Form Ad 887b - Statement Of Understanding - Alleged Natural Father Page 3
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4STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
____11. I understand if I ask the agency which investigates the proposed adoption for information at any future
time, the agency must give me all known information about the status of this child’s adoption,
including the approximate date the adoption was completed and, if the adoption was not completed or
was vacated for any reason, whether adoptive placement of this child is again being considered.
____12. I understand after this child’s adoption has been granted in court, all inheritance rights from any blood
relatives will end unless they have made arrangements in their will or in a trust which specifically
includes this child. This child will legally inherit from his/her adoptive parent(s).
____13. I understand the adoption agency may release identifying information from the adoption case record
only when:
a. It has been requested by certain agencies as named in law because the information is needed to
help this child;
b. This child, when he/she is an adult, and I have signed forms agreeing to the release of identifying
information so that contact can be arranged;
c. This child has reached 21 years of age, asks for my identity and I have agreed in writing to the
release of my identity and most current address in the adoption agency’s record;
d. This child has reached 21 years of age and has indicated in writing that I may have his/her
adopted name and most current address as indicated in the adoption agency’s records, and I have
asked for this information; or
e. This child is under 21 years of age and the adoption agency has found that the release of my
identity and most current address as indicated in the agency’s records is justified according to the
law.
____14. I understand I will be able, at any time, to add information about myself to the records of the agency
that investigates the independent adoption.
____15. I understand the court may, after considering a request, release identifying information from the
court’s adoption file.
____16. I understand if I think I was deliberately not told the truth about having this child adopted, I have three
years after the date the adoption was completed, or within 90 days of discovery of the fraud,
whichever is earlier, to ask the court to set-aside the adoption of this child.
____17. I understand I will no longer be considered this child’s legal parent once the adoption is granted in
court.
This means that:
a. I will no longer be responsible for the care of this child;
b. The petitioner(s) will be the parent(s) and will be legally responsible for caring for this child;
c. I will no longer have any right to the custody, services or earings of this child; and
d. I will not be able to reclaim this child.
____18. I have carefully thought about the reasons for keeping or having this child adopted. I have decided
that having this child adopted by the petitioner(s) is in the best interest of this child. I have read and
understand this Statement of Understanding and the consent to adoption forms. I do not need any
more help or time to make my,decision. I have decided to consent to the adoption of this child by the
petitioner(s), and I am signing this freely and willingly.
I, _______________________________________ , alleged father of ________________________________
NAME OF ALLEGED FATHER
NAME OF THE CHILD
understand and agree to the statements I have initialed above.
SIGNATURE OF ALLEGED FATHER
DATE:
AD 887B (7/17) ALLEGED FATHER
PAGE 3 OF 4
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