103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
HB3101

 

Introduced 2/17/2023, by Rep. Jennifer Gong-Gershowitz

 

SYNOPSIS AS INTRODUCED:
 
See Index

    Amends the Abandoned Newborn Infant Protection Act. Provides that there is a presumption that by relinquishing a newborn infant in accordance with the Act, the infant's parent waives notice of any legal proceeding to terminate his or her parental rights. Requires a hospital to complete and submit, on behalf of a relinquished newborn infant, an application for medical assistance benefits provided under the Illinois Public Aid Code and to provide all available medical information and records regarding the infant to the Department of Children and Family Services and to the child welfare agency (rather than child-placing agency) that has accepted the referral of the infant. Provides that if the person (rather than parent) who relinquished a newborn infant, or a person claiming to be the parent of the infant, returns to reclaim the infant within 30 days (rather than 72 hours) after the infant was relinquished to a police station, the police station must inform such person of the name and location of the hospital to which the infant was transported. Makes changes to provisions concerning information for a relinquishing person on the relinquishment process; a child welfare agency's authority to make medical and health related decisions for a relinquished infant; notice to the infant's biological parents of legal proceedings to terminate their parental rights; the appointment of a guardian ad litem to represent the infant's interests; the alternative to relinquishment that results in the adoption of a relinquished infant under 30 (rather than 7) days of age; and other matters. Amends the Abandoned Newborn Infant Protection Act, the Immunization Data Registry Act, the Illinois Parentage Act of 2015, and the Adoption Act by replacing all references to "child placing agency" with "child welfare agency".


LRB103 29344 KTG 55731 b

 

 

A BILL FOR

 

HB3101LRB103 29344 KTG 55731 b

1    AN ACT concerning children.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Abandoned Newborn Infant Protection Act is
5amended by changing Sections 10, 15, 20, 22, 30, 35, 37, 40,
650, 55, 60, and 65, as follows:
 
7    (325 ILCS 2/10)
8    Sec. 10. Definitions. In this Act:
9    "Abandon" has the same meaning as in the Abused and
10Neglected Child Reporting Act.
11    "Abused child" has the same meaning as in the Abused and
12Neglected Child Reporting Act.
13    "Child welfare Child-placing agency" means an Illinois a
14licensed public or private agency that receives a child for
15the purpose of placing or arranging for the placement of the
16child in a foster or pre-adoptive family home or other
17facility for child care, apart from the custody of the child's
18parents.
19    "Department" or "DCFS" means the Illinois Department of
20Children and Family Services.
21    "Emergency medical facility" means a freestanding
22emergency center or trauma center, as defined in the Emergency
23Medical Services (EMS) Systems Act.

 

 

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1    "Emergency medical professional" includes licensed
2physicians, and any emergency medical technician, emergency
3medical technician-intermediate, advanced emergency medical
4technician, paramedic, trauma nurse specialist, and
5pre-hospital registered nurse, as defined in the Emergency
6Medical Services (EMS) Systems Act.
7    "Fire station" means a fire station within the State with
8at least one staff person.
9    "Hospital" has the same meaning as in the Hospital
10Licensing Act.
11    "Legal custody" means the relationship created by a court
12order in the best interest of a newborn infant that imposes on
13the infant's custodian the responsibility of physical
14possession of the infant, the duty to protect, train, and
15discipline the infant, and the duty to provide the infant with
16food, shelter, education, and medical care, except as these
17are limited by parental rights and responsibilities.
18    "Neglected child" has the same meaning as in the Abused
19and Neglected Child Reporting Act.
20    "Newborn infant" means a child who a licensed physician
21reasonably believes is 30 days old or less at the time the
22child is initially relinquished to a hospital, police station,
23fire station, or emergency medical facility, and who is not an
24abused or a neglected child.
25    "Parent" or "biological parent" means a person who has
26established maternity or paternity of the newborn infant

 

 

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1through genetic testing.
2    "Police station" means a municipal police station, a
3county sheriff's office, a campus police department located on
4any college or university owned or controlled by the State or
5any private college or private university that is not owned or
6controlled by the State when employees of the campus police
7department are present, or any of the district headquarters of
8the Illinois State Police.
9    "Relinquish" means to bring a newborn infant, who a
10licensed physician reasonably believes is 30 days old or less,
11to a hospital, police station, fire station, or emergency
12medical facility and to leave the infant with personnel of the
13facility, if the person leaving the infant does not express an
14intent to return for the infant or states that he or she will
15not return for the infant. In the case of a mother who gives
16birth to an infant in a hospital, the mother's act of leaving
17that newborn infant at the hospital (i) without expressing an
18intent to return for the infant or (ii) stating that she will
19not return for the infant is not a "relinquishment" under this
20Act.
21    "Temporary protective custody" means the temporary
22placement of a newborn infant within a hospital or other
23medical facility out of the custody of the infant's parent.
24(Source: P.A. 97-293, eff. 8-11-11; 98-973, eff. 8-15-14.)
 
25    (325 ILCS 2/15)

 

 

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1    Sec. 15. Presumptions.
2    (a) There is a presumption that by relinquishing a newborn
3infant in accordance with this Act, the infant's parent
4consents to the termination of his or her parental rights with
5respect to the infant and therefore waives notice of any legal
6proceeding to terminate his or her parental rights.
7    (b) There is a presumption that a person relinquishing a
8newborn infant in accordance with this Act:
9        (1) is the newborn infant's biological parent; and
10        (2) either without expressing an intent to return for
11    the infant or expressing an intent not to return for the
12    infant, did intend to relinquish the infant to the
13    hospital, police station, fire station, or emergency
14    medical facility to treat, care for, and provide for the
15    infant in accordance with this Act.
16    (c) A parent of a relinquished newborn infant may rebut
17the presumption set forth in either subsection (a) or
18subsection (b) pursuant to Section 55, at any time before the
19termination of the parent's parental rights.
20(Source: P.A. 92-408, eff. 8-17-01; 92-432, eff. 8-17-01;
2193-820, eff. 7-27-04.)
 
22    (325 ILCS 2/20)
23    Sec. 20. Procedures with respect to relinquished newborn
24infants.
25    (a) Hospitals. Every hospital must accept and provide all

 

 

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1necessary emergency services and care to a relinquished
2newborn infant, in accordance with this Act. The hospital
3shall examine a relinquished newborn infant and perform tests
4that, based on reasonable medical judgment, are appropriate in
5evaluating whether the relinquished newborn infant was abused
6or neglected.
7    The act of relinquishing a newborn infant serves as
8implied consent for the hospital and its medical personnel and
9physicians on staff to treat and provide care for the infant.
10    The hospital shall complete and submit an application for
11medical assistance provided under Article V of the Illinois
12Public Aid Code on behalf of the infant and shall provide all
13available medical information and records regarding the infant
14to the Department and the child welfare agency that has
15accepted the referral of the infant in accordance with Section
1650.
17    The hospital shall be deemed to have temporary protective
18custody of a relinquished newborn infant until the infant is
19discharged to the custody of a child welfare child-placing
20agency or the Department.
21    (b) Fire stations and emergency medical facilities. Every
22fire station and emergency medical facility must accept and
23provide all necessary emergency services and care to a
24relinquished newborn infant, in accordance with this Act.
25    The act of relinquishing a newborn infant serves as
26implied consent for the fire station or emergency medical

 

 

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1facility and its emergency medical professionals to treat and
2provide care for the infant, to the extent that those
3emergency medical professionals are trained to provide those
4services.
5    After the relinquishment of a newborn infant to a fire
6station or emergency medical facility, the fire station or
7emergency medical facility's personnel must arrange for the
8transportation of the infant to the nearest hospital as soon
9as transportation can be arranged.
10    If the person who relinquished parent of a newborn infant,
11or a person claiming to be the parent of the infant, returns to
12reclaim the infant within 30 days child within 72 hours after
13the infant was relinquished relinquishing the child to a fire
14station or emergency medical facility, the fire station or
15emergency medical facility must inform such person the parent
16of the name and location of the hospital to which the infant
17was transported.
18    (c) Police stations. Every police station must accept a
19relinquished newborn infant, in accordance with this Act.
20After the relinquishment of a newborn infant to a police
21station, the police station must arrange for the
22transportation of the infant to the nearest hospital as soon
23as transportation can be arranged. The act of relinquishing a
24newborn infant serves as implied consent for the hospital to
25which the infant is transported and that hospital's medical
26personnel and physicians on staff to treat and provide care

 

 

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1for the infant.
2    If the person who relinquished parent of a newborn infant,
3or a person claiming to be the parent of the infant, returns to
4reclaim the infant within 30 days 72 hours after relinquishing
5the infant was relinquished to a police station, the police
6station must inform such person the parent of the name and
7location of the hospital to which the infant was transported.
8(Source: P.A. 92-408, eff. 8-17-01; 92-432, eff. 8-17-01;
993-820, eff. 7-27-04.)
 
10    (325 ILCS 2/22)
11    Sec. 22. Signs. Every hospital, fire station, emergency
12medical facility, and police station that is required to
13accept a relinquished newborn infant in accordance with this
14Act must post, either by physical or electronic means, a sign
15in a conspicuous place on the exterior of the building housing
16the facility informing persons that a newborn infant may be
17relinquished at the facility in accordance with this Act. The
18Department shall prescribe specifications for the signs and
19for their placement that will ensure statewide uniformity.
20    This Section does not apply to a hospital, fire station,
21emergency medical facility, or police station that has a sign
22that is consistent with the requirements of this Section that
23is posted on the effective date of this amendatory Act of the
2495th General Assembly.
25(Source: P.A. 102-4, eff. 4-27-21.)
 

 

 

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1    (325 ILCS 2/30)
2    Sec. 30. Anonymity of relinquishing person. If there is
3no evidence of abuse or neglect of a relinquished newborn
4infant, the relinquishing person has the right to remain
5anonymous and to leave the hospital, police station, fire
6station, or emergency medical facility at any time and not be
7pursued or followed. Before the relinquishing person leaves
8the hospital, police station, fire station, or emergency
9medical facility, the hospital, police station, fire station,
10or emergency medical facility personnel shall (i) verbally
11inform the relinquishing person that by relinquishing the
12child anonymously, he or she will have to petition the court if
13he or she desires to prevent the termination of parental
14rights and regain custody of the child and (ii) shall offer the
15relinquishing person the information packet described in
16Section 35 of this Act. However, nothing in this Act shall be
17construed as precluding the relinquishing person from
18providing his or her identity or completing the application
19forms for the Illinois Adoption Registry and Medical
20Information Exchange and requesting that the hospital, police
21station, fire station, or emergency medical facility forward
22those forms to the Illinois Adoption Registry and Medical
23Information Exchange.
24(Source: P.A. 92-408, eff. 8-17-01; 92-432, eff. 8-17-01;
2593-820, eff. 7-27-04.)
 

 

 

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1    (325 ILCS 2/35)
2    Sec. 35. Information for relinquishing person.
3    (a) The A hospital, police station, fire station, or
4emergency medical facility that receives a newborn infant
5relinquished in accordance with this Act shall must offer
6information about the relinquishment process to an information
7packet to the relinquishing person and, if possible, must
8clearly inform the relinquishing person either in writing or
9by referring said person to a website or other electronic
10resource. Such information shall clearly state that his or her
11acceptance of the information is completely voluntary. The
12information packet must include all of the following:
13        (1) (Blank).
14        (2) Written notice of the following:
15            (A) No sooner than 60 days following the date of
16        the initial relinquishment of the infant to a
17        hospital, police station, fire station, or emergency
18        medical facility, the court may enter an order
19        terminating parental rights without notice to the
20        parents of the infant child-placing agency or the
21        Department will commence proceedings for the
22        termination of parental rights and placement of the
23        infant for adoption.
24            (B) Failure of a parent of the infant to contact
25        the Department and petition for the return of custody

 

 

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1        of the infant before termination of parental rights
2        bars any future action asserting legal rights with
3        respect to the infant.
4        (3) A resource list of providers of counseling
5    services including grief counseling, pregnancy counseling,
6    and counseling regarding adoption and other available
7    options for placement of the infant.
8    Upon request of a parent, the Department of Public Health
9shall provide the application forms for the Illinois Adoption
10Registry and Medical Information Exchange.
11    (b) The information offered packet given to a
12relinquishing person parent in accordance with this Act shall
13include, in addition to other information required under this
14Act, the following:
15        (1) Information A brochure (with a self-mailer
16    attached) that describes this Act and the rights of birth
17    parents, including an option optional section for the
18    parent to complete and mail to the Department of Children
19    and Family Services a form , that shall ask for basic
20    anonymous background information about the relinquished
21    child. This form brochure shall be maintained by the
22    Department on its website.
23        (2) Information about A brochure that describes the
24    Illinois Adoption Registry, including a toll-free number
25    and website information. This brochure shall be maintained
26    on the Office of Vital Records website.

 

 

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1        (3) Information about a mother's postpartum health A
2    brochure describing postpartum health information for the
3    mother.
4    The information provided in writing or through electronic
5means packet shall be designed in coordination between the
6Office of Vital Records and the Department of Children and
7Family Services. The failure to provide such information under
8this Section, or the failure of the relinquishing person to
9accept such information, shall not invalidate the
10relinquishment under this Act. , with the exception of the
11resource list of providers of counseling services and adoption
12agencies, which shall be provided by the hospital, fire
13station, police station, sheriff's office, or emergency
14medical facility.
15(Source: P.A. 96-1114, eff. 7-20-10; 97-333, eff. 8-12-11.)
 
16    (325 ILCS 2/37)
17    Sec. 37. Public disclosure of information prohibited.
18Emergency medical professionals, employees, or other persons
19engaged in the administration or operation of a fire station,
20police station, hospital, emergency medical facility, child
21welfare placing agency, or the Department where a newborn
22infant baby has been relinquished or transferred under this
23Act, are prohibited from publicly disclosing any information
24concerning the relinquishment of the infant and the
25individuals involved, except as otherwise provided by law.

 

 

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1(Source: P.A. 95-549, eff. 6-1-08.)
 
2    (325 ILCS 2/40)
3    Sec. 40. Reporting requirements.
4    (a) Within 12 hours after accepting a newborn infant from
5a relinquishing person or from a police station, fire station,
6or emergency medical facility in accordance with this Act, a
7hospital must report to the Department's State Central
8Registry for the purpose of transferring physical custody of
9the infant from the hospital to either a child welfare
10child-placing agency or the Department.
11    (b) Within 24 hours after receiving a report under
12subsection (a), the Department must request assistance from
13law enforcement officials to investigate the matter using the
14National Crime Information Center to ensure that the
15relinquished newborn infant is not a missing child.
16    (c) Once a hospital has made a report to the Department
17under subsection (a), the Department must arrange for a
18licensed child welfare child-placing agency to accept physical
19custody of the relinquished newborn infant.
20    (d) If a relinquished child is not a newborn infant as
21defined in this Act, the hospital and the Department must
22proceed as if the child is an abused or neglected child.
23(Source: P.A. 92-408, eff. 8-17-01; 92-432, eff. 8-17-01;
2493-820, eff. 7-27-04.)
 

 

 

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1    (325 ILCS 2/50)
2    Sec. 50. Child welfare Child-placing agency procedures.
3    (a) The Department's State Central Registry must maintain
4a list of licensed child welfare child-placing agencies
5willing to take legal custody of newborn infants relinquished
6in accordance with this Act. The child welfare child-placing
7agencies on the list must be contacted by the Department on a
8rotating basis upon notice from a hospital that a newborn
9infant has been relinquished in accordance with this Act.
10    (b) Upon notice from the Department that a newborn infant
11has been relinquished in accordance with this Act, a child
12welfare child-placing agency must accept the newborn infant if
13the agency has the accommodations to do so. The child welfare
14child-placing agency must seek an order for legal custody of
15the infant upon its acceptance of the infant.
16    (c) Within 3 business days after accepting the referral
17from the Department, assuming physical custody of the infant,
18the child welfare child-placing agency shall file a petition
19for custody in the division of the circuit court in which
20petitions for adoption would normally be heard. The infant
21shall be referred to as "Baby Girl Doe" or "Baby Boy Doe" in
22all pleadings, notwithstanding actual knowledge of the
23infant's name or of the names of the infant's alleged parents,
24in order to preserve the confidentiality of the relinquishing
25parent or parents and the expectation of anonymity consistent
26with the purposes of this Act. The petition for custody shall

 

 

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1allege that the newborn infant has been relinquished in
2accordance with this Act and shall request state that the
3child welfare child-placing agency be given the authority
4intends to place the infant in an adoptive home, foster home,
5child care facility, or other facility appropriate for the
6needs of the infant. No filing or appearance fees shall be
7charged to any petitioner.
8    (d) If no licensed child welfare child-placing agency is
9able to accept the relinquished newborn infant, then the
10Department must assume responsibility for the infant as soon
11as practicable.
12    (e) A custody order issued under subsection (b) shall
13grant the child welfare agency the authority to make medical
14and health related decisions for the infant. Said order shall
15remain in effect until a final adoption order based on the
16relinquished newborn infant's best interests is issued in
17accordance with this Act and the Adoption Act.
18    (f) When possible, the child welfare child-placing agency
19must place a relinquished newborn infant in a prospective
20adoptive home.
21    (g) An order terminating the parental rights of the
22biological parents of the infant and appointing a guardian of
23the infant with authority to consent to the adoption may be
24entered The Department or child-placing agency must initiate
25proceedings to (i) terminate the parental rights of the
26relinquished newborn infant's known or unknown parents, (ii)

 

 

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1appoint a guardian for the infant, and (iii) obtain consent to
2the infant's adoption in accordance with this Act no sooner
3than 60 days following the date of the initial relinquishment
4of the infant to the hospital, police station, fire station,
5or emergency medical facility.
6    (g-1) Notice to the infant's biological parents of the
7legal proceedings under this Act shall be given by publication
8of a notice in a newspaper published in the county in which the
9action is pending, or if there is no newspaper published in
10that county, then in a newspaper published in an adjoining
11county having a circulation in the county in which the action
12is pending. The form to be used for publication shall be
13substantially as follows:
14    "ABANDONED NEWBORN NOTICE – STATE OF ILLINOIS, County of
15...., ss,--Circuit Court of ...... County, In the matter of
16the Abandonment of BABY (GIRL/BOY) DOE, a newborn infant, Case
17Number .......... To THE UNKNOWN MOTHER, UNKNOWN FATHER and
18ALL WHOM IT MAY CONCERN: Take notice that a Petition was filed
19in the Circuit Court of ........ County, Illinois, for an
20unnamed child, referred to as BABY (GIRL/BOY) DOE, born on or
21about ......, and relinquished to ............. on or about
22..........., pursuant to the Abandoned Newborn Infant
23Protection Act. Now therefore, unless you UNKNOWN MOTHER,
24UNKNOWN FATHER and ALL WHOM IT MAY CONCERN, file your petition
25for return of custody in the said Circuit Court of .... County,
26..............., in the city of .........., Illinois, on or

 

 

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1before .........., an order terminating your parental rights
2may be entered against you any time after that day and a
3judgment may be entered in accordance with the Petition.
4(E-filing instructions, Contact information for the attorney
5for the petition)"
6    Notwithstanding actual knowledge, the name of the
7relinquishing parent, alleged parent, or infant shall not be
8included in the publication notice in order to preserve
9confidentiality and anonymity consistent with the purpose of
10this Act. No further notice is required unless a person
11claiming to be the infant's parent files a petition in
12accordance with Section 55 of this Act, or a possible parent is
13discovered as a result of the required procedures in
14subsection (h).
15    (h) Before requesting an order filing a petition for
16termination of parental rights, the Department or child
17welfare child-placing agency must do the following:
18        (1) If the name of either biological parent or alleged
19    parent is known, search the Illinois Search its Putative
20    Father Registry for the purpose of determining the
21    identity and location of the putative father of the
22    relinquished newborn infant who is, or is expected to be,
23    the subject of an adoption proceeding, in order to provide
24    notice of the proceeding to the putative father. At least
25    one search of the Registry must be conducted, at least 30
26    days after the relinquished newborn infant's estimated

 

 

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1    date of birth; earlier searches may be conducted, however.
2    Notice to any potential putative father discovered in a
3    search of the Registry according to the estimated age of
4    the relinquished newborn infant must be in accordance with
5    the Code of Civil Procedure or Section 12a of the Adoption
6    Act. If the names of all alleged parents are unknown, then
7    a search is not required under this Section.
8        (2) Verify with the Department that, in accordance
9    with subsection (b) of Section 40, that law enforcement
10    officials, using the National Crime Information Center,
11    that the relinquished newborn infant is not a missing
12    child.
13        (3) Publish notice in accordance with subsection
14    (g-1).
15(Source: P.A. 92-408, eff. 8-17-01; 92-432, eff. 8-17-01;
1693-820, eff. 7-27-04.)
 
17    (325 ILCS 2/55)
18    Sec. 55. Petition for return of custody.
19    (a) A parent or person claiming to be a parent of a newborn
20infant relinquished in accordance with this Act may petition
21for the return of custody of the infant before the termination
22of parental rights with respect to the infant.
23    (b) A parent of a newborn infant relinquished in
24accordance with this Act may petition for the return of
25custody of the infant by contacting the Department for the

 

 

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1purpose of obtaining the name of the child welfare -placing
2agency with custody of the infant and the appropriate court in
3which the petition of return of custody of the infant must be
4filed and then filing a petition for return of custody in the
5circuit court in which the proceeding for the termination of
6parental rights is pending. No filing or appearance fees shall
7be charged to any petitioner.
8    (c) (Blank). If a petition for the termination of parental
9rights has not been filed by the Department or the
10child-placing agency, the parent of the relinquished newborn
11infant must contact the Department, which must notify the
12parent of the appropriate court in which the petition for
13return of custody must be filed.
14    (d) The circuit court may hold the proceeding for the
15termination of parental rights in abeyance for a period not to
16exceed 60 days from the date that the petition for return of
17custody was filed without a showing of good cause. During that
18period:
19        (1) The court shall order genetic testing to establish
20    maternity or paternity, or both.
21        (2) The Department shall conduct a child protective
22    investigation and home study to develop recommendations to
23    the court.
24        (3) When indicated as a result of the Department's
25    investigation and home study, further proceedings under
26    the Juvenile Court Act of 1987 as the court determines

 

 

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1    appropriate, may be conducted. However, relinquishment of
2    a newborn infant in accordance with this Act does not
3    render the infant abused, neglected, or abandoned solely
4    because the newborn infant was relinquished to a hospital,
5    police station, fire station, or emergency medical
6    facility in accordance with this Act.
7        (4) The court shall appoint a guardian ad litem to
8    represent the interests of the newborn infant.
9    (e) Failure to file a petition for the return of custody of
10a relinquished newborn infant before the termination of
11parental rights bars any future action asserting legal rights
12with respect to the infant unless the parent's act of
13relinquishment that led to the termination of parental rights
14involved fraud perpetrated against and not stemming from or
15involving the parent of the newborn infant. No action to void
16or revoke the termination of parental rights of a parent of a
17newborn infant relinquished in accordance with this Act,
18including an action based on fraud, may be commenced after 12
19months after the date that the newborn infant was initially
20relinquished to a hospital, police station, fire station, or
21emergency medical facility.
22(Source: P.A. 92-408, eff. 8-17-01; 92-432, eff. 8-17-01;
2393-820, eff. 7-27-04.)
 
24    (325 ILCS 2/60)
25    Sec. 60. Department's duties. The Department must

 

 

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1implement a public information program to promote safe
2placement alternatives for newborn infants. The public
3information program must inform the public of the following:
4        (1) The relinquishment alternative provided for in
5    this Act, which results in the adoption of a newborn
6    infant relinquished under 30 7 days of age and which
7    provides for the parent's anonymity, if the parent so
8    chooses.
9        (2) The alternative of adoption through a public or
10    private agency, in which the parent's identity may or may
11    not be known to the agency, but is kept anonymous from the
12    adoptive parents, if the birth parent so desires, and
13    which allows the parent to be actively involved in the
14    child's adoption plan.
15    The public information program may include, but need not
16be limited to, the following elements:
17        (i) Educational and informational materials in print,
18    audio, video, electronic or other media.
19        (ii) Establishment of a web site.
20        (iii) Public service announcements and advertisements.
21        (iv) Establishment of toll-free telephone hotlines to
22    provide information.
23(Source: P.A. 94-941, eff. 6-26-06.)
 
24    (325 ILCS 2/65)
25    Sec. 65. Evaluation.

 

 

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1    (a) The Department shall collect and analyze information
2regarding the relinquishment of newborn infants and placement
3of children under this Act. Police stations, fire stations,
4emergency medical facilities, and medical professionals
5accepting and providing services to a newborn infant under
6this Act shall report to the Department data necessary for the
7Department to evaluate and determine the effect of this Act in
8the prevention of injury or death of newborn infants. Child
9welfare Child-placing agencies shall report to the Department
10data necessary to evaluate and determine the effectiveness of
11these agencies in providing child protective and child welfare
12services to newborn infants relinquished under this Act.
13    (b) The information collected shall include, but need not
14be limited to: the number of newborn infants relinquished; the
15category of the place of relinquishment (hospital, police
16station, fire station, or emergency medical facility); the
17services provided to relinquished newborn infants; the outcome
18of care for the relinquished newborn infants; the number and
19disposition of cases of relinquished newborn infants subject
20to placement; the number of children accepted and served by
21child welfare child-placing agencies; and the services
22provided by child welfare child-placing agencies and the
23disposition of the cases of the children placed under this
24Act.
25    (c) The Department shall submit a report by January 1,
262002, and on January 1 of each year thereafter, to the Governor

 

 

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1and General Assembly regarding the prevention of injury or
2death of newborn infants and the effect of placements of
3children under this Act. The report shall include, but need
4not be limited to, a summary of collected data, an analysis of
5the data and conclusions regarding the Act's effectiveness, a
6determination whether the purposes of the Act are being
7achieved, and recommendations for changes that may be
8considered necessary to improve the administration and
9enforcement of this Act.
10(Source: P.A. 92-408, eff. 8-17-01; 92-432, eff. 8-17-01;
1193-820, eff. 7-27-04.)
 
12    Section 10. The Immunization Data Registry Act is amended
13by changing Section 20 as follows:
 
14    (410 ILCS 527/20)
15    Sec. 20. Confidentiality of information; release of
16information; statistics; panel on expanding access.
17    (a) Records maintained as part of the immunization data
18registry are confidential.
19    (b) The Department may release an individual's
20confidential information to the individual or to the
21individual's parent or guardian if the individual is less than
2218 years of age.
23    (c) Subject to subsection (d) of this Section, the
24Department may release information in the immunization data

 

 

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1registry concerning an individual to the following entities:
2        (1) The immunization data registry of another state.
3        (2) A health care provider or a health care provider's
4    designee.
5        (3) A local health department.
6        (4) An elementary or secondary school that is attended
7    by the individual.
8        (5) A licensed child care center in which the
9    individual is enrolled.
10        (6) A licensed child welfare child-placing agency.
11        (7) A college or university that is attended by the
12    individual.
13        (8) The Department of Healthcare and Family Services
14    or a managed care entity contracted with the Department of
15    Healthcare and Family Services to coordinate the provision
16    of medical care to enrollees of the medical assistance
17    program.
18    (d) Before immunization data may be released to an entity,
19the entity must enter into an agreement with the Department
20that provides that information that identifies a patient will
21not be released to any other person without the written
22consent of the patient.
23    (e) The Department may release summary statistics
24regarding information in the immunization data registry if the
25summary statistics do not reveal the identity of an
26individual.

 

 

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1(Source: P.A. 97-117, eff. 7-14-11; 98-651, eff. 6-16-14.)
 
2    Section 15. The Illinois Parentage Act of 2015 is amended
3by changing Section 602 as follows:
 
4    (750 ILCS 46/602)
5    Sec. 602. Standing. A complaint to adjudicate parentage
6shall be verified, shall be designated a petition, and shall
7name the person or persons alleged to be the parent of the
8child. Subject to Article 3 and Sections 607, 608, and 609 of
9this Act, a proceeding to adjudicate parentage may be
10maintained by:
11        (a) the child;
12        (b) the mother of the child;
13        (c) a pregnant woman;
14        (d) a man presumed or alleging himself to be the
15    parent of the child;
16        (e) a woman presumed or alleging herself to be the
17    parent of the child;
18        (f) the support-enforcement agency or other
19    governmental agency authorized by other law;
20        (g) any person or public agency that has physical
21    possession of or has custody of or has been allocated
22    parental responsibilities for, is providing financial
23    support to, or has provided financial support to the
24    child;

 

 

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1        (h) the Department of Healthcare and Family Services
2    if it is providing, or has provided, financial support to
3    the child or if it is assisting with child support
4    collections services;
5        (i) an authorized adoption agency or licensed child
6    welfare child-placing agency;
7        (j) a representative authorized by law to act for an
8    individual who would otherwise be entitled to maintain a
9    proceeding but who is deceased, incapacitated, or a minor;
10    or
11        (k) an intended parent.
12(Source: P.A. 99-85, eff. 1-1-16; 99-769, eff. 1-1-17.)
 
13    Section 20. The Adoption Act is amended by changing
14Sections 4.1 and 10 as follows:
 
15    (750 ILCS 50/4.1)  (from Ch. 40, par. 1506)
16    Sec. 4.1. Adoption between multiple jurisdictions. It is
17the public policy of this State to promote child welfare in
18adoption between multiple jurisdictions by implementing
19standards that foster permanency for children in an
20expeditious manner while considering the best interests of the
21child as paramount. Ensuring that standards for
22interjurisdictional adoption are clear and applied
23consistently, efficiently, and reasonably will promote the
24best interests of the child in finding a permanent home.

 

 

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1    (a) The Department of Children and Family Services shall
2promulgate rules regarding the approval and regulation of
3agencies providing, in this State, adoption services, as
4defined in Section 2.24 of the Child Care Act of 1969, which
5shall include, but not be limited to, a requirement that any
6agency shall be licensed in this State as a child welfare
7agency as defined in Section 2.08 of the Child Care Act of
81969. Any out-of-state agency, if not licensed in this State
9as a child welfare agency, must obtain the approval of the
10Department in order to act as a sending agency, as defined in
11Section 1 of the Interstate Compact on Placement of Children
12Act, seeking to place a child into this State through a
13placement subject to the Interstate Compact on the Placement
14of Children. An out-of-state agency, if not licensed in this
15State as a child welfare agency, is prohibited from providing
16in this State adoption services, as defined by Section 2.24 of
17the Child Care Act of 1969; shall comply with Section 12C-70 of
18the Criminal Code of 2012; and shall provide all of the
19following to the Department:
20        (1) A copy of the agency's current license or other
21    form of authorization from the approving authority in the
22    agency's state. If no license or authorization is issued,
23    the agency must provide a reference statement, from the
24    approving authority, stating that the agency is authorized
25    to place children in foster care or adoption or both in its
26    jurisdiction.

 

 

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1        (2) A description of the program, including home
2    studies, placements, and supervisions, that the child
3    welfare child placing agency conducts within its
4    geographical area, and, if applicable, adoptive placements
5    and the finalization of adoptions. The child welfare child
6    placing agency must accept continued responsibility for
7    placement planning and replacement if the placement fails.
8        (3) Notification to the Department of any significant
9    child welfare child placing agency changes after approval.
10        (4) Any other information the Department may require.
11    The rules shall also provide that any agency that places
12children for adoption in this State may not, in any policy or
13practice relating to the placement of children for adoption,
14discriminate against any child or prospective adoptive parent
15on the basis of race.
16    (a-5) (Blank).
17    (b) Interstate adoptions.
18        (1) All interstate adoption placements under this Act
19    shall comply with the Child Care Act of 1969 and the
20    Interstate Compact on the Placement of Children. The
21    placement of children with relatives by the Department of
22    Children and Family Services shall also comply with
23    subsection (b) of Section 7 of the Children and Family
24    Services Act. The Department may promulgate rules to
25    implement interstate adoption placements, including those
26    requirements set forth in this Section.

 

 

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1        (2) If an adoption is finalized prior to bringing or
2    sending a child to this State, compliance with the
3    Interstate Compact on the Placement of Children is not
4    required.
5        (3) Approval requirements. The Department shall
6    promulgate procedures for interstate adoption placements
7    of children under this Act. No later than September 24,
8    2017 (30 days after the effective date of Public Act
9    100-344), the Department shall distribute a written list
10    of all preadoption approval requirements to all Illinois
11    licensed child welfare agencies performing adoption
12    services, and all out-of-state agencies approved under
13    this Section, and shall post the requirements on the
14    Department's website. The Department may not require any
15    further preadoption requirements other than those set
16    forth in the procedures required under this paragraph. The
17    procedures shall reflect the standard of review as stated
18    in the Interstate Compact on the Placement of Children and
19    approval shall be given by the Department if the placement
20    appears not to be contrary to the best interests of the
21    child.
22        (4) Time for review and decision. In all cases where
23    the child to be placed is not a youth in care in Illinois
24    or any other state, a provisional or final approval for
25    placement shall be provided in writing from the Department
26    in accordance with the Interstate Compact on the Placement

 

 

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1    of Children. Approval or denial of the placement must be
2    given by the Department as soon as practicable, but in no
3    event more than 3 business days of the receipt of the
4    completed referral packet by the Department's Interstate
5    Compact Administrator. Receipt of the packet shall be
6    evidenced by the packet's arrival at the address
7    designated by the Department to receive such referrals.
8    The written decision to approve or deny the placement
9    shall be communicated in an expeditious manner, including,
10    but not limited to, electronic means referenced in
11    paragraph (b)(7) of this Section, and shall be provided to
12    all Illinois licensed child welfare agencies involved in
13    the placement, all out-of-state child placing agencies
14    involved in the placement, and all attorneys representing
15    the prospective adoptive parent or biological parent. If,
16    during its initial review of the packet, the Department
17    believes there are any incomplete or missing documents, or
18    missing information, as required in paragraph (b)(3), the
19    Department shall, as soon as practicable, but in no event
20    more than 2 business days of receipt of the packet,
21    communicate a list of any incomplete or missing documents
22    and information to all Illinois licensed child welfare
23    agencies involved in the placement, all out-of-state child
24    placing agencies involved in the placement, and all
25    attorneys representing the adoptive parent or biological
26    parent. This list shall be communicated in an expeditious

 

 

HB3101- 30 -LRB103 29344 KTG 55731 b

1    manner, including, but not limited to, electronic means
2    referenced in paragraph (b)(7) of this Section.
3        (5) Denial of approval. In all cases where the child
4    to be placed is not a youth in the care of any state, if
5    the Department denies approval of an interstate placement,
6    the written decision referenced in paragraph (b)(4) of
7    this Section shall set forth the reason or reasons why the
8    placement was not approved and shall reference which
9    requirements under paragraph (b)(3) of this Section were
10    not met. The written decision shall be communicated in an
11    expeditious manner, including, but not limited to,
12    electronic means referenced in paragraph (b)(7) of this
13    Section, to all Illinois licensed child welfare agencies
14    involved in the placement, all out-of-state child placing
15    agencies involved in the placement, and all attorneys
16    representing the prospective adoptive parent or biological
17    parent.
18        (6) Provisional approval. Nothing in paragraphs (b)(3)
19    through (b)(5) of this Section shall preclude the
20    Department from issuing provisional approval of the
21    placement pending receipt of any missing or incomplete
22    documents or information.
23        (7) Electronic communication. All communications
24    concerning an interstate placement made between the
25    Department and an Illinois licensed child welfare agency,
26    an out-of-state child placing agency, and attorneys

 

 

HB3101- 31 -LRB103 29344 KTG 55731 b

1    representing the prospective adoptive parent or biological
2    parent, including the written communications referenced in
3    this Section, may be made through any type of electronic
4    means, including, but not limited to, electronic mail.
5    (c) Intercountry adoptions. The adoption of a child, if
6the child is a habitual resident of a country other than the
7United States and the petitioner is a habitual resident of the
8United States, or, if the child is a habitual resident of the
9United States and the petitioner is a habitual resident of a
10country other than the United States, shall comply with the
11Intercountry Adoption Act of 2000, as amended, and the
12Immigration and Nationality Act, as amended. In the case of an
13intercountry adoption that requires oversight by the adoption
14services governed by the Intercountry Adoption Universal
15Accreditation Act of 2012, this State shall not impose any
16additional preadoption requirements.
17    (d) (Blank).
18    (e) Re-adoption after an intercountry adoption.
19        (1) Any time after a minor child has been adopted in a
20    foreign country and has immigrated to the United States,
21    the adoptive parent or parents of the child may petition
22    the court for a judgment of adoption to re-adopt the child
23    and confirm the foreign adoption decree.
24        (2) The petitioner must submit to the court one or
25    more of the following to verify the foreign adoption:
26            (i) an immigrant visa for the child issued by

 

 

HB3101- 32 -LRB103 29344 KTG 55731 b

1        United States Citizenship and Immigration Services of
2        the U.S. Department of Homeland Security that was
3        valid at the time of the child's immigration;
4            (ii) a decree, judgment, certificate of adoption,
5        adoption registration, or equivalent court order,
6        entered or issued by a court of competent jurisdiction
7        or administrative body outside the United States,
8        establishing the relationship of parent and child by
9        adoption; or
10            (iii) such other evidence deemed satisfactory by
11        the court.
12        (3) The child's immigrant visa shall be prima facie
13    proof that the adoption was established in accordance with
14    the laws of the foreign jurisdiction and met United States
15    requirements for immigration.
16        (4) If the petitioner submits documentation that
17    satisfies the requirements of paragraph (2), the court
18    shall not appoint a guardian ad litem for the minor who is
19    the subject of the proceeding, shall not require any
20    further termination of parental rights of the child's
21    biological parents, nor shall it require any home study,
22    investigation, post-placement visit, or background check
23    of the petitioner.
24        (5) The petition may include a request for change of
25    the child's name and any other request for specific relief
26    that is in the best interests of the child. The relief may

 

 

HB3101- 33 -LRB103 29344 KTG 55731 b

1    include a request for a revised birth date for the child if
2    supported by evidence from a medical or dental
3    professional attesting to the appropriate age of the child
4    or other collateral evidence.
5        (6) Two adoptive parents who adopted a minor child
6    together in a foreign country while married to one another
7    may file a petition for adoption to re-adopt the child
8    jointly, regardless of whether their marriage has been
9    dissolved. If either parent whose marriage was dissolved
10    has subsequently remarried or entered into a civil union
11    with another person, the new spouse or civil union partner
12    shall not join in the petition to re-adopt the child,
13    unless the new spouse or civil union partner is seeking to
14    adopt the child. If either adoptive parent does not join
15    in the petition, he or she must be joined as a party
16    defendant. The defendant parent's failure to participate
17    in the re-adoption proceeding shall not affect the
18    existing parental rights or obligations of the parent as
19    they relate to the minor child, and the parent's name
20    shall be placed on any subsequent birth record issued for
21    the child as a result of the re-adoption proceeding.
22        (7) An adoptive parent who adopted a minor child in a
23    foreign country as an unmarried person may file a petition
24    for adoption to re-adopt the child as a sole petitioner,
25    even if the adoptive parent has subsequently married or
26    entered into a civil union.

 

 

HB3101- 34 -LRB103 29344 KTG 55731 b

1        (8) If one of the adoptive parents who adopted a minor
2    child dies prior to a re-adoption proceeding, the deceased
3    parent's name shall be placed on any subsequent birth
4    record issued for the child as a result of the re-adoption
5    proceeding.
6(Source: P.A. 99-49, eff. 7-15-15; 100-344, eff. 8-25-17;
7100-863, eff. 8-14-18.)
 
8    (750 ILCS 50/10)  (from Ch. 40, par. 1512)
9    Sec. 10. Forms of consent and surrender; execution and
10acknowledgment thereof.
11    A. The form of consent required for the adoption of a born
12child shall be substantially as follows:
 
13
FINAL AND IRREVOCABLE CONSENT TO ADOPTION

 
14    I, ...., (relationship, e.g., mother, father, relative,
15guardian) of ...., a male or female (circle one) child, state:
16    That such child was born on .... at ....
17    That I reside at ...., County of .... and State of ....
18    That I am of the age of .... years.
19    That I hereby enter my appearance in this proceeding and
20waive service of summons on me.
21    That I hereby acknowledge that I have been provided with a
22copy of the Birth Parent Rights and Responsibilities-Private
23Form before signing this Consent and that I have had time to

 

 

HB3101- 35 -LRB103 29344 KTG 55731 b

1read, or have had read to me, this Form. I understand that if I
2do not receive any of the rights as described in this Form, it
3shall not constitute a basis to revoke this Final and
4Irrevocable Consent.
5    That I do hereby consent and agree to the adoption of such
6child.
7    That I wish to and understand that by signing this consent
8I do irrevocably and permanently give up all custody and other
9parental rights I have to such child.
10    That I understand such child will be placed for adoption
11and that I cannot under any circumstances, after signing this
12document, change my mind and revoke or cancel this consent or
13obtain or recover custody or any other rights over such child.
14That I have read and understand the above and I am signing it
15as my free and voluntary act.
16    Dated (insert date).
17.........................
 
18    If under Section 8 the consent of more than one person is
19required, then each such person shall execute a separate
20consent.
21    A-1. (1) The form of the Final and Irrevocable Consent to
22Adoption by a Specified Person or Persons: Non-DCFS Case set
23forth in this subsection A-1 is to be used by legal parents
24only. This form is not to be used in cases in which there is a
25pending petition under Section 2-13 of the Juvenile Court Act

 

 

HB3101- 36 -LRB103 29344 KTG 55731 b

1of 1987.
2    (2) The form of the Final and Irrevocable Consent to
3Adoption by a Specified Person or Persons in a non-DCFS case
4shall have the caption of the proceeding in which it is to be
5filed and shall be substantially as follows:
 
6
FINAL AND IRREVOCABLE CONSENT TO ADOPTION BY
7
A SPECIFIED PERSON OR PERSONS; NON-DCFS CASE

 
8    I, ...., (relationship, e.g., mother, father) of ...., a
9male or female (circle one) child, state:
10    1. That such child was born on ...., at ....., in the
11City/Town of ... and State of ....
12    2. That I reside at ...., County of .... and State of ....,
13my email address (if I have one) is .... my cell phone number
14where I can receive text messages (if I have one) is .... and
15my land line phone number (if I have one) is ...., and any
16other contact information is ....
17    3. That I am of the age of .... years.
18    4. That I hereby enter my appearance in this proceeding
19and waive service of summons on me.
20    5. That I hereby acknowledge that I have been provided a
21copy of the Birth Parent Rights and Responsibilities-Private
22Form before signing this Consent and that I have had time to
23read, or have had read to me, this Form and that I understand
24the Rights and Responsibilities described in this Form. I

 

 

HB3101- 37 -LRB103 29344 KTG 55731 b

1understand that if I do not receive any of my rights as
2described in said Form, it shall not constitute a basis to
3revoke this Final and Irrevocable Consent to Adoption by a
4Specified Person.
5    6. That I do hereby consent and agree to the adoption of
6such child by .... (specified person or persons) only. If only
7first names are used for the specified person or persons, I
8voluntarily sign this specified consent form without
9disclosure to me of the last name of the specified person or
10persons. However, I understand that if I wish to know the last
11name of the specified person or persons, I may request it
12before signing the form. If I do not receive the last name, I
13may choose not to sign the specified consent form.
14    7. That I wish to and understand that upon signing this
15consent I do irrevocably and permanently give up all custody
16and other parental rights I have to such child if such child is
17adopted by .... (specified person or persons). I hereby
18transfer all of my rights to the custody, care and control of
19such child to ............................. (specified person
20or persons).
21    8. That I understand such child will be adopted by
22....................... (specified person or persons) and that
23I cannot under any circumstances, after signing this document,
24change my mind and revoke or cancel this consent or obtain or
25recover custody or any other rights over such child if
26............................ (specified person or persons)

 

 

HB3101- 38 -LRB103 29344 KTG 55731 b

1adopt(s) such child; PROVIDED that each specified person has
2filed or shall file, within 60 days from the date hereof, a
3petition for the adoption of such child.
4    9. That if the specified person or persons designated
5herein do not file a petition for adoption within the
6time-frame specified above, or, if said petition for adoption
7is filed within the time-frame specified above but the
8adoption petition is dismissed with prejudice or the adoption
9proceeding is otherwise concluded without an order declaring
10the child to be the adopted child of the specified person or
11persons, then I understand that I will be sent written notice
12of such circumstances at the mailing address, at the email
13address, through a text message to my cell phone number, and to
14any other contact information I have provided in paragraph 2
15within 5 business days of this occurrence. I understand that
16the notice will be directed to me using the contact
17information I have provided in this consent. I understand that
18I will have 15 business days from the date that the written
19notice is sent to me to respond in the manner described in the
20notice, within which time I may request the Court to declare
21this consent voidable and return the child to me. I further
22understand that the Court will make the final decision of
23whether or not the child will be returned to me. If I do not
24make such request within 15 business days of the date the
25notice was sent, then I expressly waive any other notice or
26service of process in any legal proceeding regarding the

 

 

HB3101- 39 -LRB103 29344 KTG 55731 b

1child, including a legal proceeding for someone other than
2..... (specified person or persons) to adopt the child, and
3that I will have no parental rights as to the child. The person
4sending the notice shall file an affidavit of notice as proof
5of the date sent.
6    10. That I expressly acknowledge that nothing in this
7Consent impairs the validity and absolute finality of this
8Consent under any circumstance other than those described in
9paragraph 9 of this Consent.
10    11. That I understand that I have a remaining duty and
11obligation to keep .............. (insert name and address of
12the attorney for the specified person or persons) informed of
13my current address or other preferred contact information
14until this adoption has been finalized. My failure to do so may
15result in the termination of my parental rights and the child
16being placed for adoption in another home.
17    12. That I do expressly waive any other notice or service
18of process in any of the legal proceedings for the adoption of
19the child as long as the adoption proceeding by the specified
20person or persons is pending.
21    13. That I have read and understand the above and I am
22signing it as my free and voluntary act.
23    14. That I acknowledge that this consent is valid even if
24the specified person or persons separate or divorce or one of
25the specified persons dies prior to the entry of the final
26judgment for adoption.

 

 

HB3101- 40 -LRB103 29344 KTG 55731 b

1    Dated (insert date).
2    .............................................
3    Signature of parent.
4    .............................................
5    Address of parent.
6    .............................................
7    Phone number(s) of parent.
8    .............................................
9    Personal email(s) of parent.
10    .............................................
 
11    (3) The form of the certificate of acknowledgement for a
12Final and Irrevocable Consent for Adoption by a Specified
13Person or Persons: Non-DCFS Case shall be substantially as
14follows:
 
15STATE OF ..............)
16                       ) SS.
17COUNTY OF .............)
18    I, .................... (Name of Judge or other person),
19..................... (official title, name, and address),
20certify that ............., personally known to me to be the
21same person whose name is subscribed to the foregoing Final
22and Irrevocable Consent for Adoption by a Specified Person or
23Persons; non-DCFS case, appeared before me this day in person
24and acknowledged that (she)(he) signed and delivered the

 

 

HB3101- 41 -LRB103 29344 KTG 55731 b

1consent as (her)(his) free and voluntary act, for the
2specified purpose. I am further satisfied that, before signing
3this Consent, ........ has read, or has had read to him or her,
4the Birth Parent Rights and Responsibilities-Private Form.
 
5    A-2. Birth Parent Rights and Responsibilities-Private
6Form. The Birth Parent Rights and Responsibilities-Private
7Form must be read by, or have been read to, any person
8executing a Final and Irrevocable Consent to Adoption under
9subsection A, a Final and Irrevocable Consent to Adoption by a
10Specified Person or Persons: Non-DCFS Case under subsection
11A-1, or a Consent to Adoption of Unborn Child under subsection
12B prior to the execution of said Consent. The form of the Birth
13Parent Rights and Responsibilities-Private Form shall be
14substantially as follows:
 
15
Birth Parent Rights and Responsibilities-Private Form

 
16
THIS FORM DOES NOT CONSTITUTE LEGAL ADVICE. LEGAL ADVICE IS
17
DEPENDENT ON THE SPECIFIC CIRCUMSTANCES OF EACH SITUATION AND
18
JURISDICTION. THE INFORMATION IN THIS FORM CANNOT REPLACE THE
19
ADVICE OF AN ATTORNEY LICENSED IN YOUR STATE.
20    As a birth parent in the State of Illinois, you have the
21right:
22    1. To have your own attorney represent you. The
23prospective adoptive parents may agree to pay for the cost of

 

 

HB3101- 42 -LRB103 29344 KTG 55731 b

1your attorney in a manner consistent with Illinois law, but
2they are not required to do so.
3    2. To be treated with dignity and respect at all times and
4to make decisions free from coercion and pressure.
5    3. To request to receive counseling before and after
6signing a Final and Irrevocable Consent to Adoption
7("Consent"), a Final and Irrevocable Consent to Adoption by a
8Specified Person or Persons: Non-DCFS Case ("Specified
9Consent"), or a Consent to Adoption of Unborn Child ("Unborn
10Consent"). The prospective adoptive parents may agree to pay
11for the cost of counseling in a manner consistent with
12Illinois law, but they are not required to do so.
13    4. To ask to be involved in choosing your child's
14prospective adoptive parents and to ask to meet them.
15    5. To ask your child's prospective adoptive parents any
16questions that pertain to your decision to place your child
17with them.
18    6. To see your child before signing a Consent or Specified
19Consent if you are the custodial parent, and to request to see
20your child if you are not the custodial parent.
21    7. To request contact with your child and/or the child's
22prospective adoptive parents, with the understanding that any
23promises regarding contact with your child or receipt of
24information about the child after signing a Consent, Specified
25Consent, or Unborn Consent cannot be enforced under Illinois
26law.

 

 

HB3101- 43 -LRB103 29344 KTG 55731 b

1    8. To receive copies of all documents that you sign and
2have those documents provided to you in your preferred
3language.
4    9. To request that your identifying information remain
5confidential, unless required otherwise by Illinois law or
6court order, and to voluntarily share your medical,
7background, and identifying information, including information
8on the original birth certificate of your child. This can be
9done through the Illinois Adoption Registry and Medical
10Information Exchange or through completing the Birth Parent
11Preference Form. Please visit http://dph.illinois.gov or
12www.newillinoisadoptionlaw.com.
13    10. To access the Confidential Intermediary Program which
14provides a way for a court appointed person to connect and/or
15exchange information between adoptees, adoptive parents and
16birth parents, and other biological family members, provided
17in most cases that mutual consent is given. Please visit
18www.ci-illinois.org or call (800) 526-9022(x29).
19    11. To work with an adoption agency or attorney of your
20choice, or change said agency or attorney, provided you
21promptly inform all of the parties currently involved.
22    12. To receive, upon request, a written list of any
23promised support, financial or otherwise, from your attorney
24or the attorney for your child's prospective adoptive parents.
25    13. To delay signing a Consent, Specified Consent, or
26Unborn Consent if you are not ready to do so.

 

 

HB3101- 44 -LRB103 29344 KTG 55731 b

1    14. To decline to sign a Consent, Specified Consent, or
2Unborn Consent even if you have received financial support
3from the prospective adoptive parents.
4    If you do not receive any of the rights described in this
5Form, it shall not be a basis to revoke a Consent, Specified
6Consent, or Unborn Consent.
7    As a Birth Parent in the State of Illinois, you have the
8responsibility:
9    1. To carefully consider your reasons for choosing
10adoption.
11    2. (Birth mothers only) To accurately complete an
12Affidavit of Identification, which identifies the father of
13the child when known, with the understanding that a birth
14mother has a right to decline to identify the birth father.
15    3. To provide the necessary documentation regarding
16financial need to make an appropriate determination of
17reasonable pregnancy-related expenses.
18    4. To not accept financial support or reimbursement of
19pregnancy related expenses simultaneously from more than one
20source or if you are not pregnant, as doing so is a crime.
21    5. To voluntarily provide all known medical, background,
22and family information about yourself and your immediate
23family to your child's prospective adoptive parents or their
24attorney. For the health of your child, you are strongly
25encouraged, but not required, to do so as set forth on the
26following form:

 

 

HB3101- 45 -LRB103 29344 KTG 55731 b

1
Birth Parent Medical Information
2    The purpose of this form is to gather your health history,
3genetic history, and social background information to share
4with the adoptive parents. It is important the adoptive family
5provide this information to the child's physician. It will
6become a part of the child's medical and family history. This
7form, in its entirety, will be given to the adoptive
8parent(s).
9    The following information is true and complete to the best
10of my knowledge and belief.
11    Birth parent name:
12......................................
13    Signature:
14..............................................
15    Date:....................................................
16    YES or NO (circle one) I agree to release my full name on
17this form to the adoptive family. If NO is circled then the
18birth parent's name shall be redacted on this form.
19    MOTHER'S PHYSICAL CHARACTERISTICS:
20Eyes: ... Hair: .... Complexion: .... Height: ....
21Weight: .... Body build: ..... Race: .....
22Nationality/Descent: ....... Blood type: .... Rh factor: ....
23Eye glasses or contact lenses? Yes /.../ No /.../
24Right /.../ Left /.../ handed
25Age: .... or Date of birth: ..... Religion: .................
26    Please list your highest education level, occupation,

 

 

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1hobbies, interests, and talents:
2............................
3Existence of any disabilities? Yes /.../ No /.../
4If yes, explain:.............................................
5    If you have other children, list them below. Include any
6children previously placed for adoption.
7....................
8    Describe your relationship with the birth father: .......
9    FATHER'S PHYSICAL CHARACTERISTICS:
10Eyes: ... Hair: .... Complexion: .... Height: ....
11Weight: .... Body build: ..... Race: .....
12Nationality/Descent: ....... Blood type: .... Rh factor: ....
13Eye glasses or contact lenses? Yes /.../ No /.../
14Right /.../ Left /.../ handed
15Age: .... or Date of birth: ..... Religion: .................
16    Please list your highest education level, occupation,
17hobbies, interests, and talents:
18............................
19Existence of any disabilities? Yes /.../ No /.../
20If yes, explain:.............................................
21    If you have other children, list them below. Include any
22children previously placed for adoption.
23....................
24
PREGNANCY HISTORY INVOLVING THIS CHILD
25    Month prenatal care began during this pregnancy:.........
26    Complications during pregnancy: Yes ... No ... If yes,

 

 

 

HB3101- 47 -LRB103 29344 KTG 55731 b

1explain: ....................................................
2    .............................................................
3
MEDICATION AND OTHER SUBSTANCES USED DURING
4
PREGNANCY OR YEAR PRIOR TO PREGNANCY
5FREQUENCY/ FREQUENCY/
6AMOUNT AMOUNT
7DURING PRIOR TO
8YES NO PREGNANCY PREGNANCY
9Alcohol/../ /../................. ...............
10Amphetamines/../ /../................................
11Barbiturates/../ /../................................
12Cocaine/../ /../................................
13Heroin/../ /../................................
14LSD/../ /../................................
15Marijuana/../ /../ ................. ...............
16Caffeine
17(Coffee,
18tea, etc)/../ /../ ................................
19Prescription
20drugs/../ /../ ................. ...............
21Non-
22prescription
23drugs /../ /../................................
24Other /../ /../ ................. ...............
25    In addition to this form, a birth parent shall also be

 

 

HB3101- 48 -LRB103 29344 KTG 55731 b

1provided the forms for the Illinois Adoption Registry and
2Medical Information Exchange.
3    B. The form of consent required for the adoption of an
4unborn child shall be substantially as follows:
 
5
CONSENT TO ADOPTION OF UNBORN CHILD

 
6    I, ...., state:
7    That I am the father of a child expected to be born on or
8about .... to .... (name of mother).
9    That I reside at .... County of ...., and State of .....
10    That I am of the age of .... years.
11    That I hereby enter my appearance in such adoption
12proceeding and waive service of summons on me.
13    That I hereby acknowledge that I have been provided with a
14copy of the Birth Parent Rights and Responsibilities-Private
15Form before signing this Consent, and that I have had time to
16read, or have had read to me, this Form. I understand that if I
17do not receive any of the rights as described in this Form, it
18shall not constitute a basis to revoke this Consent to
19Adoption of Unborn Child.
20    That I do hereby consent and agree to the adoption of such
21child, and that I have not previously executed a consent or
22surrender with respect to such child.
23    That I wish to and do understand that by signing this
24consent I do irrevocably and permanently give up all custody

 

 

HB3101- 49 -LRB103 29344 KTG 55731 b

1and other parental rights I have to such child, except that I
2have the right to revoke this consent by giving written notice
3of my revocation not later than 72 hours after the birth of the
4child.
5    That I understand such child will be placed for adoption
6and that, except as hereinabove provided, I cannot under any
7circumstances, after signing this document, change my mind and
8revoke or cancel this consent or obtain or recover custody or
9any other rights over such child.
10    That I have read and understand the above and I am signing
11it as my free and voluntary act.
12    Dated (insert date).
13........................
 
14    B-5. (1) The parent of a child may execute a consent to
15standby adoption by a specified person or persons. A consent
16under this subsection B-5 shall be acknowledged by a parent
17pursuant to subsection H and subsection K of this Section. The
18form of consent required for the standby adoption of a born
19child effective at a future date when the consenting parent of
20the child dies or requests that a final judgment of adoption be
21entered shall be substantially as follows:
 
22
FINAL AND IRREVOCABLE CONSENT
23
TO STANDBY ADOPTION

 

 

 

HB3101- 50 -LRB103 29344 KTG 55731 b

1    I, ..., (relationship, e.g. mother or father) of ...., a
2male or female (circle one) child, state:
3    That the child was born on .... at .....
4    That I reside at ...., County of ...., and State of .....
5    That I am of the age of .... years.
6    That I hereby enter my appearance in this proceeding and
7waive service of summons on me in this action only.
8    That I do hereby consent and agree to the standby adoption
9of the child, and that I have not previously executed a consent
10or surrender with respect to the child.
11    That I wish to and understand that by signing this consent
12I do irrevocably and permanently give up all custody and other
13parental rights I have to the child, effective upon (my death)
14(the child's other parent's death) or upon (my) (the other
15parent's) request for the entry of a final judgment for
16adoption if ..... (specified person or persons) adopt my
17child.
18    That I understand that until (I die) (the child's other
19parent dies), I retain all legal rights and obligations
20concerning the child, but at that time, I irrevocably give all
21custody and other parental rights to .... (specified person or
22persons).
23    I understand my child will be adopted by .......
24(specified person or persons) only and that I cannot, under
25any circumstances, after signing this document, change my mind
26and revoke or cancel this consent or obtain or recover custody

 

 

HB3101- 51 -LRB103 29344 KTG 55731 b

1or any other rights over my child if ..... (specified person or
2persons) adopt my child.
3    I understand that this consent to standby adoption is
4valid only if the petition for standby adoption is filed and
5that if ....... (specified person or persons), for any reason,
6cannot or will not file a petition for standby adoption or if
7his, her, or their petition for standby adoption is denied,
8then this consent is void. I have the right to notice of any
9other proceeding that could affect my parental rights.
10    That I have read and understand the above and I am signing
11it as my free and voluntary act.
12    Dated (insert date).
13....................
 
14    If under Section 8 the consent of more than one person is
15required, then each such person shall execute a separate
16consent. A separate consent shall be executed for each child.
17    (2) If the parent consents to a standby adoption by 2
18specified persons, then the form shall contain 2 additional
19paragraphs in substantially the following form:
20    If .... (specified persons) obtain a judgment of
21dissolution of marriage before the judgment for adoption is
22entered, then ..... (specified person) shall adopt my child. I
23understand that I cannot change my mind and revoke this
24consent or obtain or recover custody of my child if .....
25(specified persons) obtain a judgment of dissolution of

 

 

HB3101- 52 -LRB103 29344 KTG 55731 b

1marriage and ..... (specified person) adopts my child. I
2understand that I cannot change my mind and revoke this
3consent if ...... (specified persons) obtain a judgment of
4dissolution of marriage before the adoption is final. I
5understand that this consent to adoption has no effect on who
6will get custody of my child if ..... (specified persons)
7obtain a judgment of dissolution of marriage after the
8adoption is final. I understand that if either .....
9(specified persons) dies before the petition to adopt my child
10is granted, then the surviving person may adopt my child. I
11understand that I cannot change my mind and revoke this
12consent or obtain or recover custody of my child if the
13surviving person adopts my child.
14    A consent to standby adoption by specified persons on this
15form shall have no effect on a court's determination of
16custody or visitation under the Illinois Marriage and
17Dissolution of Marriage Act if the marriage of the specified
18persons is dissolved before the adoption is final.
19    (3) The form of the certificate of acknowledgement for a
20Final and Irrevocable Consent for Standby Adoption shall be
21substantially as follows:
 
22STATE OF .....)
23              ) SS.
24COUNTY OF ....)
 

 

 

HB3101- 53 -LRB103 29344 KTG 55731 b

1    I, ....... (name of Judge or other person) ..... (official
2title, name, and address), certify that ......., personally
3known to me to be the same person whose name is subscribed to
4the foregoing Final and Irrevocable Consent to Standby
5Adoption, appeared before me this day in person and
6acknowledged that (she) (he) signed and delivered the consent
7as (her) (his) free and voluntary act, for the specified
8purpose.
9    I have fully explained that this consent to adoption is
10valid only if the petition to adopt is filed, and that if the
11specified person or persons, for any reason, cannot or will
12not adopt the child or if the adoption petition is denied, then
13this consent will be void. I have fully explained that if the
14specified person or persons adopt the child, by signing this
15consent (she) (he) is irrevocably and permanently
16relinquishing all parental rights to the child, and (she) (he)
17has stated that such is (her) (his) intention and desire.
18    Dated (insert date).
19    Signature ..............................
 
20    (4) If a consent to standby adoption is executed in this
21form, the consent shall be valid only if the specified person
22or persons adopt the child. The consent shall be void if:
23        (a) the specified person or persons do not file a
24    petition for standby adoption of the child; or
25        (b) a court denies the standby adoption petition.

 

 

HB3101- 54 -LRB103 29344 KTG 55731 b

1    The parent shall not need to take further action to revoke
2the consent if the standby adoption by the specified person or
3persons does not occur, notwithstanding the provisions of
4Section 11 of this Act.
5    C. The form of surrender to any agency given by a parent of
6a born child who is to be subsequently placed for adoption
7shall be substantially as follows and shall contain such other
8facts and statements as the particular agency shall require.
 
9
FINAL AND IRREVOCABLE SURRENDER
10
FOR PURPOSES OF ADOPTION

 
11    I, .... (relationship, e.g., mother, father, relative,
12guardian) of ...., a male or female (circle one) child, state:
13    That such child was born on ...., at .....
14    That I reside at ...., County of ...., and State of .....
15    That I am of the age of .... years.
16    That I do hereby surrender and entrust the entire custody
17and control of such child to the .... (the "Agency"), a
18(public) (licensed) child welfare agency with its principal
19office in the City of ...., County of .... and State of ....,
20for the purpose of enabling it to care for and supervise the
21care of such child, to place such child for adoption and to
22consent to the legal adoption of such child.
23    That I hereby grant to the Agency full power and authority
24to place such child with any person or persons it may in its

 

 

HB3101- 55 -LRB103 29344 KTG 55731 b

1sole discretion select to become the adopting parent or
2parents and to consent to the legal adoption of such child by
3such person or persons; and to take any and all measures which,
4in the judgment of the Agency, may be for the best interests of
5such child, including authorizing medical, surgical and dental
6care and treatment including inoculation and anaesthesia for
7such child.
8    That I wish to and understand that by signing this
9surrender I do irrevocably and permanently give up all custody
10and other parental rights I have to such child.
11    That I understand I cannot under any circumstances, after
12signing this surrender, change my mind and revoke or cancel
13this surrender or obtain or recover custody or any other
14rights over such child.
15    That I have read and understand the above and I am signing
16it as my free and voluntary act.
17    Dated (insert date).
18........................
 
19    C-5. The form of a Final and Irrevocable Designated
20Surrender for Purposes of Adoption to any agency given by a
21parent of a born child who is to be subsequently placed for
22adoption is to be used by legal parents only. The form shall be
23substantially as follows and shall contain such other facts
24and statements as the particular agency shall require:
 

 

 

HB3101- 56 -LRB103 29344 KTG 55731 b

1
FINAL AND IRREVOCABLE DESIGNATED SURRENDER
2
FOR PURPOSES OF ADOPTION

 
3    I, .... (relationship, e.g., mother, father, relative,
4guardian) of ...., a male or female (circle one) child, state:
5    1. That such child was born on ...., at .....
6    2. That I reside at ...., County of ...., and State of
7....., my email address (if I have one) is .... my cell phone
8number where I can receive text messages (if I have one) is
9.... and my land line phone number (if I have one) is ...., and
10any other contact information is ....
11    3. That I am of the age of .... years.
12    4. That I do hereby surrender and entrust the entire
13custody and control of such child to the .... (the "Agency"), a
14(public) (licensed) child welfare agency with its principal
15office in the City of ...., County of .... and State of ....,
16for the purpose of enabling it to care for and supervise the
17care of such child, to place such child for adoption with
18............................. (specified person or persons)
19and to consent to the legal adoption of such child and to take
20any and all measures which, in the judgment of the Agency, may
21be for the best interests of such child, including authorizing
22medical, surgical and dental care and treatment including
23inoculation and anesthesia for such child. If only first names
24are used for the specified person or persons, I voluntarily
25sign this designated surrender without disclosure to me of the

 

 

HB3101- 57 -LRB103 29344 KTG 55731 b

1last name of the specified person or persons. However, I
2understand that if I wish to know the last name of the
3specified person or persons, I may request it before signing
4the form. If I do not receive the last name, I may choose not
5to sign the designated surrender form.
6    5. That I wish to and understand that by signing this
7surrender I do irrevocably and permanently give up all custody
8and other parental rights I have to such child.
9    6. That if the petition for adoption is not filed by the
10specified person or persons designated herein or, if the
11petition for adoption is filed but the adoption petition is
12dismissed with prejudice or the adoption proceeding is
13otherwise concluded without an order declaring the child to be
14the adopted child of each specified person, then I understand
15that the Agency will send notice to me at the mailing address,
16at the email address, through a text message to my cell phone
17number provided in paragraph 2, and to any other contact
18information I have provided in paragraph 2 within 5 business
19days of this occurrence. The person sending the notice shall
20prepare an affidavit of notice. I understand that I will have
2115 business days from the date that the written notice was sent
22to respond, within which time I may choose to designate other
23adoptive parent(s). However, I acknowledge that the Agency has
24full power and authority to place the child for adoption with
25any person or persons it may in its sole discretion select to
26become the adopting parent or parents and to consent to the

 

 

HB3101- 58 -LRB103 29344 KTG 55731 b

1legal adoption of the child by such person or persons.
2    7. That I acknowledge that this surrender is valid even if
3the specified persons separate or divorce or one of the
4specified persons dies prior to the entry of the final
5judgment for adoption.
6    8. That I expressly acknowledge that the above paragraphs
76 and 7 do not impair the validity and absolute finality of
8this surrender under any circumstance.
9    9. That I understand that I have a remaining obligation to
10keep the Agency informed of my current contact information
11until the adoption of the child has been finalized if I wish to
12be notified in the event the adoption by the specified
13person(s) cannot proceed.
14    10. That I understand I cannot under any circumstances,
15after signing this surrender, change my mind and revoke or
16cancel this surrender or obtain or recover custody or any
17other rights over such child.
18    11. That I have read and understand the above and I am
19signing it as my free and voluntary act.
20    Dated (insert date).
21..............................
 
22    D. The form of surrender to an agency given by a parent of
23an unborn child who is to be subsequently placed for adoption
24shall be substantially as follows and shall contain such other
25facts and statements as the particular agency shall require.
 

 

 

HB3101- 59 -LRB103 29344 KTG 55731 b

1
SURRENDER OF UNBORN CHILD FOR
2
PURPOSES OF ADOPTION

 
3    I, .... (father), state:
4    That I am the father of a child expected to be born on or
5about .... to .... (name of mother).
6    That I reside at ...., County of ...., and State of .....
7    That I am of the age of .... years.
8    That I do hereby surrender and entrust the entire custody
9and control of such child to the .... (the "Agency"), a
10(public) (licensed) child welfare agency with its principal
11office in the City of ...., County of .... and State of ....,
12for the purpose of enabling it to care for and supervise the
13care of such child, to place such child for adoption and to
14consent to the legal adoption of such child, and that I have
15not previously executed a consent or surrender with respect to
16such child.
17    That I hereby grant to the Agency full power and authority
18to place such child with any person or persons it may in its
19sole discretion select to become the adopting parent or
20parents and to consent to the legal adoption of such child by
21such person or persons; and to take any and all measures which,
22in the judgment of the Agency, may be for the best interests of
23such child, including authorizing medical, surgical and dental
24care and treatment, including inoculation and anaesthesia for

 

 

HB3101- 60 -LRB103 29344 KTG 55731 b

1such child.
2    That I wish to and understand that by signing this
3surrender I do irrevocably and permanently give up all custody
4and other parental rights I have to such child.
5    That I understand I cannot under any circumstances, after
6signing this surrender, change my mind and revoke or cancel
7this surrender or obtain or recover custody or any other
8rights over such child, except that I have the right to revoke
9this surrender by giving written notice of my revocation not
10later than 72 hours after the birth of such child.
11    That I have read and understand the above and I am signing
12it as my free and voluntary act.
13    Dated (insert date).
14........................
 
15    E. The form of consent required from the parents for the
16adoption of an adult, when such adult elects to obtain such
17consent, shall be substantially as follows:
 
18
CONSENT

 
19    I, ...., (father) (mother) of ...., an adult, state:
20    That I reside at ...., County of .... and State of .....
21    That I do hereby consent and agree to the adoption of such
22adult by .... and .....
23    Dated (insert date).

 

 

HB3101- 61 -LRB103 29344 KTG 55731 b

1.........................
 
2    F. The form of consent required for the adoption of a child
3of the age of 14 years or over, or of an adult, to be given by
4such person, shall be substantially as follows:
 
5
CONSENT

 
6    I, ...., state:
7    That I reside at ...., County of .... and State of .....
8That I am of the age of .... years. That I hereby enter my
9appearance in this proceeding and waive service of summons on
10me. That I consent and agree to my adoption by .... and .....
11    Dated (insert date).
12........................
 
13    G. The form of consent given by an agency to the adoption
14by specified persons of a child previously surrendered to it
15shall set forth that the agency has the authority to execute
16such consent. The form of consent given by a guardian of the
17person of a child sought to be adopted, appointed by a court of
18competent jurisdiction, shall set forth the facts of such
19appointment and the authority of the guardian to execute such
20consent.
21    H. A consent (other than that given by an agency, or
22guardian of the person of the child sought to be adopted who

 

 

HB3101- 62 -LRB103 29344 KTG 55731 b

1was appointed by a court of competent jurisdiction) shall be
2acknowledged by a parent before a judge of a court of competent
3jurisdiction or, except as otherwise provided in this Act,
4before a representative of an agency, or before a person,
5other than the attorney for the prospective adoptive parent or
6parents, designated by a court of competent jurisdiction.
7    I. A surrender, or any other document equivalent to a
8surrender, by which a child is surrendered to an agency shall
9be acknowledged by the person signing such surrender, or other
10document, before a judge of a court of competent jurisdiction,
11or, except as otherwise provided in this Act, before a
12representative of an agency, or before a person designated by
13a court of competent jurisdiction.
14    J. The form of the certificate of acknowledgment for a
15consent, a surrender, or any other document equivalent to a
16surrender, shall be substantially as follows:
 
17STATE OF ....)
18             ) SS.
19COUNTY OF ...)
20    I, .... (Name of judge or other person), .... (official
21title, name and location of court or status or position of
22other person), certify that ...., personally known to me to be
23the same person whose name is subscribed to the foregoing
24(consent) (surrender), appeared before me this day in person
25and acknowledged that (she) (he) signed and delivered such

 

 

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1(consent) (surrender) as (her) (his) free and voluntary act,
2for the specified purpose.
3    I have fully explained that by signing such (consent)
4(surrender) (she) (he) is irrevocably relinquishing all
5parental rights to such child or adult and (she) (he) has
6stated that such is (her) (his) intention and desire. (Add if
7Consent only) I am further satisfied that, before signing this
8Consent, ........ has read, or has had read to him or her, the
9Birth Parent Rights and Responsibilities-Private Form.
10    Dated (insert date).
11    Signature ...............
 
12    K. When the execution of a consent or a surrender is
13acknowledged before someone other than a judge, such other
14person shall have his or her signature on the certificate
15acknowledged before a notary public, in form substantially as
16follows:
 
17STATE OF ....)
18             ) SS.
19COUNTY OF ...)
20    I, a Notary Public, in and for the County of ......, in the
21State of ......, certify that ...., personally known to me to
22be the same person whose name is subscribed to the foregoing
23certificate of acknowledgment, appeared before me in person
24and acknowledged that (she) (he) signed such certificate as

 

 

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1(her) (his) free and voluntary act and that the statements
2made in the certificate are true.
3    Dated (insert date).
4    
Signature ...................... Notary Public
5
(official seal)

 
6    There shall be attached a certificate of magistracy, or
7other comparable proof of office of the notary public
8satisfactory to the court, to a consent signed and
9acknowledged in another state.
10    L. A surrender or consent executed and acknowledged
11outside of this State, either in accordance with the law of
12this State or in accordance with the law of the place where
13executed, is valid.
14    M. Where a consent or a surrender is signed in a foreign
15country, the execution of such consent shall be acknowledged
16or affirmed in a manner conformable to the law and procedure of
17such country.
18    N. If the person signing a consent or surrender is in the
19military service of the United States, the execution of such
20consent or surrender may be acknowledged before a commissioned
21officer and the signature of such officer on such certificate
22shall be verified or acknowledged before a notary public or by
23such other procedure as is then in effect for such division or
24branch of the armed forces.
25    O. (1) The parent or parents of a child in whose interests

 

 

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1a petition under Section 2-13 of the Juvenile Court Act of 1987
2is pending may, with the approval of the designated
3representative of the Department of Children and Family
4Services ("Department" or "DCFS"), execute a consent to
5adoption by a specified person or persons:
6        (a) in whose physical custody the child has resided
7    for at least 6 months; or
8        (b) in whose physical custody at least one sibling of
9    the child who is the subject of this consent has resided
10    for at least 6 months, and the child who is the subject of
11    this consent is currently residing in this foster home; or
12        (c) in whose physical custody a child under one year
13    of age has resided for at least 3 months.
14    The court may waive the time frames in subdivisions (a),
15(b), and (c) for good cause shown if the court finds it to be
16in the child's best interests.
17    A consent under this subsection O shall be acknowledged by
18a parent pursuant to subsection H and subsection K of this
19Section.
20    (2) The final and irrevocable consent to adoption by a
21specified person or persons in a Department of Children and
22Family Services (DCFS) case shall be substantially as follows:
 
23
FINAL AND IRREVOCABLE CONSENT TO ADOPTION BY
24
A SPECIFIED PERSON OR PERSONS: DCFS CASE

 

 

 

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1    I, ......................................, the
2.................. mother or father (circle one) of a male or
3female (circle one) child, state:
4        1. My child ............................ (name of
5    child) was born on ..... (insert date) at
6    .................... Hospital in the City/Town of
7    ........., in ................ County, State of
8    ...............
9        2. I reside at ......................, County of
10    ............. and State of ..............
11        Mail may also be sent to me at this address
12    ............................, in care of
13    .................
14        My home telephone number is......................
15        My cell telephone number is......................
16        My e-mail address is.................................
17        3. I, ..........................., am .... years old.
18        4. I enter my appearance in this action for my child to
19    be adopted by the person or persons specified herein by me
20    and waive service of summons on me in this action only.
21        5. I hereby acknowledge that I have been provided a
22    copy of the Birth Parent Rights and Responsibilities in
23    Illinois for Final and Irrevocable Consents to Adoption by
24    a Specified Person or Persons for DCFS Cases before
25    signing this Consent and that I have had time to read this
26    form or have it read to me and that I understand the rights

 

 

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1    and responsibilities described in this form. I understand
2    that if I do not receive any of my rights as described in
3    the form, it shall not constitute a basis to revoke this
4    Final and Irrevocable Consent to Adoption by a Specified
5    Person or Persons.
6        6. I do hereby consent and agree to the adoption of
7    such child by .......... (names of current foster
8    parent(s) or caregiver(s), hereinafter referred to as the
9    "specified person or persons") only.
10        7. I wish to sign this consent and I understand that by
11    signing this consent I irrevocably and permanently give up
12    all my parental rights I have to my child.
13        8. I understand that this consent allows my child to
14    be adopted by the specified person or persons only and
15    that I cannot under any circumstances after signing this
16    document change my mind and revoke or cancel this consent.
17        9. I understand that this consent will be void if:
18            (a) the Department places my child with someone
19        other than the specified person or persons; or
20            (b) a court denies the adoption petition for the
21        specified person or persons to adopt my child; or
22            (c) the DCFS Guardianship Administrator refuses to
23        consent to my child's adoption by the specified person
24        or persons on the basis that the adoption is not in my
25        child's best interests.
26        I understand that if this consent is void I have

 

 

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1    parental rights to my child, subject to any applicable
2    court orders including those entered under Article II of
3    the Juvenile Court Act of 1987, unless and until I sign a
4    new consent or surrender or my parental rights are
5    involuntarily terminated. I understand that if this
6    consent is void, my child may be adopted by someone other
7    than the specified person or persons only if I sign a new
8    consent or surrender, or my parental rights are
9    involuntarily terminated. I understand that if this
10    consent is void, the Department will notify me within 30
11    days using the addresses and telephone numbers I provided
12    in paragraph 2 of this form. I understand that if I receive
13    such a notice, it is very important that I contact the
14    Department immediately, and preferably within 30 days, to
15    have input into the plan for my child's future.
16        10. I understand that if a petition for adoption of my
17    child is filed by someone other than the specified person
18    or persons, the Department will notify me within 14 days
19    after the Department becomes aware of the petition. The
20    fact that someone other than the specified person or
21    persons files a petition to adopt my child does not make
22    this consent void.
23        11. If a person other than the specified person or
24    persons files a petition to adopt my child or if the
25    consent is void under paragraph 9, the Department will
26    send written notice to me using the mailing address and

 

 

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1    email address provided by me in paragraph 2 of this form.
2    The Department will also contact me using the telephone
3    numbers I provided in paragraph 2 of this form. It is very
4    important that I let the Department know if any of my
5    contact information changes. If I do not let the
6    Department know if any of my contact information changes,
7    I understand that I may not receive notification from the
8    Department if this consent is void or if someone other
9    than the specified person or persons files a petition to
10    adopt my child. If any of my contact information changes,
11    I should immediately notify:
12        Caseworker's name and telephone number:
13    ............................................................;
14        Agency name, address, zip code, and telephone number:
15    ............................................................;
16        Supervisor's name and telephone number:
17    ............................................................;
18    DCFS Advocacy Office for Children and Families:
19    800-232-3798.
20        12. I expressly acknowledge that paragraph 9 (and
21    paragraphs 8a and 8b, if applicable) do not impair the
22    validity and finality of this consent under any
23    circumstances.
24        13. I have read and understand the above and I am
25    signing it as my free and voluntary act.
26        Dated (insert date).

 

 

HB3101- 70 -LRB103 29344 KTG 55731 b

1        .............................................
2        Signature of parent
 
3    (3) If the parent consents to an adoption by 2 specified
4persons, then the form shall contain 2 additional paragraphs
5in substantially the following form:
6        8a. I understand that I cannot change my mind or
7    revoke this consent or recover custody of my child on the
8    basis that the specified persons divorce or are granted a
9    dissolution of a civil union or that one of the specified
10    persons has died.
11        8b. I understand that if the specified persons get a
12    divorce or are granted a dissolution of a civil union
13    before the petition to adopt my child is granted, this
14    consent remains valid only for ............... (name only
15    one specified person) to adopt my child.
16        8c. I understand that if either of the specified
17    persons dies before the petition to adopt my child is
18    granted, this consent remains valid for the surviving
19    person to adopt my child.
20    (4) The form of the certificate of acknowledgement for a
21Final and Irrevocable Consent for Adoption by a Specified
22Person or Persons: DCFS Case shall be substantially as
23follows:
 
24STATE OF ..............)

 

 

HB3101- 71 -LRB103 29344 KTG 55731 b

1                       ) SS.
2COUNTY OF .............)
 
3    I, .................... (Name of Judge or other person),
4..................... (official title, name, and address),
5certify that ............., personally known to me to be the
6same person whose name is subscribed to the foregoing Final
7and Irrevocable Consent for Adoption by a Specified Person or
8Persons: DCFS Case, appeared before me this day in person and
9acknowledged that (she)(he) signed and delivered the consent
10as (her)(his) free and voluntary act, for the specified
11purpose.
12    I have fully explained that by signing this consent this
13parent is irrevocably and permanently relinquishing all
14parental rights to the child so that the child may be adopted
15by a specified person or persons, and this parent has stated
16that such is (her)(his) intention and desire. I have fully
17explained that this consent is void only if:
18        (a) the placement is disrupted and the child is moved
19    to a different placement; or
20        (b) a court denies the petition for adoption; or
21        (c) the Department of Children and Family Services
22    Guardianship Administrator refuses to consent to the
23    child's adoption by a specified person or persons on the
24    basis that the adoption is not in the child's best
25    interests.

 

 

HB3101- 72 -LRB103 29344 KTG 55731 b

1    Dated (insert date).
2    ...............................
3    Signature
 
4    (5) If a consent to adoption by a specified person or
5persons is executed in this form, the following provisions
6shall apply. The consent shall be valid only for the specified
7person or persons to adopt the child. The consent shall be void
8if:
9        (a) the placement disrupts and the child is moved to
10    another placement; or
11        (b) a court denies the petition for adoption; or
12        (c) the Department of Children and Family Services
13    Guardianship Administrator refuses to consent to the
14    child's adoption by the specified person or persons on the
15    basis that the adoption is not in the child's best
16    interests.
17    If the consent is void under this Section, the parent
18shall not need to take further action to revoke the consent. No
19proceeding for termination of parental rights shall be brought
20unless the parent who executed the consent to adoption by a
21specified person or persons has been notified of the
22proceedings pursuant to Section 7 of this Act or subsection
23(4) of Section 2-13 of the Juvenile Court Act of 1987.
24    (6) The Department of Children and Family Services is
25authorized to promulgate rules necessary to implement this

 

 

HB3101- 73 -LRB103 29344 KTG 55731 b

1subsection O.
2    (7) (Blank).
3    (8) The Department of Children and Family Services shall
4promulgate a rule and procedures regarding Consents to
5Adoption by a Specified Person or Persons in DCFS cases. The
6rule and procedures shall provide for the development of the
7Birth Parent Rights and Responsibilities Form for DCFS Cases.
8    (9) A consent to adoption by specified persons on this
9consent form shall have no effect on a court's determination
10of custody or visitation under the Illinois Marriage and
11Dissolution of Marriage Act or the Illinois Religious Freedom
12Protection and Civil Union Act if the marriage or civil union
13of the specified persons is dissolved after the adoption is
14final.
15    P. If the person signing a consent is incarcerated or
16detained in a correctional facility, prison, jail, detention
17center, or other comparable institution, either in this State
18or any other jurisdiction, the execution of such consent may
19be acknowledged before social service personnel of such
20institution, or before a person designated by a court of
21competent jurisdiction.
22    Q. A consent may be acknowledged telephonically, via
23audiovisual connection, or other electronic means, provided
24that a court of competent jurisdiction has entered an order
25approving the execution of the consent in such manner and has
26designated an individual to be physically present with the

 

 

HB3101- 74 -LRB103 29344 KTG 55731 b

1parent executing such consent in order to verify the identity
2of the parent.
3    R. An agency whose representative is acknowledging a
4consent pursuant to this Section shall be a public child
5welfare agency, or a child welfare agency, or a child placing
6agency that is authorized or licensed in the State or
7jurisdiction in which the consent is signed.
8    S. The form of waiver by a putative or legal father of a
9born or unborn child shall be substantially as follows:
 
10
FINAL AND IRREVOCABLE
11
WAIVER OF PARENTAL RIGHTS OF PUTATIVE OR LEGAL FATHER

 
12    I, ...................., state under oath or affirm as
13follows:
14        1. That the biological mother ............... has
15    named me as a possible biological or legal father of her
16    minor child who was born, or is expected to be born on
17    ..........., ......, in the City/Town of........., State
18    of ...........
19        2. That I understand that the biological mother
20    ............. intends to or has placed the child for
21    adoption.
22        3. That I reside at ................, in the City/Town
23    of..........., State of ................
24        4. That I am ................ years of age and my date

 

 

HB3101- 75 -LRB103 29344 KTG 55731 b

1    of birth is ..............., .............
2        5. That I (select one):
3            ..... am married to the biological mother.
4            ..... am not married to the biological mother and
5        have not been married to the biological mother within
6        300 days before the child's birth or expected date of
7        child's birth.
8            ..... am not currently married to the biological
9        mother, but was married to the biological mother,
10        within 300 days before the child's birth or expected
11        date of child's birth.
12        6. That I (select one):
13            ..... neither admit nor deny that I am the
14        biological father of the child.
15            ..... deny that I am the biological father of the
16        child.
17        7. That I hereby agree to the termination of my
18    parental rights, if any, without further notice to me of
19    any proceeding for the adoption of the minor child, even
20    if I have taken any action to establish parental rights or
21    take any such action in the future including registering
22    with any putative father registry.
23        8. That I understand that by signing this Waiver I do
24    irrevocably and permanently give up all custody and other
25    parental rights I may have to such child.
26        9. That I understand that this Waiver is FINAL AND

 

 

HB3101- 76 -LRB103 29344 KTG 55731 b

1    IRREVOCABLE and that I am permanently barred from
2    contesting any proceeding for the adoption of the child
3    after I sign this Waiver.
4        10. That I waive any further service of summons or
5    other pleadings in any proceeding to terminate parental
6    rights, if any to this child, or any proceeding for
7    adoption of this child.
8        11. That I understand that if a final judgment or
9    order of adoption for this child is not entered, then any
10    parental rights or responsibilities that I may have remain
11    intact.
12        12. That I have read and understand the above and that
13    I am signing it as my free and voluntary act.
 
14    Dated: ..................., ..............
15    ...........................................
16    Signature
 
17
OATH
18I have been duly sworn and I state under oath that I have read
19and understood this Final and Irrevocable Waiver of Parental
20Rights of Putative or Legal Father. The facts contained in it
21are true and correct to the best of my knowledge. I have signed
22this document as my free and voluntary act in order to
23facilitate the adoption of the child.
 

 

 

HB3101- 77 -LRB103 29344 KTG 55731 b

1..............................
2Signature
 
3Signed and Sworn before me on
4this ............ day
5of ..........., 20....
 
6...................
7Notary Public
8(Source: P.A. 99-833, eff. 1-1-17; 100-1060, eff. 1-1-19.)

 

 

HB3101- 78 -LRB103 29344 KTG 55731 b

1 INDEX
2 Statutes amended in order of appearance
3    325 ILCS 2/10
4    325 ILCS 2/15
5    325 ILCS 2/20
6    325 ILCS 2/22
7    325 ILCS 2/30
8    325 ILCS 2/35
9    325 ILCS 2/37
10    325 ILCS 2/40
11    325 ILCS 2/50
12    325 ILCS 2/55
13    325 ILCS 2/60
14    325 ILCS 2/65
15    410 ILCS 527/20
16    750 ILCS 46/602
17    750 ILCS 50/4.1from Ch. 40, par. 1506
18    750 ILCS 50/10from Ch. 40, par. 1512