Form Ad 900b - Statement Of Understanding - Alleged Father Of An Indian Child Page 3
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6STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
_____ b. l will be told immediately if my child’s other parent asks to take back his/her consent to
adoption and of any court proceedings because he/she is asking to take back the consent
to adoption. I understand I must keep the adoption agency informed of my current address
if I want to receive this notice.
_____ c. The child’s Indian tribe has a right to be noticed and participate in the adoption
proceedings.
_____ d. If any agency or person goes to court to take away the parental rights of this child’s other
parent, this child’s tribe will be noticed and may participate in the proceedings.
_____ e. The adoption agency has to tell me if the adoption is set-aside or the adoptive parent(s)
agree(s) to the ending of his/her/their rights as parent(s) to this child. I know that the notice
will be given to me in writing. I understand I must keep the adoption agency informed of my
current address if I want to receive this notice.
_____ f. If this child’s tribe has a tribal court, as defined by the ICWA, or other administrative body
that is able to hear child proceedings, this child’s other parent, or the tribe may ask the
court to have all court proceedings about this child moved to the tribal court. This will not
take place if the other parent, or the tribe does not want it to, or if the court finds good
reason not to move the proceedings.
_____ g. Information about the adoption may be released when:
(1) This child reaches 18 years of age and asks the court that granted the adoption for
information about tribal affiliation and any other information needed to protect any tribal
rights, including entitlement to enrollment that he/she may have.
(2) The Secretary of the Interior has asked for the information.
(a) I understand if I want to stay unknown, I must file a paper with the court asking
that information about me not be released.
(b) I understand even though the ICWA requires the Secretary of the Interior to make
sure the information on the adoption of this child stays confidential, tribes do not
always keep this information confidential if they find out about the adoption.
(3) This child is over 18 years of age, his/her adoptive parent(s), or tribe asks the
Secretary of the Interior to release information to enroll this child in the tribe, or to
decide if this child has any rights or benefits from the tribe.
(a) I understand if I have filed a paper with the court asking that information about me
not be released, the Secretary of the Interior will certify that this child may be
enrolled in the tribe instead of releasing the information.
_____ h. The adoption agency will take the necessary steps to obtain a Certificate of Degree of
Indian Blood for this child and may enroll this child in his/her tribe or register him/her for
any Bureau of Indian Affairs’ benefits that he/she may be able to get.
_____ i. The clerk of the Superior Court must provide a copy of the final decree of adoption, along
with information about myself, tribal information, biological parent, adoptive parent and the
adoption agency to the Secretary of Interior.
_____ j. As the alleged parent of an Indian child, the legal parent may ask the court to stop any
action ending his/her rights as a parent, if the action did not follow the ICWA.
AD 900B (5/17) ALLEGED FATHER OF INDIAN CHILD
PAGE 3 OF 6
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