Illinois General Assembly - Full Text of HB4876
Illinois General Assembly

Previous General Assemblies

Full Text of HB4876  94th General Assembly

HB4876 94TH GENERAL ASSEMBLY


 


 
94TH GENERAL ASSEMBLY
State of Illinois
2005 and 2006
HB4876

 

Introduced 01/19/06, by Rep. Robert W. Churchill

 

SYNOPSIS AS INTRODUCED:
 
750 ILCS 50/9   from Ch. 40, par. 1511
750 ILCS 50/10   from Ch. 40, par. 1512
750 ILCS 50/11   from Ch. 40, par. 1513

    Amends the Adoption Act. Provides that the biological mother of a child may revoke an adoption consent or a surrender for adoption with 10 days after signing the consent or surrender, provided that the time of the revocation is no less than 72 hours after the birth of the child and no more than 60 days after the birth of the child. Provides that the revocation shall be made to the same person, agency or court that took the consent or surrender.


LRB094 15428 AJO 50622 b

 

 

A BILL FOR

 

HB4876 LRB094 15428 AJO 50622 b

1     AN ACT concerning adoption.
 
2     Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
 
4     Section 5. The Adoption Act is amended by changing Sections
5 9, 10, and 11 as follows:
 
6     (750 ILCS 50/9)  (from Ch. 40, par. 1511)
7     Sec. 9. Time for taking a consent or surrender.
8     A. A consent or a surrender taken not less than 72 hours
9 after the birth of the child is irrevocable except as provided
10 in Section 11 of this Act; however, a consent or surrender
11 taken from the biological mother no less than 72 hours after
12 the birth of the child and no more that 60 days after the birth
13 of the child shall be revoked if, within 10 days of signing the
14 consent or surrender, she notifies in writing the person,
15 agency or court representative who took the surrender or
16 consent or any individual representative representing or
17 connected with such person, agency or court representative of
18 the revocation of the consent or surrender.
19     B. No consent or surrender shall be taken within the 72
20 hour period immediately following the birth of the child.
21     C. A consent or a surrender may be taken from the father
22 prior to the birth of the child. Such consent or surrender
23 shall be revoked if, within 72 hours after the birth of the
24 child, the father who gave such consent or surrender, notifies
25 in writing the person, agency or court representative who took
26 the surrender or consent or any individual representing or
27 connected with such person, agency or court representative of
28 the revocation of the consent or surrender.    
29     C-5. A consent or a surrender may be taken from the
30 biological mother prior to the birth of the child. Such consent
31 or surrender shall be revoked if the biological mother notifies
32 in writing, no less than 72 hours after the birth of the child

 

 

HB4876 - 2 - LRB094 15428 AJO 50622 b

1 and no more than 60 days after the birth of a child, the
2 person, agency or court representative who took the surrender
3 or consent or any individual representing or connected with
4 such person, agency or court representative of the revocation
5 of the consent or surrender.
6     D. Any consent or surrender taken in accordance with
7 paragraph C above which is not revoked within 72 hours after
8 the birth of the child is irrevocable except as provided in
9 Section 11 of this Act.
10     D-5. Any consent or surrender taken in accordance with
11 paragraph C-5 above, no less than 72 hours after the birth of
12 the child and no more than 60 days after the birth of the
13 child, which is not revoked within 10 days after the consent or
14 surrender is signed is irrevocable except as provided in
15 Section 11 of this Act.
16     E. Consent may be given to a standby adoption by a parent
17 whose consent is required pursuant to Section 8 of this Act to
18 become effective when the consenting parent of the child dies
19 or that parent requests that the final judgment of adoption be
20 entered.
21 (Source: P.A. 93-732, eff. 1-1-05.)
 
22     (750 ILCS 50/10)  (from Ch. 40, par. 1512)
23     Sec. 10. Forms of consent and surrender; execution and
24 acknowledgment thereof.    A. The form of consent required for
25 the adoption of a born child shall be substantially as follows:
26
FINAL AND IRREVOCABLE CONSENT TO ADOPTION
27     I, ...., (relationship, e.g., mother, father, relative,
28 guardian) of ...., a ..male child, state:
29     That such child was born on .... at ....
30     That I reside at ...., County of .... and State of ....
31     That I am of the age of .... years.
32     That I hereby enter my appearance in this proceeding and
33 waive service of summons on me.
34     That I do hereby consent and agree to the adoption of such
35 child.

 

 

HB4876 - 3 - LRB094 15428 AJO 50622 b

1     That I wish to and understand that by signing this consent
2 I do irrevocably and permanently give up all custody and other
3 parental rights I have to such child.
4     That I understand such child will be placed for adoption
5 and that I cannot under any circumstances, after signing this
6 document, change my mind and revoke or cancel this consent or
7 obtain or recover custody or any other rights over such child.
8 That I have read and understand the above and I am signing it
9 as my free and voluntary act.
10     Dated (insert date).
11 .........................
 
12     If under Section 8 the consent of more than one person is
13 required, then each such person shall execute a separate
14 consent.
15     B. The form of consent by a father of an unborn child
16 required for the adoption of an unborn child shall be
17 substantially as follows:
18
CONSENT BY FATHER TO ADOPTION OF UNBORN CHILD
19     I, ...., 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 hereby enter my appearance in such adoption
25 proceeding and waive service of summons on me.
26     That I do hereby consent and agree to the adoption of such
27 child, and that I have not previously executed a consent or
28 surrender with respect to such child.
29     That I wish to and do understand that by signing this
30 consent I do irrevocably and permanently give up all custody
31 and other parental rights I have to such child, except that I
32 have the right to revoke this consent by giving written notice
33 of my revocation not later than 72 hours after the birth of the
34 child.
35     That I understand such child will be placed for adoption

 

 

HB4876 - 4 - LRB094 15428 AJO 50622 b

1 and that, except as hereinabove provided, I cannot under any
2 circumstances, after signing this document, change my mind and
3 revoke or cancel this consent or obtain or recover custody or
4 any other rights over such child.
5     That I have read and understand the above and I am signing
6 it as my free and voluntary act.
7     Dated (insert date).
8     B-3. The form of consent by the biological mother of an
9 unborn child required for the adoption of an unborn child shall
10 be substantially as follows:
11         CONSENT BY MOTHER TO ADOPTION OF UNBORN CHILD
12     I, ...., state:
13     That I am the mother of a child expected to be born on or
14 about .... to me.
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 such adoption
18 proceeding and waive service of summons on me.
19     That I do hereby consent and agree to the adoption of such
20 child, and that I have not previously executed a consent or
21 surrender with respect to such child.
22         That I wish to and do understand that by signing this
23 consent I do irrevocably and permanently give up all custody
24 and other parental rights I have to such child, except that I
25 have the right to revoke this consent by giving written notice
26 of my revocation no later than 10 days after the birth of the
27 child.
28     That I understand such child will be placed for adoption
29 and that, except as hereinabove provided, I cannot under any
30 circumstances, after signing this document, change my mind and
31 revoke or cancel this consent or obtain or recover custody or
32 any other rights over such child.
33     That I have read and understand the above and I am signing
34 it as my free and voluntary act.
35     Dated (insert date).
36 ........................

 

 

HB4876 - 5 - LRB094 15428 AJO 50622 b

1     B-5. (1) The parent of a child may execute a consent to
2 standby adoption by a specified person or persons. A consent
3 under this subsection B-5 shall be acknowledged by a parent
4 pursuant to subsection H and subsection K of this Section. The
5 form of consent required for the standby adoption of a born
6 child effective at a future date when the consenting parent of
7 the child dies or requests that a final judgment of adoption be
8 entered shall be substantially as follows:
9
FINAL AND IRREVOCABLE CONSENT
10
TO STANDBY ADOPTION
11     I, ..., (relationship, e.g. mother or father) of ...., a
12 ..male child, state:
13     That the child was born on .... at .....
14     That I reside at ...., County of ...., and State of .....
15     That I am of the age of .... years.
16     That I hereby enter my appearance in this proceeding and
17 waive service of summons on me in this action only.
18     That I do hereby consent and agree to the standby adoption
19 of the child, and that I have not previously executed a consent
20 or surrender with respect to the child.
21     That I wish to and understand that by signing this consent
22 I do irrevocably and permanently give up all custody and other
23 parental rights I have to the child, effective upon (my death)
24 (the child's other parent's death) or upon (my) (the other
25 parent's) request for the entry of a final judgment for
26 adoption if ..... (specified person or persons) adopt my child.
27     That I understand that until (I die) (the child's other
28 parent dies), I retain all legal rights and obligations
29 concerning the child, but at that time, I irrevocably give all
30 custody and other parental rights to .... (specified person or
31 persons).
32     I understand my child will be adopted by ....... (specified
33 person or persons) only and that I cannot, under any
34 circumstances, after signing this document, change my mind and
35 revoke or cancel this consent or obtain or recover custody or
36 any other rights over my child if ..... (specified person or

 

 

HB4876 - 6 - LRB094 15428 AJO 50622 b

1 persons) adopt my child.
2     I understand that this consent to standby adoption is valid
3 only if the petition for standby adoption is filed and that if
4 ....... (specified person or persons), for any reason, cannot
5 or will not file a petition for standby adoption or if his,
6 her, or their petition for standby adoption is denied, then
7 this consent is void. I have the right to notice of any other
8 proceeding that could affect my parental rights.
9     That I have read and understand the above and I am signing
10 it as my free and voluntary act.
11     Dated (insert date).
12 ....................
 
13     If under Section 8 the consent of more than one person is
14 required, then each such person shall execute a separate
15 consent. A separate consent shall be executed for each child.
16     (2) If the parent consents to a standby adoption by 2
17 specified persons, then the form shall contain 2 additional
18 paragraphs in substantially the following form:
19     If .... (specified persons) obtain a judgment of
20 dissolution of marriage before the judgment for adoption is
21 entered, then ..... (specified person) shall adopt my child. I
22 understand that I cannot change my mind and revoke this consent
23 or obtain or recover custody of my child if ..... (specified
24 persons) obtain a judgment of dissolution of marriage and .....
25 (specified person) adopts my child. I understand that I cannot
26 change my mind and revoke this consent if ...... (specified
27 persons) obtain a judgment of dissolution of marriage before
28 the adoption is final. I understand that this consent to
29 adoption has no effect on who will get custody of my child if
30 ..... (specified persons) obtain a judgment of dissolution of
31 marriage after the adoption is final. I understand that if
32 either ..... (specified persons) dies before the petition to
33 adopt my child is granted, then the surviving person may adopt
34 my child. I understand that I cannot change my mind and revoke
35 this consent or obtain or recover custody of my child if the

 

 

HB4876 - 7 - LRB094 15428 AJO 50622 b

1 surviving person adopts my child.
2     A consent to standby adoption by specified persons on this
3 form shall have no effect on a court's determination of custody
4 or visitation under the Illinois Marriage and Dissolution of
5 Marriage Act if the marriage of the specified persons is
6 dissolved before the adoption is final.
7     (3) The form of the certificate of acknowledgement for a
8 Final and Irrevocable Consent for Standby Adoption shall be
9 substantially as follows:
 
10 STATE OF .....)
11               ) SS.
12 COUNTY OF ....)
 
13     I, ....... (name of Judge or other person) ..... (official
14 title, name, and address), certify that ......., personally
15 known to me to be the same person whose name is subscribed to
16 the foregoing Final and Irrevocable Consent to Standby
17 Adoption, appeared before me this day in person and
18 acknowledged that (she) (he) signed and delivered the consent
19 as (her) (his) free and voluntary act, for the specified
20 purpose.
21     I have fully explained that this consent to adoption is
22 valid only if the petition to adopt is filed, and that if the
23 specified person or persons, for any reason, cannot or will not
24 adopt the child or if the adoption petition is denied, then
25 this consent will be void. I have fully explained that if the
26 specified person or persons adopt the child, by signing this
27 consent (she) (he) is irrevocably and permanently
28 relinquishing all parental rights to the child, and (she) (he)
29 has stated that such is (her) (his) intention and desire.
30     Dated (insert date).
31     Signature..............................
32     (4) If a consent to standby adoption is executed in this
33 form, the consent shall be valid only if the specified person
34 or persons adopt the child. The consent shall be void if:

 

 

HB4876 - 8 - LRB094 15428 AJO 50622 b

1     (a) the specified person or persons do not file a petition
2 for standby adoption of the child; or
3     (b) a court denies the standby adoption petition.
4     The parent shall not need to take further action to revoke
5 the consent if the standby adoption by the specified person or
6 persons does not occur, notwithstanding the provisions of
7 Section 11 of this Act.
8     C. The form of surrender to any agency given by a parent of
9 a born child who is to be subsequently placed for adoption
10 shall be substantially as follows and shall contain such other
11 facts and statements as the particular agency shall require.
12
FINAL AND IRREVOCABLE SURRENDER
13
FOR PURPOSES OF ADOPTION
14     I, .... (relationship, e.g., mother, father, relative,
15 guardian) of ...., a ..male child, state:
16     That such child was born on ...., at .....
17     That I reside at ...., County of ...., and State of .....
18     That I am of the age of .... years.
19     That I do hereby surrender and entrust the entire custody
20 and control of such child to the .... (the "Agency"), a
21 (public) (licensed) child welfare agency with its principal
22 office in the City of ...., County of .... and State of ....,
23 for the purpose of enabling it to care for and supervise the
24 care of such child, to place such child for adoption and to
25 consent to the legal adoption of such child.
26     That I hereby grant to the Agency full power and authority
27 to place such child with any person or persons it may in its
28 sole discretion select to become the adopting parent or parents
29 and to consent to the legal adoption of such child by such
30 person or persons; and to take any and all measures which, in
31 the judgment of the Agency, may be for the best interests of
32 such child, including authorizing medical, surgical and dental
33 care and treatment including inoculation and anaesthesia for
34 such child.
35     That I wish to and understand that by signing this
36 surrender I do irrevocably and permanently give up all custody

 

 

HB4876 - 9 - LRB094 15428 AJO 50622 b

1 and other parental rights I have to such child.
2     That I understand I cannot under any circumstances, after
3 signing this surrender, change my mind and revoke or cancel
4 this surrender or obtain or recover custody or any other rights
5 over such child.
6     That I have read and understand the above and I am signing
7 it as my free and voluntary act.
8     Dated (insert date).
9 ........................
10     D. The form of surrender to an agency given by a father
11 parent of an unborn child who is to be subsequently placed for
12 adoption shall be substantially as follows and shall contain
13 such other facts and statements as the particular agency shall
14 require.
15
SURRENDER BY FATHER OF UNBORN CHILD FOR
16
PURPOSES OF ADOPTION
17     I, .... (father), state:
18     That I am the father of a child expected to be born on or
19 about .... to .... (name of mother).
20     That I reside at ...., County of ...., and State of .....
21     That I am of the age of .... years.
22     That I do hereby surrender and entrust the entire custody
23 and control of such child to the .... (the "Agency"), a
24 (public) (licensed) child welfare agency with its principal
25 office in the City of ...., County of .... and State of ....,
26 for the purpose of enabling it to care for and supervise the
27 care of such child, to place such child for adoption and to
28 consent to the legal adoption of such child, and that I have
29 not previously executed a consent or surrender with respect to
30 such child.
31     That I hereby grant to the Agency full power and authority
32 to place such child with any person or persons it may in its
33 sole discretion select to become the adopting parent or parents
34 and to consent to the legal adoption of such child by such
35 person or persons; and to take any and all measures which, in
36 the judgment of the Agency, may be for the best interests of

 

 

HB4876 - 10 - LRB094 15428 AJO 50622 b

1 such child, including authorizing medical, surgical and dental
2 care and treatment, including inoculation and anaesthesia for
3 such child.
4     That I wish to and understand that by signing this
5 surrender I do irrevocably and permanently give up all custody
6 and other parental rights I have to such child.
7     That I understand I cannot under any circumstances, after
8 signing this surrender, change my mind and revoke or cancel
9 this surrender or obtain or recover custody or any other rights
10 over such child, except that I have the right to revoke this
11 surrender by giving written notice of my revocation not later
12 than 72 hours after the birth of such child.
13     That I have read and understand the above and I am signing
14 it as my free and voluntary act.
15     Dated (insert date).
16 ........................
17     D-5. The form of surrender to an agency given by a
18 biological mother of an unborn child who is to be subsequently
19 placed for adoption shall be substantially as follows and shall
20 contain such other facts and statements as the particular
21 agency shall require.
22
SURRENDER BY MOTHER OF UNBORN CHILD
23
FOR PURPOSES OF ADOPTION
24     I, .... (biological mother), state:
25     That I am the biological mother of a child expected to be
26 born on or about .... to me.
27     That I reside at ...., County of ...., and State of .....
28     That I am of the age of .... years.
29     That I do hereby surrender and entrust the entire custody
30 and control of such child to the .... (the "Agency"), a
31 (public) (licensed) child welfare agency with its principal
32 office in the City of ...., County of .... and State of ....,
33 for the purpose of enabling it to care for and supervise the
34 care of such child, to place such child for adoption and to
35 consent to the legal adoption of such child, and that I have
36 not previously executed a consent or surrender with respect to

 

 

HB4876 - 11 - LRB094 15428 AJO 50622 b

1 such child.
2     That I hereby grant to the Agency full power and authority
3 to place such child with any person or persons it may in its
4 sole discretion select to become the adopting parent or parents
5 and to consent to the legal adoption of such child by such
6 person or persons; and to take any and all measures which, in
7 the judgment of the Agency, may be for the best interests of
8 such child, including authorizing medical, surgical and dental
9 care and treatment, including inoculation and anaesthesia for
10 such child.
11     That I wish to and understand that by signing this
12 surrender I do irrevocably and permanently give up all custody
13 and other parental rights I have to such child.
14     That I understand I cannot under any circumstances, after
15 signing this surrender, change my mind and revoke or cancel
16 this surrender or obtain or recover custody or any other rights
17 over such child, except that I have the right to revoke this
18 surrender by giving written notice of my revocation not later
19 than 10 days after the birth of such child.
20         That I have read and understand the above and I am
21 signing it as my free and voluntary act.
22 Dated (insert date).
23 E. The form of consent required from the parents for the
24 adoption of an adult, when such adult elects to obtain such
25 consent, shall be substantially as follows:
26
CONSENT
27     I, ...., (father) (mother) of ...., an adult, state:
28     That I reside at ...., County of .... and State of .....
29     That I do hereby consent and agree to the adoption of such
30 adult by .... and .....
31     Dated (insert date).
32 .........................
33     
34 F. The form of consent required for the adoption of a child of
35 the age of 14 years or upwards, or of an adult, to be given by
36 such person, shall be substantially as follows:

 

 

HB4876 - 12 - LRB094 15428 AJO 50622 b

1
CONSENT
2     I, ...., state:
3     That I reside at ...., County of .... and State of .....
4 That I am of the age of .... years. That I consent and agree to
5 my adoption by .... and .....
6     Dated (insert date).
7 ........................
8     G. The form of consent given by an agency to the adoption
9 by specified persons of a child previously surrendered to it
10 shall set forth that the agency has the authority to execute
11 such consent. The form of consent given by a guardian of the
12 person of a child sought to be adopted, appointed by a court of
13 competent jurisdiction, shall set forth the facts of such
14 appointment and the authority of the guardian to execute such
15 consent.
16     H. A consent (other than that given by an agency, or
17 guardian of the person of the child sought to be adopted
18 appointed by a court of competent jurisdiction) shall be
19 acknowledged by a parent before the presiding judge of the
20 court in which the petition for adoption has been, or is to be
21 filed or before any other judge or hearing officer designated
22 or subsequently approved by the court, or the circuit clerk if
23 so authorized by the presiding judge or, except as otherwise
24 provided in this Act, before a representative of the Department
25 of Children and Family Services or a licensed child welfare
26 agency, or before social service personnel under the
27 jurisdiction of a court of competent jurisdiction, or before
28 social service personnel of the Cook County Department of
29 Supportive Services designated by the presiding judge.
30     I. A surrender, or any other document equivalent to a
31 surrender, by which a child is surrendered to an agency shall
32 be acknowledged by the person signing such surrender, or other
33 document, before a judge or hearing officer or the clerk of any
34 court of record, either in this State or any other state of the
35 United States, or before a representative of an agency or
36 before any other person designated or approved by the presiding

 

 

HB4876 - 13 - LRB094 15428 AJO 50622 b

1 judge of the court in which the petition for adoption has been,
2 or is to be, filed.
3     J. The form of the certificate of acknowledgment for a
4 consent, a surrender, or any other document equivalent to a
5 surrender, shall be substantially as follows:
6 STATE OF ....)
7              ) SS.
8 COUNTY OF ...)
9     I, .... (Name of judge or other person), .... (official
10 title, name and location of court or status or position of
11 other person), certify that ...., personally known to me to be
12 the same person whose name is subscribed to the foregoing
13 (consent) (surrender), appeared before me this day in person
14 and acknowledged that (she) (he) signed and delivered such
15 (consent) (surrender) as (her) (his) free and voluntary act,
16 for the specified purpose.
17     I have fully explained that by signing such (consent)
18 (surrender) (she) (he) is irrevocably relinquishing all
19 parental rights to such child or adult and (she) (he) has
20 stated that such is (her) (his) intention and desire.
21     Dated (insert date).
22     Signature ...............
23     K. When the execution of a consent or a surrender is
24 acknowledged before someone other than a judge or the clerk of
25 a court of record, such other person shall have his signature
26 on the certificate acknowledged before a notary public, in form
27 substantially as follows:
28 STATE OF ....)
29              ) SS.
30 COUNTY OF ...)
31     I, a Notary Public, in and for the County of ......, in the
32 State of ......, certify that ...., personally known to me to
33 be the same person whose name is subscribed to the foregoing
34 certificate of acknowledgment, appeared before me in person and
35 acknowledged that (she) (he) signed such certificate as (her)
36 (his) free and voluntary act and that the statements made in

 

 

HB4876 - 14 - LRB094 15428 AJO 50622 b

1 the certificate are true.
2     Dated (insert date).
3     
Signature ...................... Notary Public
4
(official seal)

 
5     There shall be attached a certificate of magistracy, or
6 other comparable proof of office of the notary public
7 satisfactory to the court, to a consent signed and acknowledged
8 in another state.
9     L. A surrender or consent executed and acknowledged outside
10 of this State, either in accordance with the law of this State
11 or in accordance with the law of the place where executed, is
12 valid.
13     M. Where a consent or a surrender is signed in a foreign
14 country, the execution of such consent shall be acknowledged or
15 affirmed in a manner conformable to the law and procedure of
16 such country.
17     N. If the person signing a consent or surrender is in the
18 military service of the United States, the execution of such
19 consent or surrender may be acknowledged before a commissioned
20 officer and the signature of such officer on such certificate
21 shall be verified or acknowledged before a notary public or by
22 such other procedure as is then in effect for such division or
23 branch of the armed forces.
24     O. (1) The parent or parents of a child in whose interests
25 a petition under Section 2-13 of the Juvenile Court Act of 1987
26 is pending may, with the approval of the designated
27 representative of the Department of Children and Family
28 Services, execute a consent to adoption by a specified person
29 or persons:
30         (a) in whose physical custody the child has resided for
31     at least 6 months; or
32         (b) in whose physical custody at least one sibling of
33     the child who is the subject of this consent has resided
34     for at least 6 months, and the child who is the subject of
35     this consent is currently residing in this foster home; or

 

 

HB4876 - 15 - LRB094 15428 AJO 50622 b

1         (c) in whose physical custody a child under one year of
2     age has resided for at least 3 months.
3 A consent under this subsection O shall be acknowledged by a
4 parent pursuant to subsection H and subsection K of this
5 Section.
6     (2) The consent to adoption by a specified person or
7 persons shall have the caption of the proceeding in which it is
8 to be filed and shall be substantially as follows:
9
FINAL AND IRREVOCABLE CONSENT TO ADOPTION BY
10
A SPECIFIED PERSON OR PERSONS
11     I, ......................................, the
12 .................. (mother or father) of a ....male child,
13 state:
14         1. My child ............................ (name of
15     child) was born on (insert date) at ....................
16     Hospital in ................ County, State of
17     ...............
18         2. I reside at ......................, County of
19     ............. and State of ..............
20         3. I, ..........................., am .... years old.
21         4. I enter my appearance in this action to adopt my
22     child by the person or persons specified herein by me and
23     waive service of summons on me in this action only.
24         5. I consent to the adoption of my child by
25     ............................. (specified person or
26     persons) only.
27         6. I wish to sign this consent and I understand that by
28     signing this consent I irrevocably and permanently give up
29     all parental rights I have to my child if my child is
30     adopted by ............................. (specified person
31     or persons).
32         7. I understand my child will be adopted by
33     ............................. (specified person or
34     persons) only and that I cannot under any circumstances,
35     after signing this document, change my mind and revoke or
36     cancel this consent or obtain or recover custody or any

 

 

HB4876 - 16 - LRB094 15428 AJO 50622 b

1     other rights over my child if ............................
2     (specified person or persons) adopt my child.
3         8. I understand that this consent to adoption is valid
4     only if the petition to adopt is filed within one year from
5     the date that I sign it and that if .......................
6     (specified person or persons), for any reason, cannot or
7     will not file a petition to adopt my child within that one
8     year period or if their adoption petition is denied, then
9     this consent will be voidable after one year upon the
10     timely filing of my motion. If I file this motion before
11     the filing of the petition for adoption, I understand that
12     the court shall revoke this specific consent. I have the
13     right to notice of any other proceeding that could affect
14     my parental rights, except for the proceeding for
15     ............. (specified person or persons) to adopt my
16     child.
17         9. I have read and understand the above and I am
18     signing it as my free and voluntary act.
19         Dated (insert date).
20         .............................................
21         Signature of parent
22     (3) If the parent consents to an adoption by 2 specified
23 persons, then the form shall contain 2 additional paragraphs in
24 substantially the following form:
25         10. If ............... (specified persons) get a
26     divorce before the petition to adopt my child is granted,
27     then .......... (specified person) shall adopt my child. I
28     understand that I cannot change my mind and revoke this
29     consent or obtain or recover custody over my child if
30     ............. (specified persons) divorce and
31     ............. (specified person) adopts my child. I
32     understand that I cannot change my mind and revoke this
33     consent or obtain or recover custody over my child if
34     ................. (specified persons) divorce after the
35     adoption is final. I understand that this consent to
36     adoption has no effect on who will get custody of my child

 

 

HB4876 - 17 - LRB094 15428 AJO 50622 b

1     if they divorce after the adoption is final.
2         11. I understand that if either ...............
3     (specified persons) dies before the petition to adopt my
4     child is granted, then the surviving person can adopt my
5     child. I understand that I cannot change my mind and revoke
6     this consent or obtain or recover custody over my child if
7     the surviving person adopts my child.
8     A consent to adoption by specified persons on this form
9 shall have no effect on a court's determination of custody or
10 visitation under the Illinois Marriage and Dissolution of
11 Marriage Act if the marriage of the specified persons is
12 dissolved after the adoption is final.
13     (4) The form of the certificate of acknowledgement for a
14 Final and Irrevocable Consent for Adoption by a Specified
15 Person or Persons shall be substantially as follows:
 
16 STATE OF..............)
17                       ) SS.
18 COUNTY OF.............)
 
19     I, .................... (Name of Judge or other person),
20 ..................... (official title, name, and address),
21 certify that ............., personally known to me to be the
22 same person whose name is subscribed to the foregoing Final and
23 Irrevocable Consent for Adoption by a Specified Person or
24 Persons, appeared before me this day in person and acknowledged
25 that (she)(he) signed and delivered the consent as (her)(his)
26 free and voluntary act, for the specified purpose.
27     I have fully explained that this consent to adoption is
28 valid only if the petition to adopt is filed within one year
29 from the date that it is signed, and that if the specified
30 person or persons, for any reason, cannot or will not adopt the
31 child or if the adoption petition is denied, then this consent
32 will be voidable after one year upon the timely filing of a
33 motion by the parent to revoke the consent. I explained that if
34 this motion is filed before the filing of the petition for

 

 

HB4876 - 18 - LRB094 15428 AJO 50622 b

1 adoption, the court shall revoke this specific consent. I have
2 fully explained that if the specified person or persons adopt
3 the child, by signing this consent this parent is irrevocably
4 and permanently relinquishing all parental rights to the child,
5 and this parent has stated that such is (her)(his) intention
6 and desire.
7     Dated (insert date).
8     ...............................
9     Signature
10     (5) If a consent to adoption by a specified person or
11 persons is executed in this form, the following provisions
12 shall apply. The consent shall be valid only if that specified
13 person or persons adopt the child. The consent shall be
14 voidable after one year if:
15         (a) the specified person or persons do not file a
16     petition to adopt the child within one year after the
17     consent is signed and the parent files a timely motion to
18     revoke this consent. If this motion is filed before the
19     filing of the petition for adoption the court shall revoke
20     this consent; or
21         (b) a court denies the adoption petition; or
22         (c) the Department of Children and Family Services
23     Guardianship Administrator determines that the specified
24     person or persons will not or cannot complete the adoption,
25     or in the best interests of the child should not adopt the
26     child.
27     Within 30 days of the consent becoming void, the Department
28 of Children and Family Services Guardianship Administrator
29 shall make good faith attempts to notify the parent in writing
30 and shall give written notice to the court and all additional
31 parties in writing that the adoption has not occurred or will
32 not occur and that the consent is void. If the adoption by a
33 specified person or persons does not occur, no proceeding for
34 termination of parental rights shall be brought unless the
35 biological parent who executed the consent to adoption by a
36 specified person or persons has been notified of the proceeding

 

 

HB4876 - 19 - LRB094 15428 AJO 50622 b

1 pursuant to Section 7 of this Act or subsection (4) of Section
2 2-13 of the Juvenile Court Act of 1987. The parent shall not
3 need to take further action to revoke the consent if the
4 specified adoption does not occur, notwithstanding the
5 provisions of Section 11 of this Act.
6     (6) The Department of Children and Family Services is
7 authorized to promulgate rules necessary to implement this
8 subsection O.
9     (7) The Department shall collect and maintain data
10 concerning the efficacy of specific consents. This data shall
11 include the number of specific consents executed and their
12 outcomes, including but not limited to the number of children
13 adopted pursuant to the consents, the number of children for
14 whom adoptions are not completed, and the reason or reasons why
15 the adoptions are not completed.
16 (Source: P.A. 92-320, eff. 1-1-02; 93-732, eff. 1-1-05.)
 
17     (750 ILCS 50/11)  (from Ch. 40, par. 1513)
18     Sec. 11. Consents, surrenders, irrevocability.
19     (a) A consent to adoption or standby adoption by a parent,
20 including a minor, executed and acknowledged in accordance with
21 the provisions of Section 8 of this Act, or a surrender of a
22 child by a parent, including a minor, to an agency for the
23 purpose of adoption shall be irrevocable, except as provided in
24 subsection (a-5), unless it shall have been obtained by fraud
25 or duress on the part of the person before whom such consent,
26 surrender, or other document equivalent to a surrender is
27 acknowledged pursuant to the provisions of Section 10 of this
28 Act or on the part of the adopting parents or their agents and
29 a court of competent jurisdiction shall so find. No action to
30 void or revoke a consent to or surrender for adoption,
31 including an action based on fraud or duress, may be commenced
32 after 12 months from the date the consent or surrender was
33 executed. The consent or surrender of a parent who is a minor
34 shall not be voidable because of such minority.
35     (a-5) A consent to adoption or standby adoption by a

 

 

HB4876 - 20 - LRB094 15428 AJO 50622 b

1 biological mother, including a minor, executed and
2 acknowledged in accordance with the provisions of Section 8 of
3 this Act, or a surrender of a child by a biological mother,
4 including a minor, to an agency for the purpose of adoption
5 shall be revoked if, within 10 days after the execution and
6 acknowledgement, the biological mother notifies in writing the
7 person, agency, or court representative who took the surrender
8 or consent, or any individual representing or connected with
9 such person, agency, or court representative of the consent. No
10 action to void or revoke a consent to or surrender for
11 adoption, including an action based on fraud or duress, may be
12 commenced after 12 months from the date the consent or
13 surrender was executed. The consent or surrender of a parent
14 who is a minor shall not be voidable because of such minority.
15     (b) The petitioners in an adoption proceeding are entitled
16 to rely upon a sworn statement of the biological mother of the
17 child to be adopted identifying the father of her child. The
18 affidavit shall be conclusive evidence as to the biological
19 mother regarding the facts stated therein, and shall create a
20 rebuttable presumption of truth as to the biological father
21 only. Except as provided in Section 11 of this Act, the
22 biological mother of the child shall be permanently barred from
23 attacking the proceeding thereafter. The biological mother
24 shall execute such affidavit in writing and under oath. The
25 affidavit shall be executed by the biological mother before or
26 at the time of execution of the consent or surrender, and shall
27 be retained by the court and be a part of the Court's files.
28 The form of affidavit shall be substantially as follows:
29
AFFIDAVIT OF IDENTIFICATION
30     I, ................., the mother of a (male or female)
31 child, state under oath or affirm as follows:
32     (1) That the child was born, or is expected to be born, on
33 (insert date), at ......................., in the State of
34 ...................
35     (2) That I reside at .................., in the City or
36 Village of ..........., State of ...................

 

 

HB4876 - 21 - LRB094 15428 AJO 50622 b

1     (3) That I am of the age of ....... years.
2     (4) That I acknowledge that I have been asked to identify
3 the father of my child.
4     (5) (CHECK ONE)
5     .... I know and am identifying the biological father.
6     .... I do not know the identity of the biological father.
7     .... I am unwilling to identify the biological father.
8     (6A) If I know and am identifying the father:
9     That the name of the biological father is
10 ....................; his last known home address is
11 ............; his last known work address is
12 ....................; and he is ..... years of age; or he is
13 deceased, having died on (insert date) at .............., in
14 the State of ..................
15     (6B) If I do not know the identity of the biological
16 father:
17     I do not know who the biological father is; the following
18 is an explanation of why I am unable to identify him:
19 .............................................................
20 .............................................................
21 ..............................................................
22     (6C) If I am unwilling to identify the biological father:
23     I do not wish to name the biological father of the child
24 for the following reasons:
25 .............................................................
26 .............................................................
27 .............................................................
28     (7) The physical description of the biological father is: .
29 .............................................................
30 .............................................................
31     (8) I reaffirm that the information contained in paragraphs
32 5, 6, and 7, inclusive, is true and correct.
33     (9) (CHECK ONE)
34     .... I have been informed and understand that if I am
35 unwilling, refuse to identify, or misidentify the biological
36 father of the child, absent fraud or duress, I am permanently

 

 

HB4876 - 22 - LRB094 15428 AJO 50622 b

1 barred from attacking the proceedings for the adoption of the
2 child at any time after I sign a final and irrevocable consent
3 to adoption or surrender for purposes of adoption.
4     .... I have been informed and understand that as to the
5 child born to me within the last 60 days, if I am unwilling,
6 refuse to identify, or misidentify the biological father of the
7 child, absent fraud or duress, I am permanently barred from
8 attacking the proceedings for the adoption of the child at any
9 time 10 days after I sign a final and irrevocable consent to
10 adoption or surrender for purposes of adoption. That I
11 understand such child will be placed for adoption and that I
12 cannot under any circumstances, after signing this surrender,
13 change my mind and revoke or cancel this surrender or obtain or
14 recover custody or any other rights over such child, except
15 that I have the right to revoke this affidavit of
16 identification by giving written notice of my revocation within
17 10 days after I sign this affidavit, provided that I signed
18 this affidavit no later than 60 days after the birth of such
19 child.
20     (10) I have read this Affidavit and have had the
21 opportunity to review and question it; it was explained to me
22 by ............................; and I am signing it as my free
23 and voluntary act and understand the contents and the results
24 of signing it.
25     Dated (insert date).
26
...................................
27
Signature
28     Under penalties as provided by law under Section 1-109 of
29 the Code of Civil Procedure, the undersigned certifies that the
30 statements set forth in this Affidavit are true and correct.
31
...................................
32
Signature
33 (Source: P.A. 91-357, eff. 7-29-99; 91-572, eff. 1-1-00.)