The Adoption Consent Form is a critical legal document required in all U.S. adoption proceedings. It must be executed in compliance with state-specific adoption laws and federal regulations, including the Indian Child Welfare Act where applicable. This document formally records the birth parent's voluntary relinquishment of parental rights and their informed consent to the adoption. The form typically includes identifying information about all parties, explicit consent language, acknowledgment of rights and consequences, and required witness signatures. It may also incorporate mandatory waiting periods and revocation rights as specified by state law.
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1. Identification of Parties: Details of birth parent(s), adopting parents, and child including full legal names, addresses, and relevant identifying information
2. Declaration of Consent: Clear and unambiguous statement of voluntary consent to adoption and placement of the child
3. Rights Relinquishment: Explicit statement of termination of parental rights and understanding that these rights will be permanently transferred
4. Acknowledgment of Consequences: Statement confirming understanding of the permanent and irrevocable nature of the consent
5. Verification of Understanding: Confirmation that consent is given knowingly, voluntarily, and without duress or coercion
1. ICWA Statement: Required if there is any possibility the child has Native American heritage, including tribal affiliation verification
2. Counseling Certification: Required in states that mandate pre-consent counseling, documenting completion of required counseling sessions
3. Interstate Adoption Provisions: Required for adoptions crossing state lines, including ICPC compliance statements
4. Financial Disclosure: Required in some jurisdictions to disclose any financial arrangements or support related to the adoption
1. Schedule A - Birth Parent Counseling Record: Detailed documentation of all counseling sessions, including dates, counselor information, and topics covered
2. Schedule B - Medical History Form: Comprehensive medical history of birth parents and child, including family medical history and current health status
3. Schedule C - Legal Representation Certification: Documentation of legal counsel provided to birth parents, including attorney details and confirmation of independent legal advice
4. Schedule D - Witness Statements: Required witness attestations to consent, including notarization where required by state law
5. Schedule E - Revocation Rights Notice: Detailed information about any rights to revoke consent, including applicable timeframes and procedures
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