Public Act 097-0110
 
HB1255 EnrolledLRB097 07482 RPM 47592 b

    AN ACT concerning families.
 
    Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
 
    Section 5. The Vital Records Act is amended by changing
Section 17 as follows:
 
    (410 ILCS 535/17)  (from Ch. 111 1/2, par. 73-17)
    Sec. 17. (1) For a person born in this State, the State
Registrar of Vital Records shall establish a new certificate of
birth when he receives any of the following:
        (a) A certificate of adoption as provided in Section 16
    or a certified copy of the order of adoption together with
    the information necessary to identify the original
    certificate of birth and to establish the new certificate
    of birth; except that a new certificate of birth shall not
    be established if so requested by the court ordering the
    adoption, the adoptive parents, or the adopted person.
        (b) A certificate of adoption or a certified copy of
    the order of adoption entered in a court of competent
    jurisdiction of any other state or country declaring
    adopted a child born in the State of Illinois, together
    with the information necessary to identify the original
    certificate of birth and to establish the new certificate
    of birth; except that a new certificate of birth shall not
    be established if so requested by the court ordering the
    adoption, the adoptive parents, or the adopted person.
        (c) A request that a new certificate be established and
    such evidence as required by regulation proving that such
    person has been legitimatized, or that the circuit court,
    the Department of Healthcare and Family Services (formerly
    Illinois Department of Public Aid), or a court or
    administrative agency of any other state has established
    the paternity of such a person by judicial or
    administrative processes or by voluntary acknowledgment,
    which is accompanied by the social security numbers of all
    persons determined and presumed to be the parents.
        (d) An affidavit by a physician that he has performed
    an operation on a person, and that by reason of the
    operation the sex designation on such person's birth record
    should be changed. The State Registrar of Vital Records may
    make any investigation or require any further information
    he deems necessary.
    Each request for a new certificate of birth shall be
accompanied by a fee of $15 and entitles the applicant to one
certification or certified copy of the new certificate. If the
request is for additional copies, it shall be accompanied by a
fee of $2 for each additional certification or certified copy.
    (2) When a new certificate of birth is established, the
actual place and date of birth shall be shown; provided, in the
case of adoption of a person born in this State by parents who
were residents of this State at the time of the birth of the
adopted person, the place of birth may be shown as the place of
residence of the adoptive parents at the time of such person's
birth, if specifically requested by them, and any new
certificate of birth established prior to the effective date of
this amendatory Act may be corrected accordingly if so
requested by the adoptive parents or the adopted person when of
legal age. The social security numbers of the parents shall not
be recorded on the certificate of birth. The social security
numbers may only be used for purposes allowed under federal
law. The new certificate shall be substituted for the original
certificate of birth:
        (a) Thereafter, the original certificate and the
    evidence of adoption, paternity, legitimation, or sex
    change shall not be subject to inspection or certification
    except upon order of the circuit court or as provided by
    regulation. If the new certificate was issued subsequent to
    an adoption, the original certificate shall not be subject
    to inspection until the adopted person has reached the age
    of 21; thereafter, the original certificate shall be made
    available as provided by Section 18.1b of the Adoption Act.
        (b) Upon receipt of notice of annulment of adoption,
    the original certificate of birth shall be restored to its
    place in the files, and the new certificate and evidence
    shall not be subject to inspection or certification except
    upon order of the circuit court.
    (3) If no certificate of birth is on file for the person
for whom a new certificate is to be established under this
Section, a delayed record of birth shall be filed with the
State Registrar of Vital Records as provided in Section 14 or
Section 15 of this Act before a new certificate of birth is
established, except that when the date and place of birth and
parentage have been established in the adoption proceedings, a
delayed record shall not be required.
    (4) When a new certificate of birth is established by the
State Registrar of Vital Records, all copies of the original
certificate of birth in the custody of any custodian of
permanent local records in this State shall be transmitted to
the State Registrar of Vital Records as directed, and shall be
sealed from inspection except as provided by Section 18.1b of
the Adoption Act.
    (5) Nothing in this Section shall be construed to prohibit
the amendment of a birth certificate in accordance with
subsection (6) of Section 22.
(Source: P.A. 95-331, eff. 8-21-07.)
 
    Section 10. The Adoption Act is amended by changing
Sections 18.06, 18.1, 18.1a, 18.1b, 18.2, 18.3a, and 18.6 as
follows:
 
    (750 ILCS 50/18.06)
    Sec. 18.06. Definitions. When used in Sections 18.05
through Section 18.6, for the purposes of the Registry:
    "Adopted person" means a person who was adopted pursuant to
the laws in effect at the time of the adoption.
    "Adoptive parent" means a person who has become a parent
through the legal process of adoption.
    "Adult child" means the biological child 21 years of age or
over of a deceased adopted or surrendered person.
    "Adult Adopted or Surrendered Person" means an adopted or
surrendered person 21 years of age or over.
    "Agency" means a public child welfare agency or a licensed
child welfare agency.
    "Birth aunt" means the adult full or half sister of a
deceased birth parent.
    "Birth father" means the biological father of an adopted or
surrendered person who is named on the original certificate of
live birth or on a consent or surrender document, or a
biological father whose paternity has been established by a
judgment or order of the court, pursuant to the Illinois
Parentage Act of 1984.
    "Birth mother" means the biological mother of an adopted or
surrendered person.
    "Birth parent" means a birth mother or birth father of an
adopted or surrendered person.
    "Birth Parent Preference Form" means the form prepared by
the Department of Public Health pursuant to Section 18.2
completed by a birth parent registrant and filed with the
Registry that indicates the birth parent's preferences
regarding contact and, if applicable, the release of his or her
identifying information on the non-certified copy of the
original birth certificate released to an adult adopted or
surrendered person or to the surviving adult child or surviving
spouse of a deceased adopted or surrendered person who has
filed a Request for a Non-Certified Copy of an Original Birth
Certificate.
    "Birth relative" means a birth mother, birth father, birth
sibling, birth aunt, or birth uncle.
    "Birth sibling" means the adult full or half sibling of an
adopted or surrendered person.
    "Birth uncle" means the adult full or half brother of a
deceased birth parent.
    "Confidential intermediary" means an individual certified
by the Department of Children and Family Services pursuant to
Section 18.3a(e).
    "Denial of Information Exchange" means an affidavit
completed by a registrant with the Illinois Adoption Registry
and Medical Information Exchange denying the release of
identifying information which has been filed with the Registry.
    "Information Exchange Authorization" means an affidavit
completed by a registrant with the Illinois Adoption Registry
and Medical Information Exchange authorizing the release of
identifying information which has been filed with the Registry.
    "Medical Information Exchange Questionnaire" means the
medical history questionnaire completed by a registrant of the
Illinois Adoption Registry and Medical Information Exchange.
    "Non-certified Copy of the Original Birth Certificate"
means a non-certified copy of the original certificate of live
birth of an adult adopted or surrendered person who was born in
Illinois.
    "Proof of death" means a death certificate.
    "Registrant" or "Registered Party" means a birth parent,
birth sibling, birth aunt, birth uncle, adopted or surrendered
person 21 years of age or over, adoptive parent or legal
guardian of an adopted or surrendered person under the age of
21, or adoptive parent, surviving spouse, or adult child of a
deceased adopted or surrendered person who has filed an
Illinois Adoption Registry Application or Registration
Identification Form with the Registry.
    "Registry" means the Illinois Adoption Registry and
Medical Information Exchange.
    "Request for a Non-Certified Copy of an Original Birth
Certificate" means an affidavit completed by an adult adopted
or surrendered person or by the surviving adult child or
surviving spouse of a deceased adopted or surrendered person
and filed with the Registry requesting a non-certified copy of
an adult adopted or surrendered person's original certificate
of live birth in Illinois.
    "Surrendered person" means a person whose parents' rights
have been surrendered or terminated but who has not been
adopted.
    "Surviving spouse" means the wife or husband, 21 years of
age or older, of a deceased adopted or surrendered person who
would be 21 years of age or older if still alive and who has one
or more surviving biological children who are under the age of
21.
    "18.3 Statement" means a statement regarding the
disclosure of identifying information signed by a birth parent
under Section 18.3 of this Act as it existed immediately prior
to the effective date of this amendatory Act of the 96th
General Assembly.
(Source: P.A. 96-895, eff. 5-21-10.)
 
    (750 ILCS 50/18.1)  (from Ch. 40, par. 1522.1)
    Sec. 18.1. Disclosure of identifying information.
    (a) The Department of Public Health shall establish and
maintain a Registry for the purpose of allowing mutually
consenting members of birth and adoptive families to exchange
identifying and medical information. Identifying information
for the purpose of this Act shall mean any one or more of the
following:
        (1) The name and last known address of the consenting
    person or persons.
        (2) A copy of the Illinois Adoption Registry
    Application of the consenting person or persons.
        (3) A non-certified copy of the original birth
    certificate of an adult adopted or surrendered person.
    (b) Written authorization from all parties identified must
be received prior to disclosure of any identifying information,
with the exception of non-certified copies of original birth
certificates released to adult adopted or surrendered persons
or to surviving adult children and surviving spouses of
deceased adopted or surrendered persons pursuant to the
procedures outlined in Section 18.1b(e).
    (c) At any time after a child is surrendered for adoption,
or at any time during the adoption proceedings or at any time
thereafter, either birth parent or both of them may file with
the Registry a Birth Parent Registration Identification Form
and an Information Exchange Authorization or a Denial of
Information Exchange.
    (d) A birth sibling 21 years of age or over who was not
surrendered for adoption and who has submitted a copy of his or
her birth certificate as well as proof of death for a deceased
birth parent and such birth parent did not file a Denial of
Information Exchange or a Birth Parent Preference Form on which
Option E was selected with the Registry prior to his or her
death may file a Registration Identification Form and an
Information Exchange Authorization or a Denial of Information
Exchange.
    (e) A birth aunt or birth uncle who has submitted birth
certificates for himself or herself and for a deceased birth
parent naming at least one common biological parent as well as
proof of death for the deceased birth parent and such birth
parent did not file a Denial of Information Exchange or a Birth
Parent Preference Form on which Option E was selected with the
Registry prior to his or her death may file a Registration
Identification Form and an Information Exchange Authorization
or a Denial of Information Exchange.
    (f) Any adopted person 21 years of age or over, any
surrendered person 21 years of age or over, or any adoptive
parent or legal guardian of an adopted or surrendered person
under the age of 21 may file with the Registry a Registration
Identification Form and an Information Exchange Authorization
or a Denial of Information Exchange.
    (g) Any adult child 21 years of age or over of a deceased
adopted or surrendered person who has submitted a copy of his
or her birth certificate naming an adopted or surrendered
person as his or her biological parent as well as proof of
death for the deceased adopted or surrendered person and such
adopted or surrendered person did not file a Denial of
Information Exchange with the Registry prior to his or her
death may file a Registration Identification Form and an
Information Exchange Authorization or a Denial of Information
Exchange.
    (h) Any surviving spouse of a deceased adopted or
surrendered person 21 years of age or over who has submitted
proof of death for the deceased adopted or surrendered person
and such adopted or surrendered person did not file a Denial of
Information Exchange with the Registry prior to his or her
death as well as a birth certificate naming themselves and the
adopted or surrendered person as the parents of a minor child
under the age of 21 may file a Registration Identification Form
and an Information Exchange Authorization or a Denial of
Information Exchange.
    (i) Any adoptive parent or legal guardian of a deceased
adopted or surrendered person who is 21 years of age or over
who has submitted proof of death as well as proof of parentage
or guardianship for the deceased adopted or surrendered person
and such adopted or surrendered person did not file a Denial of
Information Exchange with the Registry prior to his or her
death may file a Registration Identification Form and an
Information Exchange Authorization or a Denial of Information
Exchange.
    (j) The Department of Public Health shall supply to the
adopted or surrendered person or his or her adoptive parents,
legal guardians, adult children or surviving spouse, and to the
birth parents identifying information only if both the adopted
or surrendered person, or one of his or her adoptive parents,
legal guardians, adult children or his or her surviving spouse,
and the birth parents have filed with the Registry an
Information Exchange Authorization or a Birth Parent
Preference Form on which Option A, B, or C was selected and the
information at the Registry indicates that the consenting
adopted or surrendered person, the child of the consenting
adoptive parents or legal guardians, the parent of the
consenting adult child of the adopted or surrendered person, or
the deceased wife or husband of the consenting surviving spouse
is the child of the consenting birth parents, except
identifying information that appears on a non-certified copy of
an original birth certificate may be provided to an adult
adopted or surrendered person or to the surviving adult child
or surviving spouse of a deceased adopted or surrendered person
pursuant to the procedures outlined in Section 18.1b(e) of this
Act.
    The Department of Public Health shall supply to adopted or
surrendered persons who are birth siblings identifying
information only if both siblings have filed with the Registry
an Information Exchange Authorization and the information at
the Registry indicates that the consenting siblings have one or
both birth parents in common. Identifying information shall be
supplied to consenting birth siblings who were adopted or
surrendered if any such sibling is 21 years of age or over.
Identifying information shall be supplied to consenting birth
siblings who were not adopted or surrendered if any such
sibling is 21 years of age or over and has proof of death of the
common birth parent and such birth parent did not file a Denial
of Information Exchange or a Birth Parent Preference Form on
which Option E was selected with the Registry prior to his or
her death.
    (k) The Department of Public Health shall supply to the
adopted or surrendered person or his or her adoptive parents,
legal guardians, adult children or surviving spouse, and to a
birth aunt identifying information only if both the adopted or
surrendered person or one of his or her adoptive parents, legal
guardians, adult children or his or her surviving spouse, and
the birth aunt have filed with the Registry an Information
Exchange Authorization and the information at the Registry
indicates that the consenting adopted or surrendered person, or
the child of the consenting adoptive parents or legal
guardians, or the parent of the consenting adult child, or the
deceased wife or husband of the consenting surviving spouse of
the adopted or surrendered person is or was the child of the
brother or sister of the consenting birth aunt.
    (l) The Department of Public Health shall supply to the
adopted or surrendered person or his or her adoptive parents,
legal guardians, adult children or surviving spouse, and to a
birth uncle identifying information only if both the adopted or
surrendered person or one of his or her adoptive parents, legal
guardians, adult children or his or her surviving spouse, and
the birth uncle have filed with the Registry an Information
Exchange Authorization and the information at the Registry
indicates that the consenting adopted or surrendered person, or
the child of the consenting adoptive parents or legal
guardians, or the parent of the consenting adult child, or the
deceased wife or husband of the consenting surviving spouse of
the adopted or surrendered person is or was the child of the
brother or sister of the consenting birth uncle.
    (m) A registrant may notify the Registry of his or her
desire not to have identifying information revealed or may
revoke any previously filed Information Exchange Authorization
by completing and filing with the Registry a Registry
Identification Form along with a Denial of Information Exchange
or, if applicable, a Birth Parent Preference Form. Any
registrant, except a birth parent, may revoke his or her Denial
of Information Exchange by filing an Information Exchange
Authorization. A birth parent may revoke a Denial of
Information Exchange by filing a Birth Parent Preference Form.
Any birth parent who has previously filed a Birth Parent
Preference Form where Option E was selected may revoke such
preference by filing a subsequent Birth Parent Preference Form
and selecting Option A, B, C, or D. The Department of Public
Health shall act in accordance with the most recently filed
affidavit.
    (n) Identifying information ascertained from the Registry
shall be confidential and may be disclosed only (1) upon a
Court Order, which order shall name the person or persons
entitled to the information, or (2) to a registrant who is the
subject of an Information Exchange Authorization or, if
applicable, a Birth Parent Preference Form that was completed
by another registrant and filed with the Illinois Adoption
Registry and Medical Information Exchange, or (3) as authorized
under subsection (h) of Section 18.3 of this Act, or (4)
pursuant to the procedures outlined in Section 18.1b(e) of this
Act. Any person who willfully provides unauthorized disclosure
of any information filed with the Registry or who knowingly or
intentionally files false information with the Registry shall
be guilty of a Class A misdemeanor and shall be liable for
damages.
    (o) If information is disclosed pursuant to this Act, the
Department shall redact it to remove any identifying
information about any party who has not consented to the
disclosure of such identifying information, or, in the case of
identifying information on the original birth certificate,
pursuant to Section 18.1b(e) of this Act.
(Source: P.A. 96-895, eff. 5-21-10.)
 
    (750 ILCS 50/18.1a)
    Sec. 18.1a. Registry matches.
    (a) The Registry shall release identifying information, as
specified on the applicant's Information Exchange
Authorization or, if applicable, a Birth Parent Preference
Form, to the following mutually consenting registered parties
and provide them with any photographs or correspondence which
have been placed in the Adoption/Surrender Records File and are
specifically intended for the registered parties:
        (i) an adult adopted or surrendered person and one of
    his or her birth relatives who have both filed an
    applicable Information Exchange Authorization or, if
    applicable, a Birth Parent Preference Form specifying the
    other consenting party with the Registry, if information
    available to the Registry confirms that the consenting
    adopted or surrendered person is biologically related to
    the consenting birth relative;
        (ii) the adoptive parent or legal guardian of an
    adopted or surrendered person under the age of 21 and one
    of the adopted or surrendered person's birth relatives who
    have both filed an Information Exchange Authorization
    specifying the other consenting party with the Registry,
    or, if applicable, a Birth Parent Preference Form, with the
    Registry, if information available to the Registry
    confirms that the child of the consenting adoptive parent
    or legal guardian is biologically related to the consenting
    birth relative; and
        (iii) the adoptive parent, adult child or surviving
    spouse of a deceased adopted or surrendered person, and one
    of the adopted or surrendered person's birth relatives who
    have both filed an applicable Information Exchange
    Authorization specifying the other consenting party with
    the Registry, or, if applicable, a Birth Parent Preference
    Form, with the Registry, if information available to the
    Registry confirms that the child of the consenting adoptive
    parent, the parent of the consenting adult child or the
    deceased wife or husband of the consenting surviving spouse
    of the adopted or surrendered person was biologically
    related to the consenting birth relative.
    (b) If a registrant is the subject of a Denial of
Information Exchange filed by another registered party or is an
adopted or surrendered person, or the surviving relative of a
deceased adopted or surrendered person, and a birth parent of
the adopted or surrendered person completed a Birth Parent
Preference Form and selected Option E, the Registry shall not
release identifying information to either registrant or, if
applicable, to an adopted person who has requested a copy of
his or her original birth certificate, with the exception of
non-certified copies of the original birth certificate
released under Section 18.1b(e), and as to a birth parent who
has prohibited release of identifying information on the
original birth certificate to the adult adopted or surrendered
person, upon the death of said birth parent.
    (c) If a registrant has completed a Medical Information
Exchange Questionnaire and has consented to its disclosure,
that Questionnaire shall be released to any registered party
who has indicated their desire to receive such information on
his or her Illinois Adoption Registry Application, if
information available to the Registry confirms that the
consenting parties are biologically related, that the
consenting birth relative and the child of the consenting
adoptive parents or legal guardians are birth relatives, or
that the consenting birth relative and the deceased wife or
husband of the consenting surviving spouse are birth relatives.
(Source: P.A. 96-895, eff. 5-21-10.)
 
    (750 ILCS 50/18.1b)
    Sec. 18.1b. The Illinois Adoption Registry Application.
The Illinois Adoption Registry Application shall substantially
include the following:
    (a) General Information. The Illinois Adoption Registry
Application shall include the space to provide Information
about the registrant including his or her surname, given name
or names, social security number (optional), mailing address,
home telephone number, gender, date and place of birth, and the
date of registration. If applicable and known to the
registrant, he or she may include the maiden surname of the
birth mother, any subsequent surnames of the birth mother, the
surname of the birth father, the given name or names of the
birth parents, the dates and places of birth of the birth
parents, the surname and given name or names of the adopted
person prior to adoption, the gender and date and place of
birth of the adopted or surrendered person, the name of the
adopted person following his or her adoption and the state and
county where the judgment of adoption was finalized.
    (b) Medical Information Exchange Questionnaire. In
recognition of the importance of medical information and of
recent discoveries regarding the genetic origin of many medical
conditions and diseases all registrants shall be asked to
voluntarily complete a Medical Information Exchange
Questionnaire. The Medical Information Exchange Questionnaire
shall include a comprehensive check-list of medical conditions
and diseases including those of genetic origin.
        (1) For birth relatives, the Medical Information
    Exchange Questionnaire shall include a comprehensive
    check-list of medical conditions and diseases including
    those of genetic origin. Birth relatives shall be asked to
    indicate all genetically-inherited diseases and conditions
    on this list which are known to exist in the adopted or
    surrendered person's birth family at the time of
    registration. In addition, all birth relatives shall be
    apprised of the Registry's provisions for voluntarily
    submitting information about their and their family's
    medical histories on a confidential, ongoing basis.
        (2) Adopted and surrendered persons and their adoptive
    parents, legal guardians, adult children, and surviving
    spouses shall be asked to indicate all
    genetically-inherited diseases and medical conditions with
    which the adopted or surrendered person or, if applicable,
    his or her children have been diagnosed since birth.
        (3) The Medical Information Exchange Questionnaire
    shall include a space where the registrant may authorize
    the release of the Medical Information Exchange
    Questionnaire to specified registered parties and a
    disclaimer informing registrants that the Department of
    Public Health cannot guarantee the accuracy of medical
    information exchanged through the Registry.
    (c) Written statement. All registrants shall be given the
opportunity to voluntarily file a written statement with the
Registry. This statement shall be submitted in the space
provided. No written statement submitted to the Registry shall
include identifying information pertaining to any person other
than the registrant who submitted it. Any such identifying
information shall be redacted by the Department or returned for
removal of identifying information.
    (d) Exchange of information. All registrants except birth
parents may indicate their wishes regarding contact and the
exchange of identifying and/or medical information with any
other registrant by completing an Information Exchange
Authorization or a Denial of Information Exchange. Birth
parents may indicate their wishes regarding contact by filing a
Birth Parent Preference Form pursuant to the procedures
outlined in this Section.
        (1) Information Exchange Authorization. Adopted or
    surrendered persons 21 years of age or over who are
    interested in exchanging identifying and/or medical
    information or would welcome contact with one or more of
    their birth relatives; birth parents who are interested in
    exchanging identifying and/or medical information or would
    welcome contact with an adopted or surrendered person 21
    years of age or over, or one or more of his or her adoptive
    parents, legal guardians, adult children, or a surviving
    spouse; birth siblings 21 years of age or over who were
    adopted or surrendered and who are interested in exchanging
    identifying and/or medical information or would welcome
    contact with an adopted or surrendered person, or one or
    more of his or her adoptive parents, legal guardians, adult
    children, or a surviving spouse; birth siblings 21 years of
    age or over who were not surrendered and who have submitted
    proof of death for any common birth parent who did not file
    a Denial of Information Exchange or a Birth Parent
    Preference Form on which Option E was selected prior to his
    or her death, and who are interested in exchanging
    identifying and/or medical information or would welcome
    contact with an adopted or surrendered person, or one or
    more of his or her adoptive parents, legal guardians, adult
    children, or a surviving spouse; birth aunts and birth
    uncles 21 years of age or over who have submitted birth
    certificates for themselves and a deceased birth parent
    naming at least one common biological parent as well as
    proof of death for a deceased birth parent and who are
    interested in exchanging identifying and/or medical
    information or would welcome contact with an adopted or
    surrendered person 21 years of age or over, or one or more
    of his or her adoptive parents, legal guardians, adult
    children or a surviving spouse; adoptive parents or legal
    guardians of adopted or surrendered persons under the age
    of 21 who are interested in exchanging identifying and/or
    medical information or would welcome contact with one or
    more of the adopted or surrendered person's birth
    relatives; adoptive parents and legal guardians of
    deceased adopted or surrendered persons 21 years of age or
    over who have submitted proof of death for a deceased
    adopted or surrendered person who did not file a Denial of
    Information Exchange prior to his or her death and who are
    interested in exchanging identifying and/or medical
    information or would welcome contact with one or more of
    the adopted or surrendered person's birth relatives; adult
    children of deceased adopted or surrendered persons who
    have submitted a birth certificate naming the adopted or
    surrendered person as their biological parent and proof of
    death for an adopted or surrendered person who did not file
    a Denial of Information Exchange prior to his or her death;
    and surviving spouses of deceased adopted or surrendered
    persons who have submitted a marriage certificate naming an
    adopted or surrendered person as their deceased wife or
    husband and proof of death for an adopted or surrendered
    person who did not file a Denial of Information Exchange
    prior to his or her death and who are interested in
    exchanging identifying and/or medical information or would
    welcome contact with one or more of the adopted or
    surrendered person's birth relatives may specify with whom
    they wish to exchange identifying information by filing an
    Information Exchange Authorization.
        (2) Denial of Information Exchange. Adopted or
    surrendered persons 21 years of age or over who do not wish
    to exchange identifying information or establish contact
    with one or more of their birth relatives may specify with
    whom they do not wish to exchange identifying information
    or do not wish to establish contact by filing a Denial of
    Information Exchange. Birth relatives other than birth
    parents who do not wish to establish contact with an
    adopted or surrendered person or one or more of his or her
    adoptive parents, legal guardians, or adult children may
    specify with whom they do not wish to exchange identifying
    information or do not wish to establish contact by filing a
    Denial of Information Exchange. Birth parents who wish to
    prohibit the release of their identifying information on
    the original birth certificate released to an adult adopted
    or surrendered person who was born after January 1, 1946,
    or to the surviving adult child or surviving spouse of a
    deceased adopted or surrendered person who was born after
    January 1, 1946, may do so by filing a Denial with the
    Registry on or before December 31, 2010. As of January 1,
    2011, birth parents who wish to prohibit the release of
    identifying information on the non-certified copy of the
    original birth certificate released to an adult adopted
    surrendered person or to the surviving adult child or
    surviving spouse of a deceased adopted or surrendered
    person may do so by selecting Option E on a Birth Parent
    Preference Form and filing the Form with the Registry.
    Adoptive parents or legal guardians of adopted or
    surrendered persons under the age of 21 who do not wish to
    establish contact with one or more of the adopted or
    surrendered person's birth relatives may specify with whom
    they do not wish to exchange identifying information by
    filing a Denial of Information Exchange. Adoptive parents,
    adult children, and surviving spouses of deceased adoptees
    who do not wish to exchange identifying information or
    establish contact with one or more of the adopted or
    surrendered person's birth relatives may specify with whom
    they do not wish to exchange identifying information or do
    not wish to establish contact by filing a Denial of
    Information Exchange.
        (3) Birth Parent Preference Form. Beginning January 1,
    2011, birth parents who are eligible to register with the
    Illinois Adoption Registry and Medical Information
    Exchange and whose birth child was born on or after January
    1, 1946 may who wish to communicate their wishes regarding
    contact or may prohibit and/or the release of their
    identifying information on the non-certified copy of the
    original birth certificate released under subsection (e)
    of this Section by filing to an adult adopted or
    surrendered person or the surviving adult child or
    surviving spouse of a deceased adopted or surrendered
    person who has requested a copy of the adopted or
    surrendered person's original birth certificate by filing
    a Request for a Non-Certified Copy of an Original Birth
    Certificate pursuant to subsection (e) of this Section, may
    file a Birth Parent Preference Form with the Registry.
    Birth parents whose birth child was born before January 1,
    1946, may communicate their wishes regarding contact by
    completing a Birth Parent Preference Form, selecting
    Option A, B, C, or D, and filing the form with the
    Registry, but may not prohibit the release of identifying
    information. All Birth Parent Preference Forms on file with
    the Registry at the time of receipt of a Request for a
    Non-Certified Copy of an Original Birth Certificate from an
    adult adopted or surrendered person or the surviving adult
    child or surviving spouse of a deceased adopted or
    surrendered person shall be forwarded to the relevant
    adopted or surrendered person or surviving adult child or
    surviving spouse of a deceased adopted or surrendered
    person along with a non-certified copy of the adopted or
    surrendered person's original birth certificate as
    outlined in subsection (e) of this Section.
    (e) Procedures for requesting a non-certified copy of an
original birth certificate by an adult adopted or surrendered
person or by a surviving adult child or surviving spouse of a
deceased adopted or surrendered person:
        (1) On or after the effective date of this amendatory
    Act of the 96th General Assembly, any adult adopted or
    surrendered person who was born in Illinois prior to
    January 1, 1946, may complete and file with the Registry a
    Request for a Non-Certified Copy of an Original Birth
    Certificate. The Registry shall provide such adult adopted
    or surrendered person with an unaltered, non-certified
    copy of his or her original birth certificate upon receipt
    of the Request for a Non-Certified Copy of an Original
    Birth Certificate. Additionally, in cases where an adopted
    or surrendered person born in Illinois prior to January 1,
    1946, is deceased, and one of his or her surviving adult
    children or his or her surviving spouse has registered with
    the Registry, he or she may complete and file with the
    Registry a Request for a Non-Certified Copy of an Original
    Birth Certificate. The Registry shall provide such
    surviving adult child or surviving spouse with an
    unaltered, non-certified copy of the adopted or
    surrendered person's original birth certificate upon
    receipt of the Request for a Non-Certified Copy of an
    Original Birth Certificate.
        (2) Beginning November 15, 2011, any adult adopted or
    surrendered person who was born in Illinois on or after
    January 1, 1946, may complete and file with the Registry a
    Request for a Non-certified Copy of an Original Birth
    Certificate. Additionally, in cases where the adopted or
    surrendered person is deceased and one of his or her
    surviving adult children or his or her surviving spouse has
    registered with the Registry, he or she may complete and
    file with the Registry a Request for a Non-Certified Copy
    of an Original Birth Certificate. Upon receipt of such
    request from an adult adopted or surrendered person or from
    one of his or her surviving adult children or his or her
    surviving spouse, the Registry shall:
            (i) Determine if there is a Denial of Information
        Exchange which was filed by a birth parent named on the
        original birth certificate prior to January 1, 2011. If
        a Denial was filed by a birth parent named on the
        original birth certificate prior to January 1, 2011,
        and there is no proof of death in the Registry file for
        the birth parent who filed said Denial, the Registry
        shall inform the requesting adult adopted or
        surrendered person or the requesting surviving adult
        child or surviving spouse of a deceased adopted or
        surrendered person that they may receive a
        non-certified copy of the original birth certificate
        from which all identifying information pertaining to
        the birth parent who filed the Denial has been
        redacted. A requesting adult adopted or surrendered
        person shall also be informed in writing of his or her
        right to petition the court for the appointment of a
        confidential intermediary pursuant to Section 18.3a of
        this Act and, if applicable, to conduct a search
        through an agency post-adoption search program once 5
        years have elapsed since the birth parent filed the
        Denial of Information Exchange with the Registry.
            (ii) Determine if a birth parent named on the
        original birth certificate has filed a Birth Parent
        Preference Form. If one of the birth parents named on
        the original birth certificate filed a Birth Parent
        Preference Form and selected Option A, B, C, or D, the
        Registry shall forward to the adult adopted or
        surrendered person or to the surviving adult child or
        surviving spouse of a deceased adopted or surrendered
        person a copy of the Birth Parent Preference Form along
        with an unaltered non-certified copy of his or her
        original birth certificate. If one of the birth parents
        named on the original birth certificate filed a Birth
        Parent Preference Form and selected Option E, and there
        is no proof of death in the Registry file for the birth
        parent who filed said Birth Parent Preference Form, the
        Registry shall inform the requesting adult adopted or
        surrendered person or the requesting surviving adult
        child or surviving spouse of a deceased adopted or
        surrendered person that he or she may receive a
        non-certified copy of the original birth certificate
        from which identifying information pertaining to the
        birth parent who completed the Birth Parent Preference
        Form has been redacted per the birth parent's
        specifications on the Form. The Registry shall forward
        to the adult adopted or surrendered person or to the
        surviving adult child or surviving spouse of a deceased
        adopted or surrendered person a copy of the Birth
        Parent Preference Form filed by the birth parent from
        which identifying information has been redacted per
        the birth parent's specifications on the Form. The
        requesting adult adopted or surrendered person shall
        also be informed in writing of his or her right to
        petition the court for the appointment of a
        confidential intermediary pursuant to Section 18.3a of
        this Act, and, if applicable, to conduct a search
        through an agency post-adoption search program once 5
        years have elapsed since the birth parent filed the
        Birth Parent Preference Form, on which Option E was
        selected, with the Registry.
            (iii) Determine if a birth parent named on the
        original birth certificate has filed an Information
        Exchange Authorization.
            (iv) If the Registry has confirmed that a
        requesting adult adopted or surrendered person or the
        parent of a requesting adult child of a deceased
        adopted or surrendered person or the husband or wife of
        a requesting surviving spouse was not the object of a
        Denial of Information Exchange filed by a birth parent
        on or before December 31, 2010, and that no birth
        parent named on the original birth certificate has
        filed a Birth Parent Preference Form where Option E was
        selected prior to the receipt of a Request for a
        Non-Certified Copy of an Original Birth Certificate,
        the Registry shall provide the adult adopted or
        surrendered person or his or her surviving adult child
        or surviving spouse with an unaltered non-certified
        copy of the adopted or surrendered person's original
        birth certificate.
        (3) In cases where the Registry receives a Birth Parent
    Preference Form from a birth parent subsequent to the
    release of the non-certified copy of the original birth
    certificate to an adult adopted or surrendered person or to
    the surviving adult child or surviving spouse of a deceased
    adopted or surrendered person, the Birth Parent Preference
    Form shall be immediately forwarded to the adult adopted or
    surrendered person or to the surviving adult child or
    surviving spouse of the deceased adopted or surrendered
    person and the birth parent who filed the form shall be
    informed that the relevant original birth certificate has
    already been released.
        (4) A copy of the original birth certificate shall only
    be released to adopted or surrendered persons who were born
    in Illinois; to surviving adult children or surviving
    spouses of deceased adopted or surrendered persons who were
    born in Illinois; or to 2 registered parties who have both
    consented to the release of a non-certified copy of the
    original birth certificate to one another through the
    Registry when the birth of the relevant adopted or
    surrendered person took place in Illinois.
        (5) In cases where the Registry receives a Request for
    a Non-Certified Copy of an Original Birth Certificate from
    an adult adopted or surrendered person who has not
    completed a Registry application and the file of that
    adopted or surrendered person includes an Information
    Exchange Authorization, Birth Parent Preference Form, or
    Medical Information Exchange Questionnaire from one or
    more of his or her birth relatives, the Registry shall so
    inform the adult adopted or surrendered person and forward
    Registry application forms to him or her along with a
    non-certified copy of the original birth certificate
    consistent with the procedures outlined in this subsection
    (e).
        (6) In cases where a birth parent registered with the
    Registry and filed a Medical Information Exchange
    Questionnaire prior to the effective date of this
    amendatory Act of the 96th General Assembly but gave no
    indication as to his or her wishes regarding contact or the
    sharing of identifying information, the Registry shall
    contact the birth parent by written letter prior to January
    1, 2011, and provide him or her with the opportunity to
    indicate his or her preference regarding contact and the
    sharing of identifying information by submitting a Birth
    Parent Preference Form to the Registry prior to November 1,
    2011.
        (7) In cases where the Registry cannot locate a copy of
    the original birth certificate in the Registry file, they
    shall be authorized to request a copy of the original birth
    certificate from the Illinois county where the birth took
    place for placement in the Registry file.
        (8) Adopted and surrendered persons who wish to have
    their names placed with the Illinois Adoption Registry and
    Medical Information Exchange may do so by completing a
    Registry application at any time, but completing a Registry
    application shall not be required for adopted and
    surrendered persons who seek only to obtain a copy of their
    original birth certificate or any relevant Birth Parent
    Preference Forms through the Registry.
        (9) In cases where a birth parent filed a Denial of
    Information Exchange with the Registry prior to January 1,
    2011, or filed a Birth Parent Preference Form with the
    Registry and selected Option E after January 1, 2011, and a
    proof of death for the birth parent who filed the Denial or
    the Birth Parent Preference Form has been filed with the
    Registry by either a confidential intermediary, or a
    surviving relative of the deceased birth parent, or a birth
    child of the deceased birth parent, the Registry shall be
    authorized to release an unaltered non-certified copy of
    the original birth certificate to an adult adopted or
    surrendered person or to the surviving adult child or
    surviving spouse of a deceased adopted or surrendered
    person who has filed a Request for a Non-Certified Copy of
    the Original Birth Certificate with the Registry.
        (10) On and after the effective date of this amendatory
    Act of the 96th General Assembly, in cases where all birth
    parents named on the original birth certificate of an
    adopted or surrendered person born after January 1, 1946,
    are deceased and copies of death certificates for all birth
    parents named on the original birth certificate have been
    filed with the Registry by either a confidential
    intermediary, or a surviving relative of the deceased birth
    parent, or a birth child of the deceased birth parent, the
    Registry shall be authorized to release a non-certified
    copy of the original birth certificate to the adopted or
    surrendered person upon receipt of his or her Request for a
    Non-Certified Copy of an Original Birth Certificate.
    (f) A registrant may complete all or any part of the
Illinois Adoption Registry Application. All Illinois Adoption
Registry Applications, Information Exchange Authorizations,
Denials of Information Exchange, requests to revoke an
Information Exchange Authorization or Denial of Information
Exchange, Birth Parent Preference Forms, and affidavits
submitted to the Registry shall be accompanied by proof of
identification.
(Source: P.A. 96-895, eff. 5-21-10; revised 9-2-10.)
 
    (750 ILCS 50/18.2)  (from Ch. 40, par. 1522.2)
    Sec. 18.2. Forms.
    (a) The Department shall develop the Illinois Adoption
Registry forms as provided in this Section. The General
Assembly shall reexamine the content of the form as requested
by the Department, in consultation with the Registry Advisory
Council. The form of the Birth Parent Registration
Identification Form shall be substantially as follows:
BIRTH PARENT REGISTRATION IDENTIFICATION
(Insert all known information)
I, ....., state that I am the ...... (mother or father) of the
following child:
    Child's original name: ..... (first) ..... (middle) .....
        (last), ..... (hour of birth), ..... (date of birth),
        ..... (city and state of birth), ..... (name of
        hospital).
    Father's full name: ...... (first) ...... (middle) .....
        (last), ..... (date of birth), ..... (city and state of
        birth).
    Name of mother inserted on birth certificate: ..... (first)
        ..... (middle) ..... (last), ..... (race), ..... (date
        of birth), ...... (city and state of birth).
That I surrendered my child to: ............. (name of agency),
    ..... (city and state of agency), ..... (approximate date
    child surrendered).
That I placed my child by private adoption: ..... (date),
    ...... (city and state).
Name of adoptive parents, if known: ......
Other identifying information: .....
........................
(Signature of parent)
............                        ........................
(date)                               (printed name of parent)
 
    (b) The form of the Adopted Person Registration
Identification shall be substantially as follows:
ADOPTED PERSON
REGISTRATION IDENTIFICATION
(Insert all known information)
I, ....., state the following:
    Adopted Person's present name: ..... (first) .....
        (middle) ..... (last).
    Adopted Person's name at birth (if known): ..... (first)
        ..... (middle) ..... (last), ..... (birth date), .....
        (city and state of birth), ...... (sex), ..... (race).
    Name of adoptive father: ..... (first) ..... (middle) .....
        (last), ..... (race).
    Maiden name of adoptive mother: ..... (first) .....
        (middle) ..... (last), ..... (race).
    Name of birth mother (if known): ..... (first) .....
        (middle) ..... (last), ..... (race).
    Name of birth father (if known): ..... (first) .....
        (middle) ..... (last), ..... (race).
    Name(s) at birth of sibling(s) having a common birth parent
        with adoptee (if known): ..... (first) ..... (middle)
        ..... (last), ..... (race), and name of common birth
        parent: ..... (first) ..... (middle) ..... (last),
        ..... (race).
I was adopted through: ..... (name of agency).
I was adopted privately: ..... (state "yes" if known).
I was adopted in ..... (city and state), ..... (approximate
    date).
Other identifying information: .............
......................
(signature of adoptee)
...........                        .........................
(date)                              (printed name of adoptee)
 
    (c) The form of the Surrendered Person Registration
Identification shall be substantially as follows:
SURRENDERED PERSON REGISTRATION
IDENTIFICATION
(Insert all known information)
I, ....., state the following:
    Surrendered Person's present name: ..... (first) .....
        (middle) ..... (last).
    Surrendered Person's name at birth (if known): .....
        (first) ..... (middle) ..... (last), .....(birth
        date), ..... (city and state of birth), ...... (sex),
        ..... (race).
    Name of guardian father: ..... (first) ..... (middle) .....
        (last), ..... (race).
    Maiden name of guardian mother: ..... (first) .....
        (middle) ..... (last), ..... (race).
    Name of birth mother (if known): ..... (first) .....
        (middle) ..... (last) ..... (race).
    Name of birth father (if known): ..... (first) .....
        (middle) ..... (last), .....(race).
    Name(s) at birth of sibling(s) having a common birth parent
        with surrendered person (if known): ..... (first)
        ..... (middle) ..... (last), ..... (race), and name of
        common birth parent: ..... (first) ..... (middle)
        ..... (last), ..... (race).
I was surrendered for adoption to: ..... (name of agency).
I was surrendered for adoption in ..... (city and state), .....
    (approximate date).
Other identifying information: ............
................................
(signature of surrendered person)
............                          ......................
(date)                (printed name of person
                                                             surrendered for adoption)
 
    (c-3) The form of the Registration Identification Form for
Surviving Relatives of Deceased Birth Parents shall be
substantially as follows:
REGISTRATION IDENTIFICATION FORM
FOR SURVIVING RELATIVES OF DECEASED BIRTH PARENTS
(Insert all known information)
I, ....., state the following:
    Name of deceased birth parent at time of surrender:
    Deceased birth parent's date of birth:
    Deceased birth parent's date of death:
    Adopted or surrendered person's name at birth (if known):
        .....(first) ..... (middle) ..... (last), .....(birth
        date), ..... (city and state of birth), ...... (sex),
        ..... (race).
My relationship to the adopted or surrendered person (check
one): (birth parent's non-surrendered child) (birth parent's
sister) (birth parent's brother).
 
If you are a non-surrendered child of the birth parent, provide
name(s) at birth and age(s) of non-surrendered siblings having
a common parent with the birth parent. If more than one
sibling, please give information requested below on reverse
side of this form. If you are a sibling or parent of the birth
parent, provide name(s) at birth and age(s) of the sibling(s)
of the birth parent. If more than one sibling, please give
information requested below on reverse side of this form.
    Name (First) ..... (middle) ..... (last), .....(birth
        date), ..... (city and state of birth), ...... (sex),
        ..... (race).
    Name(s) of common parent(s) (first) ..... (middle) .....
        (last), .....(race), (first) ..... (middle) .....
        (last), .....(race).
My birth sibling/child of my brother/child of my sister/ was
surrendered for adoption to ..... (name of agency) City and
state of agency ..... Date .....(approximate) Other
identifying information ..... (Please note that you must: (i)
be at least 21 years of age to register; (ii) submit with your
registration a certified copy of the birth parent's birth
certificate; (iii) submit a certified copy of the birth
parent's death certificate; and (iv) if you are a
non-surrendered birth sibling or a sibling of the deceased
birth parent, also submit a certified copy of your birth
certificate with this registration. No application from a
surviving relative of a deceased birth parent can be accepted
if the birth parent filed a Denial of Information Exchange
prior to his or her death.)
................................
(signature of birth parent's surviving relative)

 
............                                     ............
(date)                                (printed name of birth 
                parent's surviving relative)
 
    (c-5) The form of the Registration Identification Form for
Surviving Relatives of Deceased Adopted or Surrendered Persons
shall be substantially as follows:
REGISTRATION IDENTIFICATION FORM FOR
SURVIVING RELATIVES OF DECEASED ADOPTED OR SURRENDERED PERSONS
(Insert all known information)
I, ....., state the following:
    Adopted or surrendered person's name at birth (if known):
        (first) ..... (middle) ..... (last), .....(birth
        date), ..... (city and state of birth), ...... (sex),
        ..... (race).
    Adopted or surrendered person's date of death:
My relationship to the deceased adopted or surrendered
person(check one): (adoptive mother) (adoptive father) (adult
child) (surviving spouse).
If you are an adult child or surviving spouse of the adopted or
surrendered person, provide name(s) at birth and age(s) of the
children of the adopted or surrendered person. If the adopted
or surrendered person had more than one child, please give
information requested below on reverse side of this form.
    Name (first) ..... (middle) ..... (last), .....(birth
        date), ..... (city and state of birth), ...... (sex),
        ..... (race).
    Name(s) of common parent(s) (first) ..... (middle) .....
        (last), .....(race), (first) ..... (middle) .....
        (last), .....(race).
    My child/parent/deceased spouse was surrendered for
    adoption to .....(name of agency) City and state of agency
    ..... Date ..... (approximate) Other identifying
    information ..... (Please note that you must: (i) be at
    least 21 years of age to register; (ii) submit with your
    registration a certified copy of the adopted or surrendered
    person's death certificate; (iii) if you are the child of a
    deceased adopted or surrendered person, also submit a
    certified copy of your birth certificate with this
    registration; and (iv) if you are the surviving wife or
    husband of a deceased adopted or surrendered person, also
    submit a copy of your marriage certificate with this
    registration. No application from a surviving relative of a
    deceased adopted or surrendered person can be accepted if
    the adopted or surrendered person filed a Denial of
    Information Exchange prior to his or her death.)
................................
(signature of adopted or surrendered person's surviving
        relative)
 
............                                     ............
(date)               (printed name of adopted
                                                             person's surviving relative)
 
    (d) The form of the Information Exchange Authorization
shall be substantially as follows:
INFORMATION EXCHANGE AUTHORIZATION
    I, ....., state that I am the person who completed the
Registration Identification; that I am of the age of .....
years; that I hereby authorize the Department of Public Health
to give to the following person(s) (birth mother ) (birth
father) (birth sibling) (adopted or surrendered person )
(adoptive mother) (adoptive father) (legal guardian of an
adopted or surrendered person) (birth aunt) (birth uncle)
(adult child of a deceased adopted or surrendered person)
(surviving spouse of a deceased adopted or surrendered person)
(all eligible relatives) the following (please check the
information authorized for exchange):
        [  ]  1. Only my name and last known address.
        [  ]  2. A copy of my Illinois Adoption Registry
    Application.
        [  ]  3. A non-certified copy of the adopted or
    surrendered person's original certificate of live birth
    (check only if you are an adopted or surrendered person or
    the surviving adult child or surviving spouse of a deceased
    adopted or surrendered person).
        [  ]  4. A copy of my completed medical questionnaire.
    I am fully aware that I can only be supplied with
information about an individual or individuals who have duly
executed an Information Exchange Authorization that has not
been revoked or, if I am an adopted or surrendered person, from
a birth parent who completed a Birth Parent Preference Form and
did not prohibit the release of his or her identity to me; that
I can be contacted by writing to: ..... (own name or name of
person to contact) (address) (phone number).
NOTE: New IARMIE registrants who do not complete a Medical
Information Exchange Questionnaire and release a copy of their
questionnaire to at least one Registry applicant must pay a $15
registration fee.
    Dated (insert date).
                                                             ..............
                                               (signature)
 
    (e) The form of the Denial of Information Exchange shall be
substantially as follows:
DENIAL OF INFORMATION EXCHANGE
    I, ....., state that I am the person who completed the
Registration Identification; that I am of the age of .....
years; that I hereby instruct the Department of Public Health
not to give any identifying information about me to the
following person(s) (birth mother) (birth father) (birth
sibling)(adopted or surrendered person)(adoptive mother)
(adoptive father)(legal guardian of an adopted or surrendered
person)(birth aunt)(birth uncle)(adult child of a deceased
adopted or surrendered person) (surviving spouse of a deceased
adopted or surrendered person) (all eligible relatives).
IMPORTANT NOTE: A DENIAL FILED BY A BIRTH PARENT ON OR AFTER
JANUARY 1, 2011, SHALL NOT PROHIBIT THE RELEASE OF THE BIRTH
PARENT'S IDENTIFYING INFORMATION ON THE ORIGINAL BIRTH
CERTIFICATE OF AN ADULT ADOPTED OR SURRENDERED PERSON. BIRTH
PARENTS WHO WISH TO PROHIBIT THE RELEASE OF THEIR IDENTIFYING
INFORMATION ON THE ORIGINAL BIRTH CERTIFICATE OF AN ADULT
ADOPTED OR SURRENDERED PERSON SHALL FILE A BIRTH PARENT
PREFERENCE FORM ON OR AFTER JANUARY 1, 2011. DENIALS FILED BY A
BIRTH PARENT BEFORE JANUARY 1, 2011, WILL EXPIRE UPON THE DEATH
OF THE BIRTH PARENT WITH RESPECT TO ACCESS TO IDENTIFYING
INFORMATION ON THE ORIGINAL BIRTH CERTIFICATE RELEASED TO AN
ADULT ADOPTED OR SURRENDERED PERSON OR TO A SURVIVING ADULT
CHILD OR SURVIVING SPOUSE OF A DECEASED ADOPTED OR SURRENDERED
PERSON.
    I do/do not (circle appropriate response) authorize the
Registry to release a copy of my completed Medical Information
Exchange Questionnaire to qualified Registry applicants. NOTE:
New IARMIE registrants who do not complete a Medical
Information Exchange Questionnaire and release a copy of their
questionnaire to at least one Registry applicant must pay a $15
registration fee. Birth parents filing a Denial of Information
Exchange are advised that, under Illinois law, an adult adopted
person may initiate a search for a birth parent who has filed a
Denial of Information Exchange or Birth Parent Preference Form
on which Option E was selected through the State confidential
intermediary program once 5 years have elapsed since the filing
of the Denial of Information Exchange or Birth Parent
Preference Form.
    Dated (insert date).
                                                             ...............        
                                      (signature)
 
    (f) The form of the Birth Parent Preference Form shall be
substantially as follows:
    In recognition of the basic right of all persons to access
their birth records, Illinois law now provides for the release
of original birth certificates to adopted and surrendered
persons 21 years of age or older upon request. While many birth
parents are comfortable sharing their identities or initiating
contact with their birth sons and daughters once they have
reached adulthood, Illinois law also recognizes that there may
be unique situations where a birth parent might have a
compelling reason for not wishing to establish contact with a
birth son or birth daughter or for not wishing to release
identifying information that appears on the original birth
certificate of a birth son or birth daughter who has reached
adulthood. The Illinois Adoption Registry and Medical
Information Exchange (IARMIE) has therefore established the
attached this form to allow birth parents whose birth son or
daughter was born on or after January 1, 1946, to express their
preferences wishes regarding contact; and, if their birth child
was born on or after January 1, 1946, to express their wishes
regarding the sharing of identifying information listed on the
original birth certificate with an adult adopted or surrendered
person who has reached the age of 21 or his or her surviving
relatives.
    In selecting one of the 5 options below, birth parents
should keep in mind that the decision to deny an adult adopted
or surrendered person access to identifying information on his
or her original birth record and/or information about
genetically-transmitted diseases is an important decision one
that may can impact the adopted or surrendered person's life in
many ways. A request for anonymity on this form only pertains
to information that is provided to an adult adopted or
surrendered person or his or her surviving relatives through
the Registry. This will and does not prevent the disclosure of
identifying information that may be available to the adoptee
through his or her adoptive parents and/or other means
available to him or her. Birth parents who would prefer not to
be contacted by their surrendered son or daughter are strongly
urged to complete both the Non-Identifying Information Section
included on the final page of the attached form this document
and the Medical Questionnaire in order to provide their
surrendered son or daughter with the background information he
or she their surrendered son or daughter may need to better
understand himself or herself and his or her origins. Birth
parents whose birth son or birth daughter is under 21 years of
age at the time of the completion of this form are reminded
that no original birth certificate will be released by the
IARMIE before an adoptee has reached the age of 21.
Furthermore, birth parents whose surrendered son or daughter is
under 21 years of age at the time of completion of this form
are reminded that, since no original birth certificates are
released by the IARMIE before an adoptee has reached the age of
21, and birth parents are encouraged to take as much time as
they need to weigh the options available to them before
completing this form. Should you need additional assistance in
completing this form, please contact the agency that handled
the adoption, if applicable, or the Illinois Adoption Registry
and Medical Information Exchange at 877-323-5299 217-557-5159.
    After careful consideration, I, (insert your name) ......,
have made the following decision regarding contact with my
birth son/birth daughter, (insert birth son's/birth daughter's
name at birth, if applicable) ......, who was born in (insert
city/town of birth) ...... on (insert date of birth)...... and
the release of my identifying information as it appears on
his/her original birth certificate when he/she reaches the age
of 21, and I have chosen Option ...... (insert A, B, C, D, or E,
as applicable). I realize that this form must be accompanied by
a completed IARMIE application form as well as a Medical
Information Exchange Questionnaire or the $15 registration
fee. I am also aware that I may revoke this decision at any
time by completing a new Birth Parent Preference Form and
filing it with the IARMIE. I understand that it is my
responsibility to update the IARMIE with any changes to contact
information provided below. I also understand that, while
preferences regarding the release of identifying information
through the Registry are binding unless the law should change
in the future, any selection I have made regarding my preferred
method of contact is not.
....................................
(Signature/Date)
 
(Please insert your signature and today's date above, as well
as under your chosen option, A, B, C, D, or E below.)
 
Option A. My birth son or birth daughter was born on or after
January 1, 1946, and I agree to the release of my identifying
information as it appears on my birth son's/birth daughter's
original birth certificate, OR my birth son or birth daughter
was born prior to January 1, 1946. I would welcome direct
contact with my birth son/birth daughter when he or she has
reached the age of 21. In addition, before my birth son or
birth daughter has reached the age of 21 or in the event of his
or her death, I would welcome contact with the following
relatives of my birth child (circle all that apply): adoptive
mother, adoptive father, surviving spouse, surviving adult
child. and I wish to be contacted at the following mailing
address, email address or phone number:
.....................
.............................................................
.............................................................
.............................................................
(Signature/Date)
 
Option B. My birth son or birth daughter was born on or after
January 1, 1946, and I agree to the release of my identifying
information as it appears on my birth son's/birth daughter's
original birth certificate, OR my birth son or birth daughter
was born prior to January 1, 1946. I would welcome contact with
my birth son/birth daughter when he or she has reached the age
of 21. In addition, before my birth son or birth daughter has
reached the age of 21 or in the event of his or her death, I
would welcome contact with the following relatives of my birth
child (circle all that apply): adoptive mother, adoptive
father, surviving spouse, surviving adult child. , but I would
prefer to be contacted through the following person. (Insert
name and mailing address, email address or phone number of
chosen contact person.)
.....................................
.............................................................
(Signature/Date)
 
Option C. My birth son or birth daughter was born on or after
January 1, 1946, and I agree to the release of my identifying
information name as it appears on my birth son's/birth
daughter's original birth certificate, OR my birth son or birth
daughter was born prior to January 1, 1946. I would welcome
contact with my birth son/birth daughter when he or she has
reached the age of 21. In addition, before my birth son or
birth daughter has reached the age of 21 or in the event of his
or her death, I would welcome contact with the following
relatives of my birth child (circle all that apply): adoptive
mother, adoptive father, surviving spouse, surviving adult
child. , but I would prefer to be contacted through the Illinois
Confidential Intermediary Program confidential intermediary
program (please call 800-526-9022 for additional information)
or through the agency that handled the adoption. (Insert agency
name, address and phone number, if applicable.)
.............
.............................................................
(Signature/Date)
 
Option D. My birth son or birth daughter was born on or after
January 1, 1946, and I agree to the release of my identifying
information name as it appears on my birth son's/birth
daughter's original birth certificate when he or she has
reached the age of 21, OR my birth son or birth daughter was
born prior to January 1, 1946. but I would prefer not to be
contacted by my birth son/birth daughter or his or her adoptive
parents or surviving relatives when he or she has reached the
age of 21.
...................
(Signature/Date)
 
Option E. My birth son or birth daughter was born on or after
January 1, 1946, and I wish to prohibit the release of my
(circle ALL applicable options) first name, last name, last
known address, birth son/birth daughter's last name (if last
name listed is same as mine), as they appear on my birth
son's/birth daughter's original birth certificate and do not
wish to be contacted by my birth son/birth daughter when he or
she has reached the age of 21. If there were any special
circumstances that played a role in your decision to remain
anonymous which you would like to share with your birth
son/birth daughter, please list them in the space provided
below (optional).
...........................................
.............................................................
I understand that, although I have chosen to prohibit the
release of my identity on the non-certified copy of the
original birth certificate released to my birth son/birth
daughter, he or she may request that a court-appointed
confidential intermediary contact me to request updated
medical information and/or confirm my desire to remain
anonymous once 5 years have elapsed since the signing of this
form; at the time of this subsequent search, I wish to be
contacted through the person named below. (Insert in blank area
below the name and phone number of the contact person, or leave
it blank if you wish to be contacted directly.) I also
understand that this request for anonymity shall expire upon my
death.
......................................................
.............................................................
(Signature/Date)
 
NOTE: A copy of this form will be forwarded to your birth son
or birth daughter should he or she file a request for his or
her original birth certificate with the IARMIE. However, if you
have selected Option E, identifying information, per your
specifications above, will be deleted from the copy of this
form forwarded to your birth son or daughter during your
lifetime. In the event that an adopted or surrendered person is
deceased, his or her surviving adult children may request a
copy of the adopted or surrendered person's original birth
certificate providing they have registered with the IARMIE; the
copy of this form and the non-certified copy of the original
birth certificate forwarded to the surviving child of the
adopted or surrendered person shall be redacted per your
specifications on this form during your lifetime.
Non-Identifying Information Section
I wish to voluntarily provide the following non-identifying
information to my birth son or birth daughter surrendered son
or daughter:
My age at the time of my child's birth was .........
My race is best described as: ..........................
My height is: .........
My body type is best described as (circle one): slim, average,
muscular, a few extra pounds, or more than a few extra pounds.
My natural hair color is/was: ..................
My eye color is: ..................
My religion is best described as: ..................
My ethnic background is best described as: ..................
My educational level is closest to (circle applicable
response): completed elementary school, graduated from
high school, attended college, earned bachelor's degree,
earned master's degree, earned doctoral degree.
My occupation is best described as ..................
My hobbies include ..................
My interests include ..................
My talents include ..................
In addition to my surrendered son or daughter, I also
am the biological parent of (insert number) ....... boys and
(insert number) ....... girls, of whom (insert number) .......
are still living.
The relationship between me and my child's birth mother/birth
father would best be described as (circle appropriate
response): husband and wife, ex-spouses, boyfriend and
girlfriend, casual acquaintances, other (please specify)
..............
    (g) The form of the Request for a Non-Certified Copy of an
Original Birth Certificate shall be substantially as follows:
REQUEST FOR A NON-CERTIFIED COPY OF AN ORIGINAL BIRTH
CERTIFICATE
    I, (requesting party's full name) ....., hereby request a
non-certified copy of (check appropriate option) ..... my
original birth certificate ..... the original birth
certificate of my deceased adopted or surrendered parent .....
the original birth certificate of my deceased adopted or
surrendered spouse (insert deceased parent's/deceased spouse's
name at adoption) ...... I/my deceased parent/my deceased
spouse was born in (insert city and county of adopted or
surrendered person's birth) ..... on ..... (insert adopted or
surrendered person's date of birth). In the event that one or
both of my/my deceased parent's/my deceased spouse's birth
parents has requested that their identity not be released to
me/to my deceased parent/to my deceased spouse, I wish to
(check appropriate option) ..... a. receive a non-certified
copy of the original birth certificate from which identifying
information pertaining to the birth parent who requested
anonymity has been deleted; or ..... b. I do not wish to
received an altered copy of the original birth certificate.
    Dated (insert date).
        ...................
(signature)
     

 
    (h) Any Information Exchange Authorization, Denial of
Information Exchange, or Birth Parent Preference Form filed
with the Registry, or Request for a Non-Certified Copy of an
Original Birth Certificate filed with the Registry by a
surviving adult child or surviving spouse of a deceased adopted
or surrendered person, shall be acknowledged by the person who
filed it before a notary public, in form substantially as
follows:
State of ..............
County of .............
    I, a Notary Public, in and for the said County, in the
State aforesaid, do hereby certify that ...............
personally known to me to be the same person whose name is
subscribed to the foregoing certificate of acknowledgement,
appeared before me in person and acknowledged that (he or she)
signed such certificate as (his or her) free and voluntary act
and that the statements in such certificate are true.
    Given under my hand and notarial seal on (insert date).
.........................
(signature)
     
 
    (i) When the execution of an Information Exchange
Authorization, Denial of Information Exchange, or Birth Parent
Preference Form or Request for a Non-Certified Copy of an
Original Birth Certificate completed by a surviving adult child
or surviving spouse of a deceased adopted or surrendered person
is acknowledged before a representative of an agency, such
representative shall have his signature on said Certificate
acknowledged before a notary public, in form substantially as
follows:
State of..........
County of.........
    I, a Notary Public, in and for the said County, in the
State aforesaid, do hereby certify that ..... personally known
to me to be the same person whose name is subscribed to the
foregoing certificate of acknowledgement, appeared before me
in person and acknowledged that (he or she) signed such
certificate as (his or her) free and voluntary act and that the
statements in such certificate are true.
    Given under my hand and notarial seal on (insert date).
.......................
(signature)
   
 
    (j) When an Illinois Adoption Registry Application,
Information Exchange Authorization, Denial of Information
Exchange, Birth Parent Preference Form, or Request for a
Non-Certified Copy of an Original Birth Certificate completed
by a surviving adult child or surviving spouse of a deceased
adopted or surrendered person is executed in a foreign country,
the execution of such document shall be acknowledged or
affirmed before an officer of the United States consular
services.
    (k) If the person signing an Information Exchange
Authorization, Denial of Information, Birth Parent Preference
Form, or Request for a Non-Certified Copy of an Original Birth
Certificate completed by a surviving adult child or surviving
spouse of a deceased adopted or surrendered person is in the
military service of the United States, the execution of such
document may be acknowledged before a commissioned officer and
the signature of such officer on such certificate shall be
verified or acknowledged before a notary public or by such
other procedure as is then in effect for such division or
branch of the armed forces.
    (l) An adopted or surrendered person who completes a
Request For a Non-Certified Copy of the Original Birth
Certificate shall meet the same filing requirements and pay the
same filing fees as a non-adopted person seeking to obtain a
copy of his or her original birth certificate.
(Source: P.A. 96-895, eff. 5-21-10.)
 
    (750 ILCS 50/18.3a)  (from Ch. 40, par. 1522.3a)
    Sec. 18.3a. Confidential intermediary.
    (a) General purposes. Notwithstanding any other provision
of this Act, any adopted or surrendered person 21 years of age
or over, any adoptive parent or legal guardian of an adopted or
surrendered person under the age of 21, or any birth parent of
an adopted or surrendered person who is 21 years of age or over
may petition the court in any county in the State of Illinois
for appointment of a confidential intermediary as provided in
this Section for the purpose of exchanging medical information
with one or more mutually consenting biological relatives,
obtaining identifying information about one or more mutually
consenting biological relatives, or arranging contact with one
or more mutually consenting biological relatives.
Additionally, in cases where an adopted or surrendered person
is deceased, an adult child of the adopted or surrendered
person or his or her adoptive parents or surviving spouse may
file a petition under this Section and in cases where the birth
parent is deceased, an adult birth sibling of the adopted or
surrendered person or of the deceased birth parent may file a
petition under this Section for the purpose of exchanging
medical information with one or more mutually consenting
biological relatives of the adopted or surrendered person,
obtaining identifying information about one or more mutually
consenting biological relatives of the adopted or surrendered
person, or arranging contact with one or more mutually
consenting biological relatives of the adopted or surrendered
person. Beginning January 1, 2006, any adopted or surrendered
person 21 years of age or over; any adoptive parent or legal
guardian of an adopted or surrendered person under the age of
21; any birth parent, birth sibling, birth aunt, or birth uncle
of an adopted or surrendered person over the age of 21; any
surviving child, adoptive parent, or surviving spouse of a
deceased adopted or surrendered person who wishes to petition
the court for the appointment of a confidential intermediary
shall be required to accompany their petition with proof of
registration with the Illinois Adoption Registry and Medical
Information Exchange.
    (b) Petition. Upon petition by an adopted or surrendered
person 21 years of age or over (an "adult adopted or
surrendered person"), an adoptive parent or legal guardian of
an adopted or surrendered person under the age of 21, or a
birth parent of an adopted or surrendered person who is 21
years of age or over, the court shall appoint a confidential
intermediary. Upon petition by an adult child, adoptive parent
or surviving spouse of an adopted or surrendered person who is
deceased, by an adult birth sibling of an adopted or
surrendered person whose common birth parent is deceased and
whose adopted or surrendered birth sibling is 21 years of age
or over, or by an adult sibling of a birth parent who is
deceased, and whose surrendered child is 21 years of age or
over, the court may appoint a confidential intermediary if the
court finds that the disclosure is of greater benefit than
nondisclosure. The petition shall state which biological
relative or relatives are being sought and shall indicate if
the petitioner wants to do any one or more of the following:
exchange medical information with the biological relative or
relatives, obtain identifying information from the biological
relative or relatives, or to arrange contact with the
biological relative.
    (c) Order. The order appointing the confidential
intermediary shall allow that intermediary to conduct a search
for the sought-after relative by accessing those records
described in subsection (g) of this Section.
    (d) Fees and expenses. The court shall condition the
appointment of the confidential intermediary on the
petitioner's payment of the intermediary's fees and expenses in
advance of the commencement of the work of the confidential
intermediary. However, no fee shall be charged if the
petitioner is an adult adopted or surrendered person and the
sought-after relative is a birth parent who filed a Denial with
the Registry prior to January 1, 2011, or filed a Birth Parent
Preference Form on which Option E was selected after January 1,
2011 and more than 5 years have transpired since the birth
parent filed the Denial of Information Exchange or Birth Parent
Preference Form on which Option E was selected.
    (e) Eligibility of intermediary. The court may appoint as
confidential intermediary any person certified by the
Department of Children and Family Services as qualified to
serve as a confidential intermediary. Certification shall be
dependent upon the confidential intermediary completing a
course of training including, but not limited to, applicable
federal and State privacy laws.
    (f) Confidential Intermediary Council. There shall be
established under the Department of Children and Family
Services a Confidential Intermediary Advisory Council. One
member shall be an attorney representing the Attorney General's
Office appointed by the Attorney General. One member shall be a
currently certified confidential intermediary appointed by the
Director of the Department of Children and Family Services. The
Director shall also appoint 5 additional members. When making
those appointments, the Director shall consider advocates for
adopted persons, adoptive parents, birth parents, lawyers who
represent clients in private adoptions, lawyers specializing
in privacy law, and representatives of agencies involved in
adoptions. The Director shall appoint one of the 7 members as
the chairperson. An attorney from the Department of Children
and Family Services and the person directly responsible for
administering the confidential intermediary program shall
serve as ex-officio, non-voting advisors to the Council.
Council members shall serve at the discretion of the Director
and shall receive no compensation other than reasonable
expenses approved by the Director. The Council shall meet no
less than twice yearly and shall meet at least once yearly with
the Registry Advisory Council, and shall make recommendations
to the Director regarding the development of rules, procedures,
and forms that will ensure efficient and effective operation of
the confidential intermediary process, including:
        (1) Standards for certification for confidential
    intermediaries.
        (2) Oversight of methods used to verify that
    intermediaries are complying with the appropriate laws.
        (3) Training for confidential intermediaries,
    including training with respect to federal and State
    privacy laws.
        (4) The relationship between confidential
    intermediaries and the court system, including the
    development of sample orders defining the scope of the
    intermediaries' access to information.
        (5) Any recent violations of policy or procedures by
    confidential intermediaries and remedial steps, including
    decertification, to prevent future violations.
    (g)  Access. Subject to the limitations of subsection (i)
of this Section, the confidential intermediary shall have
access to vital records or a comparable public entity that
maintains vital records in another state in accordance with
that state's laws, maintained by the Department of Public
Health and its local designees for the maintenance of vital
records or a comparable public entity that maintains vital
records in another state in accordance with that state's laws
and all records of the court or any adoption agency, public or
private, as limited in this Section, which relate to the
adoption or the identity and location of an adopted or
surrendered person, of an adult child or surviving spouse of a
deceased adopted or surrendered person, or of a birth parent,
birth sibling, or the sibling of a deceased birth parent. The
confidential intermediary shall not have access to any personal
health information protected by the Standards for Privacy of
Individually Identifiable Health Information adopted by the
U.S. Department of Health and Human Services under the Health
Insurance Portability and Accountability Act of 1996 unless the
confidential intermediary has obtained written consent from
the person whose information is being sought by an adult
adopted or surrendered person or, if that person is a minor
child, that person's parent or guardian. Confidential
intermediaries shall be authorized to inspect confidential
relinquishment and adoption records. The confidential
intermediary shall not be authorized to access medical records,
financial records, credit records, banking records, home
studies, attorney file records, or other personal records. In
cases where a birth parent is being sought, an adoption agency
shall inform the confidential intermediary of any statement
filed pursuant to Section 18.3, hereinafter referred to as "the
18.3 statement", indicating a desire of the surrendering birth
parent to have identifying information shared or to not have
identifying information shared. If there was a clear statement
of intent by the sought-after birth parent not to have
identifying information shared, the confidential intermediary
shall discontinue the search and inform the petitioning party
of the sought-after relative's intent unless the birth parent
filed the 18.3 statement prior to the effective date of this
amendatory Act of the 96th General Assembly and more than 5
years have elapsed since the filing of the 18.3 statement. If
the adult adopted or surrendered person is the subject of an
18.3 statement indicating a desire not to establish contact
which was filed more than 5 years prior to the search request,
the confidential intermediary shall confirm the petitioner's
desire to continue the search. Information provided to the
confidential intermediary by an adoption agency shall be
restricted to the full name, date of birth, place of birth,
last known address, last known telephone number of the
sought-after relative or, if applicable, of the children or
siblings of the sought-after relative, and the 18.3 statement.
    (h) Adoption agency disclosure of medical information. If
the petitioner is an adult adopted or surrendered person or the
adoptive parent of a minor and if the petitioner has signed a
written authorization to disclose personal medical
information, an adoption agency disclosing information to a
confidential intermediary shall disclose available medical
information about the adopted or surrendered person from birth
through adoption.
    (i) Duties of confidential intermediary in conducting a
search. In conducting a search under this Section, the
confidential intermediary shall first confirm that there is no
Denial of Information Exchange on file with the Illinois
Adoption Registry. If the petitioner is an adult child of an
adopted or surrendered person who is deceased, the confidential
intermediary shall additionally confirm that the adopted or
surrendered person did not file a Denial of Information
Exchange or a Birth Parent Preference Form with Option E
selected with the Illinois Adoption Registry during his or her
life. If there is a Denial on file with the Registry, the
confidential intermediary must discontinue the search unless
the petitioner is an adult adopted or surrendered person and
the sought-after birth relative filed the Denial 5 years or
more prior to the search or the birth parent has not been the
object of a search through the State confidential intermediary
program for 10 or more years. If the petitioner is an adult
adopted or surrendered person and there is a Birth Parent
Preference Form on file with the Registry and the birth parent
who completed the form selected Option E, the confidential
intermediary must discontinue the search unless 5 years or more
have elapsed since the filing of the Birth Parent Preference
Form. If the petitioner is an adult birth sibling of an adopted
or surrendered person or an adult sibling of a birth parent who
is deceased, the confidential intermediary shall additionally
confirm that the birth parent did not file a Denial of
Information Exchange or a Birth Parent Preference Form with
Option E selected with the Registry during his or her life. If
the confidential intermediary learns that a sought-after birth
parent signed an 18.3 statement indicating his or her intent
not to have identifying information shared, and did not later
file an Information Exchange Authorization or a Birth Parent
Preference Form with the Registry, the confidential
intermediary shall discontinue the search and inform the
petitioning party of the birth parent's intent, unless the
petitioner is an adult adopted or surrendered person and 5
years or more have elapsed since the birth parent signed the
statement indicating his or her intent not to have identifying
information shared. In cases where the birth parent filed a
Denial of Information Exchange or Birth Parent Preference Form
where Option E was selected, or statement indicating his or her
intent not to have identifying information shared less than 5
years prior to the search request and the petitioner is an
adult adopted or surrendered person, the confidential
intermediary shall inform the petitioner of the need to
discontinue the search until 5 years have elapsed since the
Denial of Information Exchange or Birth Parent Preference Form
where Option E was selected, or statement was filed; in cases
where a birth parent was previously the subject of a search
through the State confidential intermediary program, the
confidential intermediary shall inform the petitioner of the
need to discontinue the search until 10 years or more have
elapsed since the initial search was closed. In cases where a
birth parent has been the object of 2 searches through the
State confidential intermediary program, no subsequent search
for the birth parent shall be authorized absent a court order
to the contrary.
    In conducting a search under this Section, the confidential
intermediary shall attempt to locate the relative or relatives
from whom the petitioner has requested information. If the
sought-after relative is deceased or cannot be located after a
diligent search, the confidential intermediary may contact
other adult relatives of the sought-after relative.
    The confidential intermediary shall contact a sought-after
relative on behalf of the petitioner in a manner that respects
the sought-after relative's privacy and shall inform the
sought-after relative of the petitioner's request for medical
information, identifying information or contact as stated in
the petition. Based upon the terms of the petitioner's request,
the confidential intermediary shall contact a sought-after
relative on behalf of the petitioner and inform the
sought-after relative of the following options:
        (1) The sought-after relative may totally reject one or
    all of the requests for medical information, identifying
    information or contact. The sought-after relative shall be
    informed that they can provide a medical questionnaire to
    be forwarded to the petitioner without releasing any
    identifying information. The confidential intermediary
    shall inform the petitioner of the sought-after relative's
    decision to reject the sharing of information or contact.
        (2) The sought-after relative may consent to
    completing a medical questionnaire only. In this case, the
    confidential intermediary shall provide the questionnaire
    and ask the sought-after relative to complete it. The
    confidential intermediary shall forward the completed
    questionnaire to the petitioner and inform the petitioner
    of the sought-after relative's desire to not provide any
    additional information.
        (3) The sought-after relative may communicate with the
    petitioner without having his or her identity disclosed. In
    this case, the confidential intermediary shall arrange the
    desired communication in a manner that protects the
    identity of the sought-after relative. The confidential
    intermediary shall inform the petitioner of the
    sought-after relative's decision to communicate but not
    disclose his or her identity.
        (4) The sought-after sought after relative may consent
    to initiate contact with the petitioner. If both the
    petitioner and the sought-after relative or relatives are
    eligible to register with the Illinois Adoption Registry,
    the confidential intermediary shall provide the necessary
    application forms and request that the sought-after
    relative register with the Illinois Adoption Registry. If
    either the petitioner or the sought-after relative or
    relatives are ineligible to register with the Illinois
    Adoption Registry, the confidential intermediary shall
    obtain written consents from both parties that they wish to
    disclose their identities to each other and to have contact
    with each other.
    (j) Oath. The confidential intermediary shall sign an oath
of confidentiality substantially as follows: "I, ..........,
being duly sworn, on oath depose and say: As a condition of
appointment as a confidential intermediary, I affirm that:
        (1) I will not disclose to the petitioner, directly or
    indirectly, any confidential information except in a
    manner consistent with the law.
        (2) I recognize that violation of this oath subjects me
    to civil liability and to a potential finding of contempt
    of court. ................................
SUBSCRIBED AND SWORN to before me, a Notary Public, on (insert
date)
................................."
    (k) Sanctions.
        (1) Any confidential intermediary who improperly
    discloses confidential information identifying a
    sought-after relative shall be liable to the sought-after
    relative for damages and may also be found in contempt of
    court.
        (2) Any person who learns a sought-after relative's
    identity, directly or indirectly, through the use of
    procedures provided in this Section and who improperly
    discloses information identifying the sought-after
    relative shall be liable to the sought-after relative for
    actual damages plus minimum punitive damages of $10,000.
        (3) The Department shall fine any confidential
    intermediary who improperly discloses confidential
    information in violation of item (1) or (2) of this
    subsection (k) an amount up to $2,000 per improper
    disclosure. This fine does not affect civil liability under
    item (2) of this subsection (k). The Department shall
    deposit all fines and penalties collected under this
    Section into the Illinois Adoption Registry and Medical
    Information Fund.
    (l) Death of person being sought. Notwithstanding any other
provision of this Act, if the confidential intermediary
discovers that the person being sought has died, he or she
shall report this fact to the court, along with a copy of the
death certificate. If the sought-after relative is a birth
parent, the confidential intermediary shall also forward a copy
of the birth parent's death certificate, if available, to the
Registry for inclusion in the Registry file.
    (m) Any confidential information obtained by the
confidential intermediary during the course of his or her
search shall be kept strictly confidential and shall be used
for the purpose of arranging contact between the petitioner and
the sought-after birth relative. At the time the case is
closed, all identifying information shall be returned to the
court for inclusion in the impounded adoption file.
    (n) If the petitioner is an adopted or surrendered person
21 years of age or over or the adoptive parent or legal
guardian of an adopted or surrendered person under the age of
21, any non-identifying information, as defined in Section
18.4, that is ascertained during the course of the search may
be given in writing to the petitioner at any time during the
search before the case is closed.
    (o) Except as provided in subsection (k) of this Section,
no liability shall accrue to the State, any State agency, any
judge, any officer or employee of the court, any certified
confidential intermediary, or any agency designated to oversee
confidential intermediary services for acts, omissions, or
efforts made in good faith within the scope of this Section.
    (p) An adoption agency that has received a request from a
confidential intermediary for the full name, date of birth,
last known address, or last known telephone number of a
sought-after relative pursuant to subsection (g) of Section
18.3a, or for medical information regarding a sought-after
relative pursuant to subsection (h) of Section 18.3a, must
satisfactorily comply with this court order within a period of
45 days. The court shall order the adoption agency to reimburse
the petitioner in an amount equal to all payments made by the
petitioner to the confidential intermediary, and the adoption
agency shall be subject to a civil monetary penalty of $1,000
to be paid to the Department of Children and Family Services.
Following the issuance of a court order finding that the
adoption agency has not complied with Section 18.3, the
adoption agency shall be subject to a monetary penalty of $500
per day for each subsequent day of non-compliance. Proceeds
from such fines shall be utilized by the Department of Children
and Family Services to subsidize the fees of petitioners as
referenced in subsection (d) of this Section.
    (q) Provide information to eligible petitioner. The
confidential intermediary may provide to eligible petitioners
as described in subsections (a) and (b) of this Section, the
name of the child welfare agency which had legal custody of the
surrendered person or responsibility for placing the
surrendered person and any available contact information for
such agency. In addition, the confidential intermediary may
provide to such petitioners the name of the state in which the
surrender occurred or in which the adoption was finalized.
    Any reimbursements and fines, notwithstanding any
reimbursement directly to the petitioner, paid under this
subsection are in addition to other remedies a court may
otherwise impose by law.
    The Department of Children and Family Services shall submit
reports to the Confidential Intermediary Advisory Council by
July 1 and January 1 of each year in order to report the
penalties assessed and collected under this subsection, the
amounts of related deposits into the DCFS Children's Services
Fund, and any expenditures from such deposits.
(Source: P.A. 96-661, eff. 8-25-09; 96-895, eff. 5-21-10.)
 
    (750 ILCS 50/18.6)  (from Ch. 40, par. 1522.6)
    Sec. 18.6. Registry fees. The Department of Public Health
shall levy a fee for each registrant under Sections 18.05
through 18.5. A $15 fee shall be charged for registering with
the Illinois Adoption Registry and Medical Information
Exchange. However, this fee shall be waived for all adopted or
surrendered persons, surviving children and spouses of
deceased adopted persons, adoptive parents, legal guardians,
birth parents, birth aunts, birth uncles, and birth siblings
who complete a Medical Information Exchange Questionnaire at
the time of registration and authorize its release to specified
registered parties, and for adoptive parents registering
within 12 months of the finalization of the adoption. All
persons who were registered with the Illinois Adoption Registry
prior to the effective date of this amendatory Act of 1999 and
who wish to update their registration may do so without charge.
No charge of any kind shall be made for the withdrawal of any
form provided in Section 18.2.
(Source: P.A. 96-895, eff. 5-21-10.)
 
    Section 99. Effective date. This Act takes effect upon
becoming law.