopt my child by the
person or persons |
21 | | specified herein by me and waive service of
summons on me |
22 | | in this action only.
|
23 | | 5. I hereby acknowledge that I have been provided a |
24 | | copy of the Birth Parent Rights and Responsibilities for |
25 | | DCFS Cases before signing this Consent and that I have had |
26 | | time to read this form or have it read to me and that I |
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1 | | understand the rights and responsibilities described in |
2 | | this form. I understand that if I do not receive any of my |
3 | | rights as described in the form, it shall not constitute a |
4 | | basis to revoke this Final and Irrevocable Consent to |
5 | | Adoption by a Specified Person or Persons. |
6 | | 6. I do hereby consent and agree to the adoption of |
7 | | such child by .......... (specified person or persons) |
8 | | only. |
9 | | 7. I wish to sign this consent and I understand that by |
10 | | signing this consent I irrevocably and permanently give up |
11 | | all my parental rights I have to my child. |
12 | | 8. I understand that this consent allows my child to be |
13 | | adopted by .......... only and that I cannot under any |
14 | | circumstances after signing this document change my mind |
15 | | and revoke or cancel this consent. |
16 | | 9. I understand that this consent will be void if: |
17 | | (a) the Department places my child with someone |
18 | | other than the specified person or persons; or |
19 | | (b) a court denies the adoption petition for the |
20 | | specified person or persons to adopt my child; or |
21 | | (c) the DCFS Guardianship Administrator refuses to |
22 | | consent to my child's adoption by the specified person |
23 | | or persons on the basis that the adoption is not in my |
24 | | child's best interests. |
25 | | I understand that if this consent is void I have |
26 | | parental rights to my child, subject to any applicable |
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1 | | court orders including those entered under Article II of |
2 | | the Juvenile Court Act of 1987, unless and until I sign a |
3 | | new consent or surrender or my parental rights are |
4 | | involuntarily terminated. I understand that if this |
5 | | consent is void, my child may be adopted by someone other |
6 | | than the specified person or persons only if I sign a new |
7 | | consent or surrender, or my parental rights are |
8 | | involuntarily terminated. I understand that if this |
9 | | consent is void, the Department will notify me within 30 |
10 | | days using the addresses and telephone numbers I provided |
11 | | in paragraph 2 of this form. I understand that if I receive |
12 | | such a notice, it is very important that I contact the |
13 | | Department immediately, and preferably within 30 days, to |
14 | | have input into the plan for my child's future. |
15 | | 10. I understand that if a petition for adoption of my |
16 | | child is filed by someone other than the specified person |
17 | | or persons, the Department will notify me within 14 days |
18 | | after the Department becomes aware of the petition. The |
19 | | fact that someone other than the specified person or |
20 | | persons files a petition to adopt my child does not make |
21 | | this consent void. |
22 | | 11. If a person other than the specified person or |
23 | | persons files a petition to adopt my child or if the |
24 | | consent is void under paragraph 9, the Department will send |
25 | | written notice to me using the mailing address and email |
26 | | address provided by me in paragraph 2 of this form. The |
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1 | | Department will also contact me using the telephone numbers |
2 | | I provided in paragraph 2 of this form. It is very |
3 | | important that I let the Department know if any of my |
4 | | contact information changes. If I do not let the Department |
5 | | know if any of my contact information changes, I understand |
6 | | that I may not receive notification from the Department if |
7 | | this consent is void or if someone other than the specified |
8 | | person or persons files a petition to adopt my child. If |
9 | | any of my contact information changes, I should immediately |
10 | | notify: |
11 | | Caseworker's name and telephone number: |
12 | | ............................................................; |
13 | | Agency name, address, zip code, and telephone number: |
14 | | ............................................................; |
15 | | Supervisor's name and telephone number: |
16 | | ............................................................; |
17 | | DCFS Advocacy Office for Children and Families: |
18 | | 800-232-3798. |
19 | | 12. I expressly acknowledge that paragraph 9 (and |
20 | | paragraphs 8a and 8b, if applicable) do not impair the |
21 | | validity and finality of this consent under any |
22 | | circumstances.
|
23 | | I consent to the adoption of my child by
|
24 | | .............................
(specified person or |
25 | | persons) only.
|
26 | | I wish to sign this consent and I understand that by |
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1 | | signing this
consent I irrevocably and permanently give up |
2 | | all parental rights I have to my
child if my child is |
3 | | adopted by ............................. (specified person
|
4 | | or persons).
|
5 | | I understand my child will be adopted by |
6 | | .............................
(specified person or |
7 | | persons) only and that I cannot under any circumstances,
|
8 | | after signing this document, change my mind and revoke or |
9 | | cancel this consent
or obtain or recover custody or any |
10 | | other rights over my child if
............................ |
11 | | (specified person or persons) adopt my child.
|
12 | | I understand that this consent to adoption is valid |
13 | | only if the
petition to adopt is filed within one year from |
14 | | the date that I sign it and
that if ....................... |
15 | | (specified person or persons), for any reason,
cannot or |
16 | | will not file a petition to adopt my child within that one |
17 | | year
period or if their adoption petition is denied, then |
18 | | this consent will be
voidable after one year upon the |
19 | | timely filing of my motion. If I file this
motion before |
20 | | the filing of the petition for adoption, I understand that |
21 | | the
court shall revoke this specific consent.
I have the |
22 | | right to notice of any other proceeding that could affect |
23 | | my
parental rights, except for the proceeding for |
24 | | ............. (specified person
or persons) to adopt my |
25 | | child.
|
26 | |
13. I have read and understand the above and I am |
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1 | | signing it as my free
and voluntary act.
|
2 | | Dated (insert date).
|
3 | | .............................................
|
4 | | Signature of parent
|
5 | | (3) If the parent consents to an adoption by 2 specified |
6 | | persons, then the
form shall contain 2 additional paragraphs in |
7 | | substantially the following form:
|
8 | | 8a. If ............... (specified persons) get a |
9 | | divorce
or are granted a dissolution of a civil union |
10 | | before the petition to adopt my child is granted, this |
11 | | consent is valid for ........... (specified person) to |
12 | | adopt my child. I understand that I cannot change my mind |
13 | | or revoke this consent or recover custody of my child on |
14 | | the basis that the specified persons divorce or are granted |
15 | | a dissolution of a civil union. then ..........
(specified |
16 | | person) shall adopt my child. I understand that I
cannot |
17 | | change my mind and revoke this consent or obtain or
recover |
18 | | custody over my child if ............. (specified persons)
|
19 | | divorce and ............. (specified person) adopts my
|
20 | | child. I understand that I cannot change my mind and revoke
|
21 | | this consent or obtain or recover custody over my child if
|
22 | | ................. (specified persons) divorce after the
|
23 | | adoption is final. I understand that this consent to |
24 | | adoption
has no effect on who will get custody of my child |
25 | | if they
divorce after the adoption is final.
|
26 | | 8b. I understand that if either ...............
|
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1 | | (specified persons) dies before the petition to adopt
my |
2 | | child is granted, this consent remains valid for the |
3 | | surviving person to adopt my child. I understand that I |
4 | | cannot change my mind or revoke this consent or recover |
5 | | custody of my child on the basis that one of the specified |
6 | | persons dies. then the surviving person can adopt my child. |
7 | | I
understand that I cannot change my mind and revoke this |
8 | | consent
or obtain or recover custody over my child if the |
9 | | surviving
person adopts my child.
|
10 | | A consent to adoption by specified persons on this form |
11 | | shall
have no effect on a court's determination of custody or |
12 | | visitation
under the Illinois Marriage and Dissolution of |
13 | | Marriage Act if the
marriage of the
specified persons is |
14 | | dissolved after the adoption is final.
|
15 | | (4) The form of the certificate of acknowledgement for a |
16 | | Final and
Irrevocable Consent for Adoption by a Specified |
17 | | Person or Persons: DCFS Case shall be
substantially as follows:
|
18 | | STATE OF ..............)
|
19 | | ) SS.
|
20 | | COUNTY OF .............)
|
21 | | I, .................... (Name of Judge or other person),
|
22 | | ..................... (official title, name, and address),
|
23 | | certify that ............., personally known to me to be the |
24 | | same person whose
name is subscribed to the foregoing Final and |
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1 | | Irrevocable Consent for Adoption
by a Specified Person or |
2 | | Persons : DCFS Case , appeared before me this day
in person and |
3 | | acknowledged that (she)(he) signed and delivered the consent as
|
4 | | (her)(his) free and voluntary act, for the specified purpose.
|
5 | | I have fully explained that this consent to adoption is |
6 | | valid only if the
petition to adopt is filed within one year |
7 | | from the date that it is signed, and
that if the specified |
8 | | person or persons, for any reason, cannot or will not
adopt the |
9 | | child or if the adoption petition is denied, then this consent |
10 | | will
be voidable after one year upon the timely filing of a |
11 | | motion by the parent
to revoke the consent. I explained that if |
12 | | this motion is filed before the
filing of the petition for |
13 | | adoption, the court shall revoke this specific
consent. I have |
14 | | fully explained that if the specified person or
persons adopt
|
15 | | the child, by signing this consent this parent is irrevocably
|
16 | | and permanently
relinquishing all parental rights to the child |
17 | | so that the child may be adopted by a specified person or |
18 | | persons , and this parent has stated that
such is (her)(his) |
19 | | intention and desire. I have fully explained that this consent |
20 | | is void only if:
|
21 | | (a) the placement is disrupted and the child is moved |
22 | | to a different placement; or |
23 | | (b) a court denies the petition for adoption; or |
24 | | (c) the Department of Children and Family Services |
25 | | Guardianship Administrator refuses to consent to the |
26 | | child's adoption by a specified person or persons on the |
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1 | | basis that the adoption is not in the child's best |
2 | | interests. |
3 | | Dated (insert date).
|
4 | | ...............................
|
5 | | Signature
|
6 | | (5) If a consent to adoption by a specified person or |
7 | | persons is executed in
this form, the following provisions |
8 | | shall apply. The consent shall be valid
only for the if that |
9 | | specified person or persons to adopt the child. The consent |
10 | | shall be void
voidable after one year if:
|
11 | | (a) the placement disrupts and the child is moved to |
12 | | another placement the specified person or persons do not |
13 | | file a petition to adopt the
child within one year after |
14 | | the consent is signed and the parent files a
timely motion |
15 | | to revoke this consent. If this motion is filed before the
|
16 | | filing of the petition for adoption the court shall revoke |
17 | | this consent ; or
|
18 | | (b) a court denies the petition for adoption a court |
19 | | denies the adoption petition ; or
|
20 | | (c) the Department of Children and Family Services |
21 | | Guardianship
Administrator refuses to consent to the |
22 | | child's adoption by the specified person or persons on the |
23 | | basis that the adoption is not in the child's best |
24 | | interests determines that the specified person or persons |
25 | | will not or
cannot complete the adoption, or in the best |
26 | | interests of the child should not
adopt the child .
|
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1 | | If the consent is void under this Section, the parent shall |
2 | | not need to take further action to revoke the consent. No |
3 | | proceeding for termination of parental rights shall be brought |
4 | | unless the parent who executed the consent to adoption by a |
5 | | specified person or persons has been notified of the |
6 | | proceedings pursuant to Section 7 of this Act or subsection (4) |
7 | | of Section 2-13 of the Juvenile Court Act of 1987. Within 30 |
8 | | days of the consent becoming void, the Department of Children |
9 | | and
Family Services Guardianship Administrator shall make good |
10 | | faith attempts to
notify the parent in writing and shall give |
11 | | written notice to the court and all
additional parties in |
12 | | writing that the adoption has not occurred or will not
occur |
13 | | and that the consent is void. If the adoption by a specified |
14 | | person or
persons does not occur, no proceeding for termination |
15 | | of parental rights shall
be brought unless the biological |
16 | | parent who executed the consent to adoption by
a specified |
17 | | person or persons has been notified of the proceeding pursuant |
18 | | to
Section 7 of this Act or subsection (4) of Section 2-13 of |
19 | | the Juvenile Court
Act of 1987. The parent shall not need to |
20 | | take further action to revoke the
consent if the specified |
21 | | adoption does not occur, notwithstanding the
provisions of |
22 | | Section 11 of this Act.
|
23 | | (6) The Department of Children and Family Services is |
24 | | authorized
to promulgate rules necessary to implement this |
25 | | subsection O.
|
26 | | (7) (Blank). The Department shall collect and maintain data |
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1 | | concerning the efficacy
of specific consents. This data shall |
2 | | include the number of specific consents
executed and their |
3 | | outcomes, including but not limited to the number of
children |
4 | | adopted pursuant to the consents, the number of children for |
5 | | whom
adoptions are not completed, and the reason or reasons why |
6 | | the adoptions are
not completed.
|
7 | | (8) The Department of Children and Family Services shall |
8 | | promulgate a rule and procedures regarding Consents to Adoption |
9 | | by a Specified Person or Persons in DCFS cases. The rule and |
10 | | procedures shall provide for the development of the Birth |
11 | | Parent Rights and Responsibilities Form for DCFS
Cases. |
12 | | (9) A consent to adoption by specified persons on this
|
13 | | consent form shall have no effect on a court's determination of
|
14 | | custody or visitation under the Illinois Marriage and
|
15 | | Dissolution of Marriage Act or the Illinois Religious Freedom
|
16 | | Protection and Civil Union Act if the marriage or civil union |
17 | | of the
specified persons is dissolved after the adoption is |
18 | | final. |
19 | | P. If the person signing a consent is incarcerated or |
20 | | detained in a correctional facility, prison, jail, detention |
21 | | center, or other comparable institution, either in this State |
22 | | or any other jurisdiction, the execution of such consent may be |
23 | | acknowledged before social service personnel of such |
24 | | institution, or before a person designated by a court of |
25 | | competent jurisdiction. |
26 | | Q. A consent may be acknowledged telephonically, via |
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1 | | audiovisual connection, or other electronic means, provided |
2 | | that a court of competent jurisdiction has entered an order |
3 | | approving the execution of the consent in such manner and has |
4 | | designated an individual to be physically present with the |
5 | | parent executing such consent in order to verify the identity |
6 | | of the parent. |
7 | | R. An agency whose representative is acknowledging a |
8 | | consent pursuant to this Section shall be a public child |
9 | | welfare agency, or a child welfare agency, or a child placing |
10 | | agency that is authorized or licensed in the State or |
11 | | jurisdiction in which the consent is signed. |
12 | | S. The form of waiver by a putative or legal father of a |
13 | | born or unborn child shall be substantially as follows: |
14 | | FINAL AND IRREVOCABLE |
15 | | WAIVER OF PARENTAL RIGHTS OF PUTATIVE OR LEGAL FATHER |
16 | | I, .................... , state under oath or affirm as |
17 | | follows: |
18 | | 1. That the biological mother ............... has |
19 | | named me as a possible biological or
legal father of her |
20 | | minor child who was born, or is expected to be born on
|
21 | | ..........., ......, in the City/Town of........., State |
22 | | of ........... |
23 | | 2. That I understand that the biological mother |
24 | | ............. intends to or has placed the child
for |
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1 | | adoption. |
2 | | 3. That I reside at ................, in the City/Town |
3 | | of...........,
State of ................ |
4 | | 4. That I am ................ years of age and my date |
5 | | of birth is ..............., ............. |
6 | | 5. That I (select one): |
7 | | ..... am married to the biological mother. |
8 | | ..... am not married to the biological mother and |
9 | | have not been married to the biological
mother within |
10 | | 300 days before the child's birth or expected date of |
11 | | child's birth. |
12 | | ..... am not currently married to the biological |
13 | | mother, but was married to the biological
mother, |
14 | | within 300 days before the child's birth or expected |
15 | | date of child's birth. |
16 | | 6. That I (select one): |
17 | | ..... neither admit nor deny that I am the |
18 | | biological father of the child. |
19 | | ..... deny that I am the biological father of the |
20 | | child. |
21 | | 7. That I hereby agree to the termination of my |
22 | | parental rights, if any, without further notice to me
of |
23 | | any proceeding for the adoption of the minor child, even if |
24 | | I have taken any action to establish
parental rights or |
25 | | take any such action in the future including registering |
26 | | with any putative father
registry. |
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1 | | 8. That I understand that by signing this Waiver I do |
2 | | irrevocably and permanently give up all
custody and other |
3 | | parental rights I may have to such child. |
4 | | 9. That I understand that this Waiver is FINAL AND |
5 | | IRREVOCABLE and that I am permanently
barred from |
6 | | contesting any proceeding for the adoption of the child |
7 | | after I sign this Waiver. |
8 | | 10. That I waive any further service of summons or |
9 | | other pleadings in any proceeding to terminate
parental |
10 | | rights, if any to this child, or any proceeding for |
11 | | adoption of this child. |
12 | | 11. That I understand that if a final judgment or order |
13 | | of adoption for this child is not entered, then
any |
14 | | parental rights or responsibilities that I may have remain |
15 | | intact. |
16 | | 12. That I have read and understand the above and that |
17 | | I am signing it as my free and voluntary act. |
18 | | Dated: ................... , .............. |
19 | | ........................................... |
20 | | Signature |
21 | | OATH |
22 | | I have been duly sworn and I state under oath that I have read |
23 | | and understood this Final and Irrevocable
Waiver of Parental |
24 | | Rights of Putative or Legal Father. The facts contained in it |
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1 | | are true and correct to the
best of my knowledge. I have signed |
2 | | this document as my free and voluntary act in order to |
3 | | facilitate the
adoption of the child. |
4 | | .............................. |
5 | | Signature |
6 | | Signed and Sworn before me on |
7 | | this ............ day |
8 | | of ..........., 20.... |
9 | | ................... |
10 | | Notary Public |
11 | | (Source: P.A. 96-601, eff. 8-21-09; 96-1461, eff. 1-1-11; |
12 | | 97-493, eff. 8-22-11.)
|
13 | | (750 ILCS 50/18.08 new) |
14 | | Sec. 18.08. Adoption Advisory Council. |
15 | | (a) There shall be established under the Department of |
16 | | Public Health the Adoption Advisory Council. The Council shall |
17 | | include: |
18 | | (1) the Director of the Department of Public Health, or |
19 | | his or her designee, who shall serve as the chairperson of |
20 | | the Council; |
21 | | (2) the Director of the Department of Children and |
22 | | Family Services, or his or her designee; |
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1 | | (3) an attorney representing the Attorney General's |
2 | | Office appointed by the Attorney General; |
3 | | (4) a currently certified confidential intermediary |
4 | | appointed by the Director of the Department of Children and |
5 | | Family Services; |
6 | | (5) one representative from each of the following |
7 | | organizations appointed by the Director of the Department |
8 | | of Public Health: Adoption Advocates of Illinois, Adoptive |
9 | | Families Today, Catholic Conference of Illinois, Chicago |
10 | | Area Families for Adoption, Chicago Bar Association, Child |
11 | | Care Association of Illinois, Children Remembered, Inc., |
12 | | Children's Home and Aid Society of Illinois, Child Welfare |
13 | | Advisory Council, The Cradle, Healing Hearts, Illinois |
14 | | Foster Parents Association, Illinois State Bar |
15 | | Association, Illinois State Medical Society, Jewish |
16 | | Children's Bureau, LDS Social Services, Lutheran Social |
17 | | Services of Illinois, Maryville Academy, Midwest Adoption |
18 | | Center, St. Mary's Services, Stars of David, and |
19 | | Truthseekers in Adoption; |
20 | | (6) 5 additional members appointed by the Director of |
21 | | the Department of Children and Family Services who shall, |
22 | | when making those appointments, consider advocates for |
23 | | adopted persons, adoptive parents, or birth parents, |
24 | | lawyers who represent clients in private adoptions, |
25 | | lawyers specializing in privacy law, and representatives |
26 | | of agencies involved in adoptions; and |
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1 | | (7) an attorney from the Department of Children and |
2 | | Family Services and the person directly responsible for |
3 | | administering the confidential intermediary program, who |
4 | | shall serve as ex-officio, non-voting advisors to the |
5 | | Council. |
6 | | (b) If any one of the named organizations in item (5) of |
7 | | subsection (a) notifies the Director of the Department of |
8 | | Public Health in writing that the organization does not wish to |
9 | | participate on the Adoption Advisory Council or that the |
10 | | organization is no longer functioning, the Director may |
11 | | designate another organization that represents the same |
12 | | constituency as the named organization to replace the named |
13 | | organization on the Council. |
14 | | (c) Council members shall receive no compensation for their |
15 | | service. The Council shall meet no less often than once every 6 |
16 | | months and shall meet as the Director of the Department of |
17 | | Public Health deems necessary. The council shall make |
18 | | recommendations regarding the development of rules, |
19 | | procedures, and forms that will ensure the efficient and |
20 | | effective operation of the adoption process in Illinois and the |
21 | | effective delivery of adult post-adoption services in |
22 | | Illinois, including: |
23 | | (1) advising the Department of Public Health on the |
24 | | development of rules, procedures, and forms utilized by the |
25 | | Illinois Adoption Registry and Medical Information |
26 | | Exchange; |
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1 | | (2) making recommendations regarding the procedures, |
2 | | tools, and technology that will ensure efficient and |
3 | | effective operation of the Registry; |
4 | | (3) assisting the Department of Public Health with the |
5 | | development, publication, and circulation of an |
6 | | informational pamphlet that describes the purpose, |
7 | | function, and mechanics of the Illinois Adoption Registry |
8 | | and Medical Information Exchange, including information |
9 | | about who is eligible to register and how to register; |
10 | | information about the questions and concerns that |
11 | | registrants may develop when they register or when they |
12 | | receive information from the Registry; and a list of |
13 | | services, programs, groups, and informational websites |
14 | | that are available to assist registrants with their |
15 | | questions and concerns; |
16 | | (4) collecting, compiling, and reviewing statistical |
17 | | data and empirical information concerning the procedures |
18 | | in the Registry including, but not limited to, data |
19 | | concerning the filing of Denials of Information Exchange, |
20 | | Information Exchange Authorizations, Requests for a |
21 | | Non-Certified Copy of an Original Birth Certificate, and |
22 | | Birth Parent Preference Forms; |
23 | | (5) making recommendations regarding the standards for |
24 | | certification for confidential intermediaries; |
25 | | (6) reviewing compliance with all appropriate laws |
26 | | including, but not limited to, P.A. 96-895 and this |
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1 | | amendatory Act of the 97th General Assembly; |
2 | | (7) overseeing methods used to verify that |
3 | | intermediaries are complying with the appropriate laws; |
4 | | (8) assisting the Department of Children and Family |
5 | | Services with training for confidential intermediaries, |
6 | | including training with respect to federal and State |
7 | | privacy laws; |
8 | | (9) reviewing the relationship between confidential |
9 | | intermediaries and the court system and making |
10 | | recommendations concerning sample orders that define the |
11 | | scope of the intermediaries' access to information; |
12 | | (10) considering any recent violations of policy or |
13 | | procedures by confidential intermediaries and remedial |
14 | | steps, including decertification, which might be |
15 | | recommended so as to prevent future violations; and |
16 | | (11) reviewing reports from the Department of Children |
17 | | and Family Services submitted by July 1 and January 1 of |
18 | | each year in order detailing the penalties assessed and |
19 | | collected, the amounts of related deposits into the DCFS |
20 | | Children's Services Fund, and any expenditures from such |
21 | | deposits. |
22 | | (d) Within 45 days after the effective date of this |
23 | | amendatory Act of the 97th General Assembly, both the Adoption |
24 | | Registry Advisory Council and the Confidential Intermediary |
25 | | Council shall, notwithstanding any other provision of this Act, |
26 | | turn over the Council's records to the Adoption Advisory |
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1 | | Council and cease to function.
|
2 | | (750 ILCS 50/18.3a) (from Ch. 40, par. 1522.3a)
|
3 | | Sec. 18.3a. Confidential intermediary.
|
4 | | (a) General purposes.
Notwithstanding any other provision |
5 | | of
this Act, any
adopted or surrendered person 21 years of age |
6 | | or over, any adoptive parent or legal guardian
of
an adopted or |
7 | | surrendered person under the age of 21, or any birth parent of |
8 | | an adopted
or surrendered person who is 21 years of age or over |
9 | | may petition the court in any county in
the
State of Illinois |
10 | | for appointment of a confidential intermediary as provided in
|
11 | | this Section for the purpose of exchanging medical information |
12 | | with one or
more mutually consenting biological relatives, |
13 | | obtaining identifying
information about one or more mutually |
14 | | consenting biological relatives, or
arranging contact with one |
15 | | or more mutually consenting biological relatives.
|
16 | | Additionally, in cases where an adopted or surrendered person |
17 | | is deceased,
an adult child of the adopted
or surrendered |
18 | | person or his or her adoptive parents or surviving spouse may |
19 | | file a petition under this Section and in cases
where the birth |
20 | | parent is deceased,
an adult birth sibling of the adopted or |
21 | | surrendered person or of the deceased birth parent
may
file a |
22 | | petition under this Section for the purpose of exchanging |
23 | | medical
information with one or more mutually consenting |
24 | | biological relatives of the adopted or surrendered person,
|
25 | | obtaining identifying information about one or more mutually |
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1 | | consenting
biological relatives of the adopted or surrendered |
2 | | person, or arranging contact with one or more mutually
|
3 | | consenting biological relatives of the adopted or surrendered |
4 | | person. Beginning January 1, 2006, any adopted or surrendered |
5 | | person 21 years of age or over; any adoptive parent or legal |
6 | | guardian of an adopted or surrendered person under the age of |
7 | | 21; any birth parent, birth sibling, birth aunt, or birth uncle |
8 | | of an adopted or surrendered person over the age of 21; any |
9 | | surviving child, adoptive parent, or surviving spouse of a |
10 | | deceased adopted or surrendered person who wishes to petition |
11 | | the court for the appointment of a confidential intermediary |
12 | | shall be required to accompany their petition with proof of |
13 | | registration with the Illinois Adoption Registry and Medical |
14 | | Information Exchange.
|
15 | | (b) Petition. Upon petition by an adopted or surrendered
|
16 | | person 21 years of age or over (an "adult adopted or |
17 | | surrendered person"), an
adoptive parent or legal guardian of |
18 | | an adopted or surrendered person under the age of 21,
or a |
19 | | birth parent of an adopted or surrendered person who is 21 |
20 | | years of age or over, the
court
shall appoint a confidential |
21 | | intermediary. Upon petition by
an adult child, adoptive parent |
22 | | or surviving spouse of an adopted or surrendered person who is |
23 | | deceased, by an adult birth sibling of an adopted or |
24 | | surrendered person
whose common birth parent is deceased
and |
25 | | whose adopted or surrendered birth sibling is 21 years of age |
26 | | or over, or by an adult sibling of a birth parent who is |
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1 | | deceased,
and whose surrendered child is 21 years of age or |
2 | | over, the court may appoint a confidential
intermediary if the |
3 | | court finds that the disclosure is of greater benefit than
|
4 | | nondisclosure.
The petition shall state which biological |
5 | | relative
or
relatives are being sought and shall indicate if |
6 | | the petitioner wants to do any
one or more of the following: |
7 | | exchange medical information with the
biological relative or |
8 | | relatives, obtain identifying information from the
biological |
9 | | relative or relatives, or to arrange contact with the |
10 | | biological
relative.
|
11 | | (c) Order. The order appointing the confidential |
12 | | intermediary shall allow
that
intermediary to conduct a search |
13 | | for the sought-after relative by accessing
those records |
14 | | described in subsection (g) of this Section.
|
15 | | (d) Fees and expenses. The court shall not condition the |
16 | | appointment of the
confidential intermediary on the |
17 | | petitioner's payment of the intermediary's
fees and expenses in |
18 | | advance of the commencement of the work of the
confidential |
19 | | intermediary. No However, no fee shall be charged if the |
20 | | petitioner is an adult adopted or surrendered person and the |
21 | | sought-after relative is a birth parent who filed or who did |
22 | | not file a Denial with the Registry prior to January 1, 2011, |
23 | | or filed a Birth Parent Preference Form on which Option E was |
24 | | selected after January 1, 2011 and more than 5 years have |
25 | | transpired since the birth parent filed the Denial of |
26 | | Information Exchange or Birth Parent Preference Form on which |
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1 | | Option E was selected.
|
2 | | (e) Eligibility of intermediary. The court may appoint as |
3 | | confidential
intermediary any
person certified by the |
4 | | Department of Children and Family Services as qualified to |
5 | | serve as a confidential
intermediary.
Certification shall be |
6 | | dependent upon the
confidential intermediary completing a |
7 | | course of training including, but not
limited to, applicable |
8 | | federal and State privacy laws.
|
9 | | (f) (Blank). Confidential Intermediary Council. There |
10 | | shall be established under the
Department of Children and |
11 | | Family
Services a Confidential Intermediary Advisory Council. |
12 | | One member shall be an
attorney representing the Attorney |
13 | | General's Office appointed by the Attorney
General. One member |
14 | | shall be a currently certified confidential intermediary
|
15 | | appointed by the Director of the Department of Children and |
16 | | Family Services.
The Director shall also appoint 5 additional |
17 | | members. When making those
appointments, the Director shall |
18 | | consider advocates for adopted persons,
adoptive parents, |
19 | | birth parents, lawyers who represent clients in private
|
20 | | adoptions, lawyers specializing in privacy law, and |
21 | | representatives of agencies
involved in adoptions. The |
22 | | Director shall appoint one of the 7 members as
the chairperson. |
23 | | An attorney from the Department of Children and Family
Services
|
24 | | and the person directly responsible for administering the |
25 | | confidential
intermediary program shall serve as ex-officio, |
26 | | non-voting advisors to the
Council. Council members shall serve |
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1 | | at the discretion of the Director and
shall receive no |
2 | | compensation other than reasonable expenses approved by the
|
3 | | Director. The Council shall meet no less than twice yearly and |
4 | | shall meet at least once yearly with the Registry Advisory |
5 | | Council, and shall make
recommendations to the Director |
6 | | regarding the development of rules, procedures,
and forms that |
7 | | will ensure efficient and effective operation of the
|
8 | | confidential intermediary process, including:
|
9 | | (1) Standards for certification for confidential |
10 | | intermediaries.
|
11 | | (2) Oversight of methods used to verify that |
12 | | intermediaries are complying
with the appropriate laws.
|
13 | | (3) Training for confidential intermediaries, |
14 | | including training with
respect to federal and State |
15 | | privacy laws.
|
16 | | (4) The relationship between confidential |
17 | | intermediaries and the court
system, including the |
18 | | development of sample orders defining the scope of the
|
19 | | intermediaries' access to information.
|
20 | | (5) Any recent violations of policy or procedures by |
21 | | confidential
intermediaries and remedial steps, including |
22 | | decertification, to prevent future
violations.
|
23 | | (g) Access. Subject to the limitations of subsection (i) |
24 | | of this
Section, the
confidential
intermediary shall have |
25 | | access to vital records or a comparable public entity that |
26 | | maintains vital records in another state in accordance with |
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1 | | that state's laws, maintained by the Department of
Public |
2 | | Health and its local designees for the maintenance of vital |
3 | | records or a comparable public entity that maintains vital |
4 | | records in another state in accordance with that state's laws |
5 | | and
all records of the court or any adoption agency,
public
or |
6 | | private, as limited in this Section, which relate to the |
7 | | adoption or the identity and location of an
adopted or |
8 | | surrendered person, of an adult child or surviving spouse of a |
9 | | deceased adopted or surrendered person, or of a birth
parent, |
10 | | birth sibling, or the sibling of a deceased birth parent. The
|
11 | | confidential intermediary shall not have access to any personal |
12 | | health
information protected by the Standards for Privacy of |
13 | | Individually
Identifiable Health Information adopted by the |
14 | | U.S. Department of Health and
Human Services under the Health |
15 | | Insurance Portability and Accountability Act of
1996 unless the |
16 | | confidential intermediary has obtained written consent from |
17 | | the
person whose information is being sought by an adult |
18 | | adopted or surrendered person or, if that person is a minor |
19 | | child,
that person's parent or guardian. Confidential
|
20 | | intermediaries shall be authorized to inspect confidential |
21 | | relinquishment and
adoption records. The confidential |
22 | | intermediary shall not be authorized to
access medical
records, |
23 | | financial records, credit records, banking records, home |
24 | | studies,
attorney file records, or other personal records.
In |
25 | | cases where a birth parent is being sought, an adoption agency |
26 | | shall inform
the confidential intermediary of any statement |
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1 | | filed pursuant to Section 18.3, hereinafter referred to as "the |
2 | | 18.3 statement",
indicating a desire of the surrendering birth |
3 | | parent to have identifying
information shared or to not have |
4 | | identifying information shared. If there was
a clear statement |
5 | | of intent by the sought-after birth parent not to have
|
6 | | identifying information shared, the confidential intermediary |
7 | | shall discontinue
the search and inform the petitioning party |
8 | | of the sought-after relative's
intent unless the birth parent |
9 | | filed the 18.3 statement prior to the effective date of this |
10 | | amendatory Act of the 96th General Assembly and more than 5 |
11 | | years have elapsed since the filing of the 18.3 statement. If |
12 | | the adult adopted or surrendered person is the subject of an |
13 | | 18.3 statement indicating a desire not to establish contact |
14 | | which was filed more than 5 years prior to the search request, |
15 | | the confidential intermediary shall confirm the petitioner's |
16 | | desire to continue the search. Information
provided to the |
17 | | confidential intermediary by an adoption agency shall be
|
18 | | restricted to the full name, date of birth, place of birth, |
19 | | last known address,
last known telephone number of the |
20 | | sought-after relative or, if applicable,
of the children or |
21 | | siblings of the sought-after relative, and the 18.3 statement.
|
22 | | (h) Adoption agency disclosure of medical information. If |
23 | | the petitioner is
an adult adopted or surrendered person or the |
24 | | adoptive parent of a
minor and if the petitioner has signed a |
25 | | written authorization to disclose
personal medical |
26 | | information, an adoption agency disclosing information to a
|
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1 | | confidential intermediary shall disclose available medical |
2 | | information about
the adopted or surrendered person from birth |
3 | | through adoption.
|
4 | | (i) Duties of confidential intermediary in conducting a |
5 | | search. In
conducting
a search under this Section, the |
6 | | confidential intermediary shall first confirm
that there is no |
7 | | Denial of Information Exchange on file with the Illinois
|
8 | | Adoption Registry. If the petitioner is an adult child of an |
9 | | adopted or surrendered person
who is deceased, the
confidential |
10 | | intermediary shall additionally confirm that the adopted or |
11 | | surrendered person
did not file a Denial of Information |
12 | | Exchange or a Birth Parent Preference Form with Option E |
13 | | selected with the Illinois Adoption
Registry during his or her |
14 | | life. If there is a Denial on file with the Registry, the |
15 | | confidential intermediary must discontinue the search unless |
16 | | the petitioner is an adult adopted or surrendered person and |
17 | | the sought-after birth relative filed the Denial 5 years or |
18 | | more prior to the search or the birth parent has not been the |
19 | | object of a search through the State confidential intermediary |
20 | | program for 10 or more years. If the petitioner is an adult |
21 | | adopted or surrendered person and there is a Birth Parent |
22 | | Preference Form on file with the Registry and the birth parent |
23 | | who completed the form selected Option E, the confidential |
24 | | intermediary must discontinue the search unless 5 years or more |
25 | | have elapsed since the filing of the Birth Parent Preference |
26 | | Form. If the petitioner is an adult birth sibling of
an
adopted
|
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1 | | or surrendered person or an adult sibling of a birth parent who |
2 | | is deceased,
the confidential intermediary shall
additionally |
3 | | confirm that the birth parent did not file a Denial of |
4 | | Information
Exchange or a Birth Parent Preference Form with |
5 | | Option E selected with the Registry during his or her life. If |
6 | | the confidential
intermediary learns that a sought-after birth |
7 | | parent signed an 18.3 statement
indicating his or her intent |
8 | | not to have identifying information shared, and
did not later |
9 | | file an Information Exchange Authorization or a Birth Parent |
10 | | Preference Form with the
Registry, the confidential |
11 | | intermediary shall discontinue the search and inform
the |
12 | | petitioning party of the birth parent's intent, unless the |
13 | | petitioner is an adult adopted or surrendered person and 5 |
14 | | years or more have elapsed since the birth parent signed the |
15 | | statement indicating his or her intent not to have identifying |
16 | | information shared. In cases where the birth parent filed a |
17 | | Denial of Information Exchange or Birth Parent Preference Form |
18 | | where Option E was selected, or statement indicating his or her |
19 | | intent not to have identifying information shared less than 5 |
20 | | years prior to the search request and the petitioner is an |
21 | | adult adopted or surrendered person, the confidential |
22 | | intermediary shall inform the petitioner of the need to |
23 | | discontinue the search until 5 years have elapsed since the |
24 | | Denial of Information Exchange or Birth Parent Preference Form |
25 | | where Option E was selected, or statement
was filed; in cases |
26 | | where a birth parent was previously the subject of a search |
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1 | | through the State confidential intermediary program, the |
2 | | confidential intermediary shall inform the petitioner of the |
3 | | need to discontinue the search until 10 years or more have |
4 | | elapsed since the initial search was closed. In cases where a |
5 | | birth parent has been the object of 2 searches through the |
6 | | State confidential intermediary program, no subsequent search |
7 | | for the birth parent shall be authorized absent a court order |
8 | | to the contrary.
|
9 | | In conducting a search under this Section, the confidential |
10 | | intermediary
shall attempt to locate the relative or relatives |
11 | | from whom the petitioner has
requested information. If the |
12 | | sought-after relative is deceased
or cannot be located after a |
13 | | diligent search, the
confidential intermediary may contact |
14 | | other adult relatives of the
sought-after relative.
|
15 | | The confidential intermediary shall contact a sought-after |
16 | | relative on
behalf of the petitioner in a manner that respects |
17 | | the sought-after relative's
privacy and shall inform the |
18 | | sought-after relative of the petitioner's request
for medical |
19 | | information, identifying information or contact as stated in |
20 | | the
petition. Based upon the terms of the petitioner's request, |
21 | | the confidential
intermediary shall contact a sought-after |
22 | | relative on behalf of the petitioner
and inform the |
23 | | sought-after relative of the following options:
|
24 | | (1) The sought-after relative may totally reject one or |
25 | | all of the
requests for medical information, identifying |
26 | | information or
contact. The sought-after relative shall be |
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1 | | informed that they can
provide a medical questionnaire to |
2 | | be forwarded to the petitioner
without releasing any |
3 | | identifying information. The confidential
intermediary |
4 | | shall inform the petitioner of the sought-after
relative's |
5 | | decision to reject the sharing of information or contact.
|
6 | | (2) The sought-after relative may consent to |
7 | | completing a medical
questionnaire only. In this case, the |
8 | | confidential intermediary
shall provide the questionnaire |
9 | | and ask the sought-after relative to
complete it. The |
10 | | confidential intermediary shall forward the
completed |
11 | | questionnaire to the petitioner and inform the petitioner
|
12 | | of the sought-after relative's desire to not provide any |
13 | | additional
information.
|
14 | | (3) The sought-after relative may communicate with the |
15 | | petitioner
without having his or her identity disclosed. In |
16 | | this case, the
confidential intermediary shall arrange the |
17 | | desired communication
in a manner that protects the |
18 | | identity of the sought-after relative.
The confidential |
19 | | intermediary shall inform the petitioner of the
|
20 | | sought-after relative's decision to communicate but not |
21 | | disclose
his or her identity.
|
22 | | (4) The sought-after relative may consent to initiate |
23 | | contact with the
petitioner. If both the petitioner and the |
24 | | sought-after relative or
relatives are eligible to |
25 | | register with the Illinois Adoption Registry,
the |
26 | | confidential intermediary shall provide the necessary
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1 | | application forms and request that the sought-after |
2 | | relative
register with the Illinois Adoption Registry. If |
3 | | either the petitioner
or the sought-after relative or |
4 | | relatives are ineligible to register
with the Illinois |
5 | | Adoption Registry, the confidential intermediary
shall |
6 | | obtain written consents from both parties that they wish to
|
7 | | disclose their identities to each other and to have contact |
8 | | with
each other.
|
9 | | (j) Oath. The confidential intermediary shall sign an oath |
10 | | of
confidentiality substantially as follows: "I, .........., |
11 | | being duly sworn, on
oath depose and say: As a condition of |
12 | | appointment as a confidential
intermediary, I affirm that:
|
13 | | (1) I will not disclose to the petitioner,
directly or |
14 | | indirectly, any confidential information
except in a |
15 | | manner consistent with the
law.
|
16 | | (2) I recognize that violation of this oath subjects me |
17 | | to civil liability
and to a potential finding of contempt |
18 | | of court.
................................
|
19 | | SUBSCRIBED AND SWORN to before me, a Notary Public, on (insert
|
20 | | date)
|
21 | | ................................."
|
22 | | (k) Sanctions.
|
23 | | (1) Any confidential intermediary who improperly |
24 | | discloses
confidential information identifying a |
25 | | sought-after relative shall be liable to
the sought-after |
26 | | relative for damages and may also be found in contempt of
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1 | | court.
|
2 | | (2) Any person who learns a sought-after
relative's |
3 | | identity, directly or indirectly, through the use of |
4 | | procedures
provided in this Section and who improperly |
5 | | discloses information identifying
the sought-after |
6 | | relative shall be liable to the sought-after relative for
|
7 | | actual damages plus minimum punitive damages of $10,000.
|
8 | | (3) The Department shall fine any confidential |
9 | | intermediary who improperly
discloses
confidential |
10 | | information in violation of item (1) or (2) of this |
11 | | subsection (k)
an amount up to $2,000 per improper |
12 | | disclosure. This fine does not affect
civil liability under |
13 | | item (2) of this subsection (k). The Department shall
|
14 | | deposit all fines and penalties collected under this |
15 | | Section into the Illinois
Adoption Registry and Medical |
16 | | Information Fund.
|
17 | | (l) Death of person being sought. Notwithstanding any other |
18 | | provision
of this Act, if the confidential intermediary |
19 | | discovers that the person
being sought has died, he or she |
20 | | shall report this fact to the court,
along with a copy of the |
21 | | death certificate. If the sought-after relative is a birth |
22 | | parent, the confidential intermediary shall also forward a copy |
23 | | of the birth parent's death certificate, if available, to the |
24 | | Registry for inclusion in the Registry file.
|
25 | | (m) Any confidential information obtained by the |
26 | | confidential intermediary
during the course of his or her |
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1 | | search shall be kept strictly confidential
and shall be used |
2 | | for the purpose of arranging contact between the
petitioner and |
3 | | the sought-after birth relative. At the time the case is
|
4 | | closed, all identifying information shall be returned to the |
5 | | court for
inclusion in the impounded adoption file.
|
6 | | (n) If the petitioner is an adopted or surrendered person |
7 | | 21 years of age or over or the
adoptive parent or legal |
8 | | guardian of an adopted or surrendered person under the age
of |
9 | | 21, any
non-identifying information, as defined in Section |
10 | | 18.4, that is
ascertained during the course of the search may |
11 | | be given in writing to
the petitioner at any time during the |
12 | | search before the case is closed.
|
13 | | (o) Except as provided in subsection (k) of this Section, |
14 | | no liability shall
accrue to
the State, any State agency, any |
15 | | judge, any officer or employee of the
court, any certified |
16 | | confidential intermediary, or any agency designated
to oversee |
17 | | confidential intermediary services for acts, omissions, or
|
18 | | efforts made in good faith within the scope of this Section.
|
19 | | (p) An adoption agency that has received a request from a |
20 | | confidential intermediary for the full name, date of birth, |
21 | | last known address, or last known telephone number of a |
22 | | sought-after relative pursuant to subsection (g) of Section |
23 | | 18.3a, or for medical information regarding a sought-after |
24 | | relative pursuant to subsection (h) of Section 18.3a, must |
25 | | satisfactorily comply with this court order within a period of |
26 | | 45 days. The court shall order the adoption agency to reimburse |
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1 | | the petitioner in an amount equal to all payments made by the |
2 | | petitioner to the confidential intermediary, and the adoption |
3 | | agency shall be subject to a civil monetary penalty of $1,000 |
4 | | to be paid to the Department of Children and Family Services. |
5 | | Following the issuance of a court order finding that the |
6 | | adoption agency has not complied with Section 18.3, the |
7 | | adoption agency shall be subject to a monetary penalty of $500 |
8 | | per day for each subsequent day of non-compliance. Proceeds |
9 | | from such fines shall be utilized by the Department of Children |
10 | | and Family Services to subsidize the fees of petitioners as |
11 | | referenced in subsection (d) of this Section. |
12 | | (q) Provide information to eligible petitioner. The |
13 | | confidential intermediary may provide to eligible petitioners |
14 | | as described in subsections (a) and (b) of this Section, the |
15 | | name of the child welfare agency which had legal custody of the |
16 | | surrendered person or responsibility for placing the |
17 | | surrendered person and any available contact information for |
18 | | such agency. In addition, the confidential intermediary may |
19 | | provide to such petitioners the name of the state in which the |
20 | | surrender occurred or in which the adoption was finalized. |
21 | | Any reimbursements and fines, notwithstanding any |
22 | | reimbursement directly to the petitioner, paid under this |
23 | | subsection are in addition to other remedies a court may |
24 | | otherwise impose by law. |
25 | | The Department of Children and Family Services shall submit |
26 | | reports to the Adoption Advisory Council Confidential |
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1 | | Intermediary Advisory Council by July 1 and January 1 of each |
2 | | year in order to report the penalties assessed and collected |
3 | | under this subsection, the amounts of related deposits into the |
4 | | DCFS Children's Services Fund, and any expenditures from such |
5 | | deposits.
|
6 | | (Source: P.A. 96-661, eff. 8-25-09; 96-895, eff. 5-21-10; |
7 | | 97-110, eff. 7-14-11.)
|
8 | | (750 ILCS 50/18.07 rep.)
|
9 | | Section 15. The Adoption Act is amended by repealing |
10 | | Section 18.07.
|
11 | | Section 99. Effective date. This Act takes effect January |
12 | | 1, 2013, except this Section and
Section 5 take effect upon |
13 | | becoming law.".
|