Form Ad 887a - Statement Of Understanding - Parent Who Did Not Give Physical Custody Of The Child To The Petitioner(S) Page 3
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413. I understand after my 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 my child. My child
will legally inherit from his/her adoptive parents(s).
14. 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 my
child;
b. My child, when he/she is an adult, and I have signed forms agreeing to the release of identifying information
so contact can be arranged;
c. My 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 records;
d. My 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. My 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 law.
15. 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.
16. I understand the court may, after considering a request, release identifying information from the court’s adoption
file.
17. I understand if I think I was deliberately not told the truth about consenting to the adoption of my child, 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 my child.
18. I understand I will no longer be my 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 my child;
b. The petitioner(s) will be the parent(s) and will be legally responsible for caring for my child;
c. I will no longer have any right to the custody, services or earnings of my child; and
d. I will not be able to reclaim my child.
19. I have received enough information about the petitioner(s) and about my child’s adjustment in the petitioner(s)
family, and I wish to proceed with signing the consent to adoption form.
20. I have carefully thought about the reasons for keeping or consenting to the adoption of my child. I have decided
that consenting to the adoption of my child by the petitioner(s) is in the best interest of my 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 my child by the petitioner(s), and I am
signing this freely and willingly.
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AD 887A (6/17) Parent Who Did Not give Physical Custody (Non-Custodian Parent) of the Child to the Petitioner(s)
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