Form Ad 887 - Statement Of Understanding - Parent Who Gave Physical Custody Of The Child To The Petitioner(S) Page 4
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6_____ 11. I understand after the consent to adoption form becomes irrevocable, I may regain custody of the
child only if the petitioner(s) agree(s) to withdraw his/her/their petition for adoption or if the court
denies the adoption petition.
_____ 12. I understand I will remain legally responsible for my child until the adoption is granted by the court.
If the adoption petition is withdrawn, dismissed, or denied, the agency will notify me and request
that I make other plans for the child. I understand I must keep the agency informed of my current
address.
_____ 13. 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 my 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 my child is again being considered.
_____ 14. 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 parent(s).
_____ 15. 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 that 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.
_____ 16. 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.
_____ 17. I understand the court may, after considering a request, release identifying information from the
court’s adoption file.
_____ 18. 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.
_____ 19. 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;
AD 887 (5/17) Parent Who Gave Physical Custody (Custodial Parent) of the Child to the Petitioner(s)
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