The Affidavit of Voluntary Relinquishment of Parental Rights Form is used when a parent chooses to permanently terminate their legal relationship with their child. This document is commonly used in adoption proceedings, child welfare cases, or when a parent determines they cannot fulfill their parental responsibilities. The affidavit must comply with state-specific requirements and federal regulations, including the Indian Child Welfare Act where applicable. It contains detailed information about the parent, child, and circumstances of relinquishment, and typically requires court approval to become final. Once executed, it permanently terminates all parental rights, obligations, and responsibilities.
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1. Caption and Court Information: Identifies the court, parties, and case number
2. Personal Information: Affiant's details, child's details, and other parent's information
3. Declaration of Competency: Statement affirming mental competency and voluntary nature of action
4. Statement of Understanding: Acknowledgment of permanent nature and consequences of relinquishment
5. Rights Being Relinquished: Detailed listing of all parental rights being surrendered
6. Verification: Sworn statement of truth and notarization block
1. Native American Heritage Declaration: Required section when child may have Native American ancestry, addressing ICWA requirements
2. Post-Termination Contact Agreement: Optional section detailing any agreed terms for continued contact after relinquishment
3. Counseling Acknowledgment: Section confirming receipt of legal/psychological counseling when required by state law or voluntarily obtained
1. Birth Certificate: Certified copy of child's birth certificate
2. Service Documents: Proof of service on other parent or interested parties
3. Social Study: Required study or report if mandated by state law or court
4. Counseling Documentation: Proof of required counseling if applicable under state law
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